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KRAS-targeted Drugs R&D Service

 RAS is one of the most frequently mutated oncogenes in human cancer. KRAS is the isoform most frequently mutated, which constitutes about 85% of RAS mutations. As the most frequently mutated RAS isoform, KRAS is intensively studied in the past years.

In the formulation of KRAS integrated research plan, Medicilon has in-depth communication with customers. The backbone of scientific research has combined the characteristics of each case with years of practical experience and technical accumulation, and carefully submitted high-quality experimental plans and results to customers. Medicilon provides KRAS-targeted drug discovery, CMC research (API + formulation), pharmacodynamics research, PK study, safety evaluation and other services.

KRAS GTPase cycle.webp

Targeting the untargetable KRAS[1]

Introduction of KRAS
  • RAS is a family of GTPase proto-oncogenes, comprising three closely related RAS isoforms: HRAS, KRAS and NRAS. From all of the RAS isoforms, KRAS is most frequently mutated, followed by NRAS and then HRAS. KRAS mutations are particularly frequent in the pancreatic, lung and colorectal cancers. In cancer, the most frequently mutated residues are G12, G13, and Q61. KRAS protein exists as two splice variants, KRAS4A and KRAS4B, in which KRAS4B is the dominant form in human cells.
    KRAS (Kirsten rat sarcoma 2 viral oncogene homolog) gene is a proto-oncogene that encodes a GTP/GDP-binding protein that belongs to the GTPase RAS family.
    The KRAS protein acts as molecular switchs that cycle between a GDP-bound inactive state and a GTP-bound active state. KRAS protein switches between an inactive to an active form via binding to GTP and GDP, respectively.
    Although the KRAS protein harbors both intrinsic nucleotide exchange and GTP hydrolysis, its cellular signaling state arises from activation by guanine exchange factors (GEFs), such as son of sevenless (SOS) and Ras guanyl nucleotide-releasing protein, which catalyze GTP loading and deactivation by GTPase activating proteins (GAPs), such as p120GAP and neurofibromin (NF1), which stimulate GTP hydrolysis.
    KRAS GTPase cycle.webp

    KRAS GTPase cycle[1]

Structure of KRAS
  • KRAS protein contains four domains. The first domain at the N-terminus is identical in the three RAS forms, and the second domain exhibits relatively lower sequence identity. Both regions are important for the signaling function of the KRAS protein and jointly form the G-domain. KRAS protein has a molecular weight of 21 kDa, and is made up of six beta-strands (forming the protein core) and five alpha-helices, which form two major domains: the G-domain and the C-terminal. The G domain of KRAS, comprised of residues 1-166, includes the GTP-binding pocket, a region within which is essential for the interactions between the putative downstream effectors and GTPase-activating proteins (GAPs). The G domain is highly conserved and contains switch I and switch II loops, which are responsible for GDP-GTP exchange. The C-terminal, a hypervariable region including the CAAX (C= cysteine, A = any aliphatic amino acid, X = any amino acid) motif,  guides posttranslational modifications and determines plasma membrane anchoring. This region plays an important role in the regulation of the biological activity of RAS protein.
    Crystal structure KRAS.webp
    Crystal structure KRAS[2]
    2D depiction of the secondary structure of KRAS.webp
    2D depiction of the secondary structure of KRAS[2]
Signal Pathway of KRAS Signaling
  • KRAS is one of front-line sensors that initiate the activation of an array of signaling molecules, allowing the transmission of transducing signals from the cell surface to the nucleus, and affecting a range of essential cellular processes such as cell differentiation, growth, chemotaxis and apoptosis. In addition to the aforementioned GTP/GDP binding, the activation of KRAS signaling is now known as a multi-step process that requires proper KRAS post-translation, plasma membrane-localization and interaction with effector proteins.
    The signal transduction of the KRAS protein does not exclusively occur at the plasma membrane. Activation of downstream signaling pathways by KRAS can also be triggered by signals from subcellular compartments, such as the endoplasmatic reticulum and the Golgi apparatus.
    In response to extracellular stimuli, the conversion from inactive RAS-GDP to active RAS-GTP further promotes the activation of various signaling pathways, which includes MAPK pathway, PI3K pathway and the Ral-GEFs pathway, among them the MAPK pathway is the best characterized. It is known that RAS-GTP directly binds to RAF protein, recruiting RAF kinase family from cytoplasm to membranes, where they dimerize and become active. The activated RAF subsequently carries out a chain of phosphorylation reactions to its downstream substrates, namely MEK and ERK, and propagates the growth signal.
    The major KRAS effector pathways.webp

    The major KRAS effector pathways[1]

