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| Gene | NRAS |
| Variant | G12D |
| Impact List | missense |
| Protein Effect | loss of function - predicted |
| Gene Variant Descriptions | NRAS G12D is a hotspot mutation that lies within a GTP-binding region of the Nras protein (UniProt.org). G12D results in decreased intrinsic GTPase activity, reduced sensitivity to GTPase-activating proteins (PMID: 25252692), leading to accumulation of GTP-bound Nras, activation of downstream signaling, and transformation of cultured cells (PMID: 19075190, PMID: 35211470), but does not promote tumorigenesis in a mouse model (PMID: 25252692), and therefore, is predicted to lead to a loss of Nras prein function and activation of downstream signaling. |
| Associated Drug Resistance | |
| Category Variants Paths |
NRAS mutant NRAS act mut NRAS G12D NRAS mutant NRAS exon2 NRAS G12X NRAS G12D |
| Transcript | NM_002524.5 |
| gDNA | chr1:g.114716126C>T |
| cDNA | c.35G>A |
| Protein | p.G12D |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| NM_002524.4 | chr1:g.114716126C>T | c.35G>A | p.G12D | RefSeq | GRCh38/hg38 |
| NM_002524.5 | chr1:g.114716126C>T | c.35G>A | p.G12D | RefSeq | GRCh38/hg38 |
| NM_002524 | chr1:g.114716126C>T | c.35G>A | p.G12D | RefSeq | GRCh38/hg38 |
| Clinical Trial | Phase | Therapies | Title | Recruitment Status | Covered Countries | Other Countries |
|---|---|---|---|---|---|---|
| NCT05638698 | Phase II | Balstilimab + QS21 + TG01 QS21 + TG01 | Tg01 Vaccine / Qs-21 Stimulon™ With Or Without Balstilimab As Maintenance Therapy Following Adjuvant Chemotherapy In Patients With Resected Pancreatic Cancer (TESLA) | Active, not recruiting | USA | 0 |
| NCT05726864 | Phase Ib/II | ELI-002 | A Study of ELI-002 7P in Subjects With KRAS/NRAS Mutated Solid Tumors (AMPLIFY-7P) | Active, not recruiting | USA | 0 |
| NCT04853017 | Phase Ib/II | ELI-002 | A Study of ELI-002 in Subjects With KRAS Mutated Pancreatic Ductal Adenocarcinoma (PDAC) and Other Solid Tumors (AMPLIFY-201) | Completed | USA | 0 |
| NCT03745326 | Phase Ib/II | Aldesleukin + anti-KRAS G12D mTCR cells + Cyclophosphamide + Fludarabine | Administering Peripheral Blood Lymphocytes Transduced With a Murine T-Cell Receptor Recognizing the G12D Variant of Mutated RAS in HLA-A*11:01 Patients | Recruiting | USA | 0 |