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KRAS-Associated Cancer Signaling

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Oncology".

Deadline for manuscript submissions: 31 October 2026 | Viewed by 629

Special Issue Editor


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Guest Editor
Department of Biomedical Sciences, College of Medicine, Inha University, Incheon 22332, Republic of Korea
Interests: RAS/KRAS signaling; receptor tyrosine kinases; EGFR; c-MET; PI3K–MAPK pathways; tumor microenvironment; drug resistance and adaptive rewiring; biomarker stratification; combination therapy; prion protein (PrPC)

Special Issue Information

Dear Colleagues,

Oncogenic KRAS orchestrates cancer signalling across colorectal, lung, and pancreatic malignancies through dynamic crosstalk with receptor tyrosine kinases, downstream MAPK/PI3K pathways, and the tumour microenvironment. Despite recent advances, including covalent KRASG12C inhibitors, adaptive rewiring, lineage context, and KRAS-independent survival circuits continue to limit durable responses. This Special Issue will gather mechanistic and translational studies that dissect KRAS-associated networks and therapeutic vulnerabilities, including RTK and membrane-proximal organizers (e.g., EGFR, c-MET, laminin receptor, prion protein), biomarker-driven patient stratification, and rational combinations with chemotherapy, targeted agents, or immunotherapy. We welcome original research, brief reports, and reviews using cellular and animal models, organoids, multi-omics, and computational approaches that inform clinically actionable strategies and early clinical translation.

Dr. Sang Hun Lee
Guest Editor

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Keywords

  • KRAS signaling
  • receptor tyrosine kinases
  • EGFR
  • c-MET
  • PI3K–MAPK pathways
  • tumor microenvironment
  • drug resistance and adaptive rewiring
  • combination therapy
  • biomarker stratification
  • prion protein (PrPC)

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Published Papers (1 paper)

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Research

16 pages, 3317 KB  
Article
PrPC-Neutralizing Antibody Confers an Additive Benefit in Combination with 5-Fluorouracil in KRAS-Mutant Colorectal Cancer Models, Associated with Reduced RAS-GTP and AKT/ERK Phosphorylation
by Jeong Kun Lee, Jun Young Yoon, Jae Young Lee and Sang Hun Lee
Int. J. Mol. Sci. 2026, 27(3), 1159; https://doi.org/10.3390/ijms27031159 - 23 Jan 2026
Viewed by 447
Abstract
Colorectal cancer (CRC) remains a major cause of cancer-related deaths in advanced disease, and activating KRAS/NRAS mutations limit the use of anti-EGFR antibodies to RAS–wild-type tumors. The cellular prion protein (PrPC) has been linked to aggressive and chemoresistant CRC, but its [...] Read more.
Colorectal cancer (CRC) remains a major cause of cancer-related deaths in advanced disease, and activating KRAS/NRAS mutations limit the use of anti-EGFR antibodies to RAS–wild-type tumors. The cellular prion protein (PrPC) has been linked to aggressive and chemoresistant CRC, but its extracellular partners and functional relevance in KRAS-mutant disease are not fully defined. Here, we examined extracellular PrPC complexes and PrPC-associated signaling in CRC cell lines and xenografts using a neutralizing PrPC monoclonal antibody. Across a CRC panel that included SNU-C5/WT and its 5-fluorouracil- and oxaliplatin-resistant derivatives, HT-29 (KRAS–wild-type), and HCT-8 and LoVo (KRAS-mutant), co-immunoprecipitation showed that PrPC forms complexes with the 37/67 kDa laminin receptor (RPSA), with PrPC–RPSA association particularly increased in KRAS-mutant HCT-8 and LoVo cells. PrPC protein levels were higher in KRAS-mutant HCT-8, SW620, and SNU-407 cells than in HT-29, and PrPC neutralization reduced viability in all four lines. Accordingly, we assessed upstream RAS activity and found that active RAS (RAS-GTP) was higher in KRAS-mutant cells than in HT-29, and PrPC treatment was associated with reduced RAS-GTP levels. In the same KRAS-mutant setting, basal AKT phosphorylation exceeded that in HT-29, and PrPC treatment lowered AKT phosphorylation without changing total AKT. Moreover, PrPC treatment was associated with reduced ERK1/2 phosphorylation in KRAS-mutant cells, suggesting attenuation of downstream RAS pathway output. These signaling changes coincided with a decrease in the S-phase fraction and an increase in G1. In an HCT-8 (KRAS G13D) xenograft model, PrPC monotherapy inhibited tumor growth in a dose-dependent manner, and 5-fluorouracil (5-FU) monotherapy produced an intermediate effect. The combination of PrPC (10 mg/kg) and 5-FU (20 mg/kg) yielded the greatest tumor growth inhibition among the tested regimens. Consistent with this enhanced tumor control, immunofluorescence of xenograft tissues showed that PrPC, particularly with 5-FU, reduced intratumoral PrPC and PCNA and decreased CD31-positive microvessels and α-SMA–positive vessel structures. Taken together, these findings suggest that extracellular PrPC supports RAS–AKT signaling, proliferation, and tumor-associated angiogenesis in KRAS-mutant colorectal cancer, and that PrPC neutralization additively enhances 5-fluorouracil activity in KRAS-mutant models. The data provide a preclinical basis for evaluating PrPC antibodies in combination with fluoropyrimidine-based regimens in patients with KRAS-mutant CRC. Full article
(This article belongs to the Special Issue KRAS-Associated Cancer Signaling)
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