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The KRAS oncogene is believed to be the most common single
nucleotide variant oncogene in human cancer. Historically, efforts
to target KRAS and the other RAS GTPases have struggled. More
recently, efforts have focused on identifying and exploiting
features unique to specific oncogenic mutations. This has led to
the first FDA approval for a RAS targeted therapy. This new agent
is a covalent inhibitor that reacts with the cysteine residue
created by a codon 12 glycine to cysteine (G12C) mutation within
KRAS. Mutant-specific strategies may also exist for other KRAS
single nucleotide variants, and recent studies provide examples and
mechanisms.
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