Abnormalities in the KRAS Gene and Treatment Options for NSCLC Patients with the G12C Mutation in This Gene—A Literature Review and Single-Center Experience

Mutations in the <i>KRAS</i> gene are among the most common mutations observed in cancer cells, but they have only recently become an achievable goal for targeted therapies. Two <i>KRAS</i> inhibitors, sotorasib and adagrasib, have recently been approved for the treatment of...

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Main Authors: Anna K. Rekowska, Piotr Rola, Agnieszka Kwiatkowska, Magdalena Wójcik-Superczyńska, Michał Gil, Paweł Krawczyk, Janusz Milanowski
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/12/2/325
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author Anna K. Rekowska
Piotr Rola
Agnieszka Kwiatkowska
Magdalena Wójcik-Superczyńska
Michał Gil
Paweł Krawczyk
Janusz Milanowski
author_facet Anna K. Rekowska
Piotr Rola
Agnieszka Kwiatkowska
Magdalena Wójcik-Superczyńska
Michał Gil
Paweł Krawczyk
Janusz Milanowski
author_sort Anna K. Rekowska
collection DOAJ
description Mutations in the <i>KRAS</i> gene are among the most common mutations observed in cancer cells, but they have only recently become an achievable goal for targeted therapies. Two <i>KRAS</i> inhibitors, sotorasib and adagrasib, have recently been approved for the treatment of patients with advanced non-small cell lung cancer with the <i>KRAS</i> G12C mutation, while studies on their efficacy are still ongoing. In this work, we comprehensively analyzed <i>RAS</i> gene mutations’ molecular background, mutation testing, KRAS inhibitors’ effectiveness with an emphasis on non-small cell lung cancer, the impact of <i>KRAS</i> mutations on immunotherapy outcomes, and drug resistance problems. We also summarized ongoing trials and analyzed emerging perspectives on targeting KRAS in cancer patients.
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spelling doaj.art-05ffdb3edf2a4b11b59be44081022dac2024-02-23T15:08:29ZengMDPI AGBiomedicines2227-90592024-01-0112232510.3390/biomedicines12020325Abnormalities in the KRAS Gene and Treatment Options for NSCLC Patients with the G12C Mutation in This Gene—A Literature Review and Single-Center ExperienceAnna K. Rekowska0Piotr Rola1Agnieszka Kwiatkowska2Magdalena Wójcik-Superczyńska3Michał Gil4Paweł Krawczyk5Janusz Milanowski6Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, 20-090 Lublin, PolandDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, 20-090 Lublin, PolandDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, 20-090 Lublin, PolandDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, 20-090 Lublin, PolandDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, 20-090 Lublin, PolandDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, 20-090 Lublin, PolandDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, 20-090 Lublin, PolandMutations in the <i>KRAS</i> gene are among the most common mutations observed in cancer cells, but they have only recently become an achievable goal for targeted therapies. Two <i>KRAS</i> inhibitors, sotorasib and adagrasib, have recently been approved for the treatment of patients with advanced non-small cell lung cancer with the <i>KRAS</i> G12C mutation, while studies on their efficacy are still ongoing. In this work, we comprehensively analyzed <i>RAS</i> gene mutations’ molecular background, mutation testing, KRAS inhibitors’ effectiveness with an emphasis on non-small cell lung cancer, the impact of <i>KRAS</i> mutations on immunotherapy outcomes, and drug resistance problems. We also summarized ongoing trials and analyzed emerging perspectives on targeting KRAS in cancer patients.https://www.mdpi.com/2227-9059/12/2/325non-small cell lung cancer<i>KRAS</i> mutationsKRAS inhibitorsimmunotherapy
spellingShingle Anna K. Rekowska
Piotr Rola
Agnieszka Kwiatkowska
Magdalena Wójcik-Superczyńska
Michał Gil
Paweł Krawczyk
Janusz Milanowski
Abnormalities in the KRAS Gene and Treatment Options for NSCLC Patients with the G12C Mutation in This Gene—A Literature Review and Single-Center Experience
Biomedicines
non-small cell lung cancer
<i>KRAS</i> mutations
KRAS inhibitors
immunotherapy
title Abnormalities in the KRAS Gene and Treatment Options for NSCLC Patients with the G12C Mutation in This Gene—A Literature Review and Single-Center Experience
title_full Abnormalities in the KRAS Gene and Treatment Options for NSCLC Patients with the G12C Mutation in This Gene—A Literature Review and Single-Center Experience
title_fullStr Abnormalities in the KRAS Gene and Treatment Options for NSCLC Patients with the G12C Mutation in This Gene—A Literature Review and Single-Center Experience
title_full_unstemmed Abnormalities in the KRAS Gene and Treatment Options for NSCLC Patients with the G12C Mutation in This Gene—A Literature Review and Single-Center Experience
title_short Abnormalities in the KRAS Gene and Treatment Options for NSCLC Patients with the G12C Mutation in This Gene—A Literature Review and Single-Center Experience
title_sort abnormalities in the kras gene and treatment options for nsclc patients with the g12c mutation in this gene a literature review and single center experience
topic non-small cell lung cancer
<i>KRAS</i> mutations
KRAS inhibitors
immunotherapy
url https://www.mdpi.com/2227-9059/12/2/325
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