Comprehensive characterization of RAS mutations in colon and rectal cancers in old and young patients

Ilya G. Serebriiskii, Caitlin Connelly, Garrett Frampton, Justin Newberg, Matthew Cooke, Vince Miller, Siraj Ali, Jeffrey S. Ross, Elizabeth Handorf, Sanjeevani Arora, Christopher Lieu, Erica A. Golemis, Joshua E. Meyer

Research output: Contribution to journalArticlepeer-review

164 Scopus citations

Abstract

Colorectal cancer (CRC) is increasingly appreciated as a heterogeneous disease, with factors such as microsatellite instability (MSI), cancer subsite within the colon versus rectum, and age of diagnosis associated with specific disease course and therapeutic response. Activating oncogenic mutations in KRAS and NRAS are common in CRC, driving tumor progression and influencing efficacy of both cytotoxic and targeted therapies. The RAS mutational spectrum differs substantially between tumors arising from distinct tissues. Structure-function analysis of relatively common somatic RAS mutations in G12, Q61, and other codons is characterized by differing potency and modes of action. Here we show the mutational profile of KRAS, NRAS, and the less common HRAS in 13,336 CRC tumors, comparing the frequency of specific mutations based on age of diagnosis, MSI status, and colon versus rectum subsite. We identify mutation hotspots, and unexpected differences in mutation spectrum, based on these clinical parameters.

Original languageEnglish
Article number3722
Pages (from-to)3722
JournalNature Communications
Volume10
Issue number1
DOIs
StatePublished - Aug 19 2019

Keywords

  • Colonic Neoplasms/genetics
  • Female
  • GTP Phosphohydrolases/genetics
  • Genetic Variation/genetics
  • Genome, Human/genetics
  • Humans
  • Male
  • Membrane Proteins/genetics
  • Microsatellite Instability
  • Middle Aged
  • Mutation Rate
  • Mutation/genetics
  • Proto-Oncogene Proteins p21(ras)/genetics
  • Rectal Neoplasms/genetics
  • Structure-Activity Relationship

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