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Prognostic and Predictive Roles of KRAS Mutation in Colorectal Cancer
Authors:Amanda K. Arrington   Eileen L. Heinrich   Wendy Lee   Marjun Duldulao   Supriya Patel   Julian Sanchez   Julio Garcia-Aguilar   Joseph Kim
Affiliation:1.Division of Surgical Oncology, City of Hope Comprehensive Cancer Center, Duarte, CA 91010, USA; E-Mails: (E.L.H.); (W.L.); (M.D.); (J.S.);2.Department of Surgery, University of Southern California, Los Angeles, CA 90001, USA; E-Mail: ;3.Division of Colorectal Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 11597, USA; E-Mail:
Abstract: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.
Keywords:KRAS   colorectal cancer   colon cancer   EGFR   Let7   ras   oncogenes
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