After 40 years of research into the mutant genes found in the deadliest cancers, new drugs could finally be approved for patients

20% of all cancers harbour a mutation in one of the three RAS genes, KRAS, HRAS and NRAS. Of the three, KRAS is the most notorious, and is found in the deadliest cancers such as lung, colorectal and pancreatic.

Normal cell

Tumour cell

Mutated

KRAS

KRAS

Nucleus

In cells containing the mutant KRAS gene, a mutant KRAS protein is expressed which causes excessive cell growth, creating tumours.

KRAS with normal levels

Mutated levels

Proteins

Cells

Gene

Proteins

Cells

Gene

The problem in developing a drug

Researchers found that nothing would bind to KRAS proteins, which are round and impenetrable. Drugs have nothing to latch on to, and so bounce off.

Mutant

KRAS

Trial

drug

The solution

In the late 2000s, scientists became interested in a mutant KRAS protein called G12C. After five years of testing, a drug was discovered that could create a tiny groove on the protein surface, to attach and hold G12C.

Cancer drug

G12C

cell

Surface groove

The problem in developing a drug

20% of all cancers harbour a mutation in one of the three RAS genes, KRAS, HRAS and NRAS. Of the three, KRAS is the most notorious, and is found in the deadliest cancers such as lung, colorectal and pancreatic.

Researchers found that nothing would bind to KRAS proteins, which are round and impenetrable. Drugs have nothing to latch on to, and so bounce off.

Mutant

KRAS

Normal cell

Tumour cell

Trial

drug

Mutated

KRAS

KRAS

Nucleus

The solution

In cells containing the mutant KRAS gene, a mutant KRAS protein is expressed which causes excessive cell growth, creating tumours.

In the late 2000s, scientists became interested in a mutant KRAS protein called G12C. After five years of testing, a drug was discovered that could create a tiny groove on the protein surface, to attach and hold G12C.

Cancer drug

KRAS with normal levels

Mutated levels

G12C

cell

Proteins

Cells

Gene

Proteins

Cells

Surface groove

Gene