Prognostic and Predictive Roles of KRAS Mutation in Colorectal Cancer

被引:165
作者
Arrington, Amanda K. [1 ]
Heinrich, Eileen L. [1 ]
Lee, Wendy [1 ]
Duldulao, Marjun [1 ]
Patel, Supriya [2 ]
Sanchez, Julian [1 ]
Garcia-Aguilar, Julio [3 ]
Kim, Joseph [1 ]
机构
[1] City Hope Natl Med Ctr, Ctr Comprehens Canc, Div Surg Oncol, Duarte, CA 91010 USA
[2] Univ So Calif, Dept Surg, Los Angeles, CA 90001 USA
[3] Mem Sloan Kettering Canc Ctr, Div Colorectal Surg, New York, NY 11597 USA
关键词
KRAS; colorectal cancer; colon cancer; EGFR; Let7; ras; oncogenes; GROWTH-FACTOR RECEPTOR; KIRSTEN RAS MUTATIONS; HUMAN COLON-CANCER; GENETIC ALTERATIONS; 1ST-LINE TREATMENT; RECTAL-CANCER; KI-RAS; POINT MUTATIONS; HUMAN-LUNG; CETUXIMAB;
D O I
10.3390/ijms131012153
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
The RAS gene family is among the most studied and best characterized of the known cancer-related genes. Of the three human ras isoforms, KRAS is the most frequently altered gene, with mutations occurring in 17%-25% of all cancers. In particular, approximately 30%-40% of colon cancers harbor a KRAS mutation. KRAS mutations in colon cancers have been associated with poorer survival and increased tumor aggressiveness. Additionally, KRAS mutations in colorectal cancer lead to resistance to select treatment strategies. In this review we examine the history of KRAS, its prognostic value in patients with colorectal cancer, and evidence supporting its predictive value in determining appropriate therapies for patients with colorectal cancer.
引用
收藏
页码:12153 / 12168
页数:16
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