Crystallization Studies of KRAS Protein
  • High Throughput Screen of Crystallization
    More than 1,000 screen conditions
    High Throughput Screen of Crystallization.webp
  • Shanghai Synchrotron Radiation Facility
    Medicilon is involved in the design, construction and management of Shanghai Synchrotron Radiation Facility, an industrial beamline for macromolecular crystallography. Macromolecular beamline was open on July 2009.
    Crystal structure KRAS.webp
    Macromolecular Crystallography for Industrial Use
    Superior beamline and serviceLower costs3.5 GeV storage ringYear‐round operationVery close to Zhangjiang High-Tech Park and Pudong airport.
  • Case study
    KRAS-G12D
    Screening of the co-crystallization.webp
    Screening of KRASG12D
    Synchrotron X-ray diffraction data of the co-crystallization.webp
    Synchrotron X-ray diffraction data of KRASG12D
    KRAS-G12D with MRTX1133
    Screening of the co-crystallization.webp
    Screening of the co-crystallization
    Synchrotron X-ray diffraction data of KRASG12D.webp
    Synchrotron X-ray diffraction data of the co-crystallization
        KRAS-G12D
    KRAS-G12D.webp
    Compare the Structure of KRASG12D with 7RPZ, the green is PDB ID 7RPZ and the pink is the data from Medicilon. The data are very correlated.
        KRAS-G12D with MRTX1133
    KRAS-G12D with MRTX1133.webp
    Compare the Structure of KRASG12D co-crystallization with MRTX1133 (7RPZ, PDB), the green strucuture is PDB ID 7RPZ and the cyan is data from Medicilon. The data are very correlated.
    KRAS-G12D with MRTX1133
    Structure of KRASG12D co-crystallized with MRTX1133 with GDP-bound.webp

    Structure of KRASG12D co-crystallized with MRTX1133 with GDP-bound

In Vitro Studies of KRAS-targeted Drugs
  • In vitro functional assays are crucial for the practical evaluation of a candidate KRAS-targeted drug in the initial stages of research and development. These assays offer scientific evidence for validating KRAS-targeted drug activity, and providing preliminary evidence that supports therapeutic efficacy. As such, they play a key role in the decision-making process in KRAS-targeted drug candidate selection.
    KRAS Cellular Assay
    Medicilon have validated cytotoxicity assays for KRAS mutant cell lines, both 2D and 3D assays could be used for evaluation of KRAS inhibitors.
    2D cell proliferation assays detected through CellTiter-Glo.webp

    2D cell proliferation assays detected through CellTiter-Glo

  • Cell Cytotoxity Assay (3D)
    NCI-H358 (Lung, KRASG12C) Cell Cytotoxity Assay (3D)
    NCI-H358 (Lung, KRASG12C) Cell Cytotoxity Assay (3D).webp

    Cytotoxicity determined by photomicrography after 288 h treatment with drugs in NCI-H358 cells at concentrations starting from 1 µM and 1:3 serial dilution.

  • NCI-H358 (Lung, KRASG12C) Cell Cytotoxity CTG Assay (2D; 3 days)
    NCI-H358 (Lung, KRASG12C) Cell Cytotoxity CTG Assay (2D; 3 days).webp

    Cytotoxicity determined by CTG after 72 h treatment with drugs in NCI-H358 cells at concentrations starting from 1 µM and 1:3 serial dilution.

  • NCI-H358 (Lung, KRASG12C) Cell Cytotoxity CTG Assay (3D;12 days)
     NCI-H358 (Lung, KRAS<sup>G12C</sup>) Cell Cytotoxity CTG Assay (3D;12 days).webp

    Cytotoxicity determined by photomicrography after 288 h treatment with drugs in NCI-H358 cells at concentrations starting from 1 µM and 1:3 serial dilution.

  • Protein-based Assay
     NCI-H358 (Lung, KRAS<sup>G12C</sup>) Cell Cytotoxity CTG Assay (3D;12 days).webp

    IC50 screening of test compounds on Kras G12C-SOS1 Binding

  • Guanine Nucleotide Exchange Assay
    KRAS GTPase cycle.webp
    KRAS was incubated in a solution containing 1 mM BODIPY FL-GDP, 20 mM HEPES pH 7.6, 10 mM EDTA, 20 mM ammonium sulfate and 1 mM DTT for 48 hours at 4°C.                 The reaction was stopped with the addition of 20 mM MgCl2. The BODIPY-FL-GDP loaded KRAS protein is concentrated to remove BODIPY-FL-GDP. Panel A: MoA for the assay
Pharmacology Evaluation of KRAS-targeted Drugs
  • KRAS Mutation - CDX Model
    Cancer TypeCell Lines
    KRAS G12CMIA PaCa-2, NCI-H358, UM-UC-3, Calu-1
    KRAS G12DGP2D, SW1990, AsPC-1
    KRAS G12VSW480, CAPAN-1, NCI-H727
    KRAS G13DLoVo, HCT-116, HT15
    Medicilon Case: CDX - KRAS Mutation (G12C)
    Medicilon Case: CDX - KRAS Mutation (G12C)
    PDX Key Mutation/Overexpression/Resistance
    GENEPDX ID
    KRAS MutationPDXM-060C (p.G12V), PDXM-069C (p.G12V),PDXM-075C (p.G12D), PDXM-076C (p.G13D),PDXM-212Li (p.G12D)
    TP53 MutationPDXM-060C (p.R273H), PDXM-072C(p.Y234H)
    PIK3CA MutationPDXM-075C (p.H1047L), PDXM-092Ga (p.E545G)
    BCR-ABL FusionPDXM-242Le
    ERBB2 OverexpressionPDXM-069C, PDXM-016C, PDXM-060C, PDXM-087C, PDXM-104C…
    ......
    Resistance*PDX ID
    Docetaxel + CisplatinPDXM-271O (Ovarian cancer)
    VDLP + MA + CVADPDXM-293Le (Leukemia)
    RadiationPDXM-311(H&N)
    ......

