KRASG12C mutant lung adenocarcinoma: unique biology, novel therapies and new challenges

KRAS mutant lung cancer is the most prevalent molecular subclass of adenocarcinoma (LUAD), which is a heterogenous group depending on the mutation-type which affects not only the function of the oncogene but affects the biological behavior of the cancer as well. Furthermore, KRAS mutation affects ra...

Full description

Bibliographic Details
Main Authors: Judit Moldvay, József Tímár
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Pathology and Oncology Research
Subjects:
Online Access:https://www.por-journal.com/articles/10.3389/pore.2023.1611580/full
_version_ 1797222326083780608
author Judit Moldvay
Judit Moldvay
József Tímár
author_facet Judit Moldvay
Judit Moldvay
József Tímár
author_sort Judit Moldvay
collection DOAJ
description KRAS mutant lung cancer is the most prevalent molecular subclass of adenocarcinoma (LUAD), which is a heterogenous group depending on the mutation-type which affects not only the function of the oncogene but affects the biological behavior of the cancer as well. Furthermore, KRAS mutation affects radiation sensitivity but leads also to bevacizumab and bisphosphonate resistance as well. It was highly significant that allele specific irreversible inhibitors have been developed for the smoking associated G12C mutant KRAS (sotorasib and adagrasib). Based on trial data both sotorasib and adagrasib obtained conditional approval by FDA for the treatment of previously treated advanced LUAD. Similar to other target therapies, clinical administration of KRASG12C inhibitors (sotorasib and adagrasib) resulted in acquired resistance due to various genetic changes not only in KRAS but in other oncogenes as well. Recent clinical studies are aiming to increase the efficacy of G12C inhibitors by novel combination strategies.
first_indexed 2024-04-24T13:19:33Z
format Article
id doaj.art-908dd979913142059b60f1a5d6ccb76d
institution Directory Open Access Journal
issn 1532-2807
language English
last_indexed 2024-04-24T13:19:33Z
publishDate 2024-01-01
publisher Frontiers Media S.A.
record_format Article
series Pathology and Oncology Research
spelling doaj.art-908dd979913142059b60f1a5d6ccb76d2024-04-04T16:24:31ZengFrontiers Media S.A.Pathology and Oncology Research1532-28072024-01-012910.3389/pore.2023.16115801611580KRASG12C mutant lung adenocarcinoma: unique biology, novel therapies and new challengesJudit Moldvay0Judit Moldvay1József Tímár2National Institute of Pulmonology, Budapest, HungaryPulmonology Clinic, Szentgyörgyi A. University, Szeged, HungaryDepartment of Pathology, Forensic and Insurance Medicine, Semmelweis University, Budapest, HungaryKRAS mutant lung cancer is the most prevalent molecular subclass of adenocarcinoma (LUAD), which is a heterogenous group depending on the mutation-type which affects not only the function of the oncogene but affects the biological behavior of the cancer as well. Furthermore, KRAS mutation affects radiation sensitivity but leads also to bevacizumab and bisphosphonate resistance as well. It was highly significant that allele specific irreversible inhibitors have been developed for the smoking associated G12C mutant KRAS (sotorasib and adagrasib). Based on trial data both sotorasib and adagrasib obtained conditional approval by FDA for the treatment of previously treated advanced LUAD. Similar to other target therapies, clinical administration of KRASG12C inhibitors (sotorasib and adagrasib) resulted in acquired resistance due to various genetic changes not only in KRAS but in other oncogenes as well. Recent clinical studies are aiming to increase the efficacy of G12C inhibitors by novel combination strategies.https://www.por-journal.com/articles/10.3389/pore.2023.1611580/fullKRASlung adenocarcinomaG12C mutationsotorasibadagrasib
spellingShingle Judit Moldvay
Judit Moldvay
József Tímár
KRASG12C mutant lung adenocarcinoma: unique biology, novel therapies and new challenges
Pathology and Oncology Research
KRAS
lung adenocarcinoma
G12C mutation
sotorasib
adagrasib
title KRASG12C mutant lung adenocarcinoma: unique biology, novel therapies and new challenges
title_full KRASG12C mutant lung adenocarcinoma: unique biology, novel therapies and new challenges
title_fullStr KRASG12C mutant lung adenocarcinoma: unique biology, novel therapies and new challenges
title_full_unstemmed KRASG12C mutant lung adenocarcinoma: unique biology, novel therapies and new challenges
title_short KRASG12C mutant lung adenocarcinoma: unique biology, novel therapies and new challenges
title_sort krasg12c mutant lung adenocarcinoma unique biology novel therapies and new challenges
topic KRAS
lung adenocarcinoma
G12C mutation
sotorasib
adagrasib
url https://www.por-journal.com/articles/10.3389/pore.2023.1611580/full
work_keys_str_mv AT juditmoldvay krasg12cmutantlungadenocarcinomauniquebiologynoveltherapiesandnewchallenges
AT juditmoldvay krasg12cmutantlungadenocarcinomauniquebiologynoveltherapiesandnewchallenges
AT jozseftimar krasg12cmutantlungadenocarcinomauniquebiologynoveltherapiesandnewchallenges