The KRAS signaling pathway's impact on the characteristics of pancreatic cancer cells

Pathol Res Pract. 2023 Aug:248:154603. doi: 10.1016/j.prp.2023.154603. Epub 2023 Jun 8.

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is classified as a cancer with high metastasis so that its mortality rate is high and most of the patients could not survive longer than 5 years. RAS signaling participate in cellular processes, so it has a key role in PDAC.RAS activation is associated via three different signaling pathway including somatic oncogenic point mutations in KRAS, upstream signaling like EGFR, oncogenic activation of the downstream B-RAF molecule. Several targeted therapies have been developed against kinase effectors particularly those in the MAPK and PI3K (phosphoinositide 3-kinase)/mTOR signaling pathways and several inhibitors are undergoing clinical studies at the moment. However, because it is highly metastatic and frequently diagnosed at advanced disease stages, pancreatic cancer continues to be a challenging cancer to treat. This article will explore therapeutic approaches that focus on oncogenic KRAS signaling in pancreatic cancer and provide an updated synopsis of our knowledge of how mutant KRAS function in the illness.

Keywords: KRAS; Pancreatic cancer; Signaling; Therapy.

Publication types

  • Review

MeSH terms

  • Carcinoma, Pancreatic Ductal* / pathology
  • Humans
  • Mutation
  • Pancreatic Neoplasms* / pathology
  • Phosphatidylinositol 3-Kinases / metabolism
  • Proto-Oncogene Proteins p21(ras) / genetics
  • Proto-Oncogene Proteins p21(ras) / metabolism
  • Signal Transduction

Substances

  • Proto-Oncogene Proteins p21(ras)
  • Phosphatidylinositol 3-Kinases
  • KRAS protein, human