    * note: these resistance models are not related to KRAS mutation

  • Medicilon Case: PDX -- KRAS Mutation (G12D)
      Medicilon Case: PDX -- KRAS Mutation (G12D)
    Medicilon Case: AMG-510 Resistant Model - Calu-1 (G12C)
    Medicilon Case: AMG-510 Resistant Model - Calu-1 (G12C).webp
    Wild Type Lung Cancer Model
    Medicilon Case: AMG-510 Resistant Model - Calu-1 (G12C).webp
    Resistant Lung Cancer Model (established through in vivo treatment cycle twice (P2), two months each cycle. Show here is the P3 results.
Pharmacokinetic (PK) Studies of KRAS-targeted Drugs
  • Medcilon provides high quality quantification assays for key parameters in KRAS-targeted drugs PK study, presenting accurate results.
    Medicilon Case: Pharmacokinetics of KRAS-PDEδ Inhibitors
    KRAS-PDEδ protein-protein interaction represents an appealing target for cancer therapy. A series of potent PROTAC PDEδ degraders were designed and synthesized. The most promising Compound 17f is a PROTAC PDEδ degrader for the treatment of KRAS mutant colorectal cancer. Compound 17f provided a new chemical tool or lead compound for navigating the druggablility of KRAS-PDEδ interaction. Compound 17f achieved significant tumor growth inhibition in the SW480 colorectal cancer xenograft model. This proof-of-concept study provided a new strategy to validate the druggability of KRAS-PDEδ interaction and offered an effective lead compound for the treatment of KRAS mutant cancer.
    PROTAC strategy and KRAS-PDEδ inhibitor Compound 17f.webp

    PROTAC strategy and KRAS-PDEδ inhibitor Compound 17f[3]

  • Pharmacokinetic (PK) studies of Compound 17f were evaluated in Sprague-Dawley (SD) rats. After ip administration dosing at 50 mg/kg, the concentrations of Compound 17f in plasma were analyzed. These assays were conducted by Medicilon. The half-life of 17f was approximately 5.1 h and the peak concentration Cmax was 564 ng/mL. Despite its relatively large size (MW = 723), Compound 17f could be effectively absorbed and achieved a sufficient plasma exposure in rats, with the area under the curve (AUC) value of 4710 h·ng/mL.
    PK parameters of Compound 17f in rats.webp

    PK parameters of Compound 17f in rats[3]

Medicilon Assisted Projects
  • XNW14010
    On May 2022, the State Drug Administration approved the clinical application of XNW14010, a new class 1 anti-tumor drug from Evopoint Biosciences Co., Ltd. (hereinafter referred to as "Sinovent"), which is intended for the treatment of patients with advanced solid tumors with KRAS G12C mutation.XNW14010 is a highly selective small molecule KRAS G12C protein covalent binding inhibitor independently developed by Sinovent. As Sinovent's partner, Medicilon provided comprehensive preclinical research services (including pharmacokinetics and safety evaluation) for the development of XNW14010, providing strong support for the project's clinical approval.
  • References:
    [1] Pingyu Liu, et al. Targeting the untargetable KRAS in cancer therapy. Acta Pharm Sin B. 2019 Sep;9(5):871-879. doi: 10.1016/j.apsb.2019.03.002.
    [2] Tatu Pantsar. The current understanding of KRAS protein structure and dynamics. Comput Struct Biotechnol J. 2019 Dec 26:18:189-198. doi: 10.1016/j.csbj.2019.12.004.
    [3]Junfei Cheng, et al. Discovery of Novel PDEδ Degraders for the Treatment of KRAS Mutant Colorectal Cancer. J Med Chem. 2020 Jul 23;63 (14):7892-7905. doi: 10.1021/acs.jmedchem.0c00929.
    [4]Gongmin Zhu, et al. Role of oncogenic KRAS in the prognosis, diagnosis and treatment of colorectal cancer.  Mol Cancer. 2021 Nov 6;20(1):143. doi: 10.1186/s12943-021-01441-4.
    [5]Tamas Yelland, et al. Stabilization of the RAS:PDE6D Complex Is a Novel Strategy to Inhibit RAS Signaling. J Med Chem. 2022 Feb 10;65 (3):1898-1914.  doi: 10.1021/acs.jmedchem.1c01265.
    [6]Timothy H Tran, et al. KRAS interaction with RAF1 RAS-binding domain and cysteine-rich domain provides insights into RAS-mediated RAF activa-tion. Nat Commun. 2021 Feb 19;12(1):1176. doi: 10.1038/s41467-021-21422-x.

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