Conformational Changes in Wild Type KRAS Induced by Two Novel Variants p.E31K and p.G138V

Bibi Nazia Murtaza1,2, Azhar Qayum3, Shamaila Inayat Nadeem1, Naif Awdh Al-Maliki4, Abdulaziz Alamri4 and Abdul Rauf Shakoori2,5,*

1Department of Zoology, Kinnaird College for Women, 93-Jail Road, Lahore 54000, Pakistan

2Virtual University of Pakistan

3Benazir Bhutto Medical College, Mirpur, Azad Jammu and Kashmir, Pakistan

4Department of Biochemistry, Faculty of Science, King Abdulaziz University, Jeddah 21589, Saudi Arabia

5Department of Biochemistry, University of Central Punjab, 1 Kahayban-e-Jinnah, Johar Town, Lahore, Pakistan

ABSTRACT

Ras proto-oncogene encodes for small GTPases, downstream of epidermal growth factor receptor (EGFR) in the RAS/RAF/MAPK pathway. Wild type KRAS is associated with EGFR-signalling activation. In normal physiological conditions, it is activated by upstream signals when the GTP is exchanged with GDP. Playing an important role in regulation of differentiation and cell growth, RasGTPases behave as genetic switches. This transient process of GAP-mediated GTP hydrolysis becomes altered when the Kras gene is mutated. The most common Kras mutations are found in codon 12 and 13 and 61. Some other noncanonical mutations have been reported in codon 11, 14, 15, 17, 18, 19, 20, 22, 27, 30, 31, 117, 146 and 154. We aimed to demonstrate the conformational changes induced in two novel K RAS variants, p.E31K and p.G138V, identified in two CRC patients, which may account for transformative capacity by biochemical and signalling readouts in these patients. Dynamical implications and functional impact of variants were determined by in silico analysis and molecular docking of variants with GTP. MutationTaster was used for functional analysis of genetic variants and three-dimensional structure of mutant proteins were built by Swiss-Model and were further subjected to structural alignment and stability studies by I-Mutant Suite and DUET server. Both variants were predicted as ‘disease causing’ and protein stability analysis revealed p.G138V to be more destabilizing variant than p.E31K. When three-dimensional structures of variants were subjected to molecular docking with GTP, the mutated KRAS showed low binding affinity to the GTP as compared to the wild-type KRAS protein.

Article Information

Received 23 January 2019

Revised 20 February 2019

Accepted 01 March 2019

Available online 29 April 2019

Authors’ Contribution

ARS supervised the research. BNM and AQ conducted the experiments. BNM, SIN, NAA and AA wrote the manuscript.

Key words

Epithelial growth factor receptor, RAS/RAF/MAPK pathway, Novel K Ras variant.

DOI: http://dx.doi.org/10.17582/journal.pjz/2019.51.4.1227.1233

* Corresponding author: arshaksbs@yahoo.com;

dr.arshakoori@ucp.edu.pk; arshakoori.sbs@pu.edu.pk

0030-9923/2019/0004-1227 $ 9.00/0

Copyright 2019 Zoological Society of Pakistan

Introduction

Ras proteins (H, K ras4A, K ras4B, and N-ras) have 85% homology and amino acids 1-165 (G domain) are highly conserved between these four Ras proteins. Several motifs present in conserved domain are important for protein function including GTP binding, effector binding etc. (Wittinghofer and Vetter, 2011; Hunter et al., 2014). The human K ras contains an alternative fourth coding exon. Alternative RNA splicing specifies either of two isomorphic proteins differing by 25 amino acid residues at their carboxy-terminus (Schubbert et al., 2007). The first 85 amino acids have role in binding to GDP and GTP, this region also includes the phosphate binding loop (P loop, comprising of amino acids 10-16), Switch I region (amino acids 32-38) and Switch II region (amino acids 59-67). P loop binds to the γ phosphate of GTP and Switch I, II regulate binding to Ras regulators and effectors. At the carboxy terminal 25 amino acids show considerable variation, it is named as hypervariable domain (amino acids 165-168/169). In this region terminal-CAAX farnesylation motif is present which specify membrane localization of Ras (Fig. 1). Key cysteine residues responsible for palmitoylation in H ras, N ras and K ras4A are also present in this region (C in Fig. 1). A stretch of lysines, proximal to CVIM motif is responsible for localization of K ras4B (KKKKKK in Fig. 1) (Schubbert et al., 2007). Deletion of the CAAX motif leads to the interruption of the post translational modification, thereby preventing the trafficking of Ras to plasma membrane (Wright and Philips, 2006). Fluctuations in the switch I and II regions or P-loop regions can promote instability in these protein regions leading to the hampering of the GTP binding (Chen et al., 2013; Goitre et al., 2014). As a consequence of mutations, the KRAS remains in an active GTP binding state and results in the continuous promotion of pro-proliferative signals downstream and tumorogenesis (Forbes et al., 2006; Buhrman et al., 2011). More than one third of all human cancers are found associated with Kras gene mutations resulting in one million deaths per year (Hutchins et al., 2011; Inoue et al., 2012; Thompson, 2013; McCormick, 2016). High frequency of Krasgene mutations are found in colorectal, lung and pancreatic cancers which are three of the four leading death cause by cancer in the world (Siegel et al., 2014; Wang et al., 2016; McCormick, 2016).

The most common Kras mutations are found in codon 12 and 13, which contribute about 95% of all mutation types, about 80% in codon 12 and 15% found in codon 13. The most common mutations in these two codons include G12C, G12V, G12D, G12A and G13D, which are found among 12% to 40% cases of cancers. Some other point mutations have been identified at codon 11 (Hongyo et al., 1995), 15, 18 (Wang et al., 2003), 19, 20 (Naguib et al., 2011), 27, 30 (Wang et al., 2003) 31 (Murtaza et al., 2012), 61 (Enomoto et al., 1992), 117, 146 (Neumann et al., 2009; Dogan et al., 2012), 154 (Neumann et al., 2009; Janakiraman et al., 2010; Dogan et al., 2012) but with less frequency. Certain conformational changes in mutant protein can result in its constitutive activation. Tumors harbouring mutated isoforms may have achilles heel (Habeck, 2002). In advance CRC, positive mutational status of K ras is associated with worse prognosis of the disease. KRAS mutation status should be considered as an important variable at the time of selection of therapy (Lièvre et al., 2008). To target the mutant K RAS pharmacologically, many in vitro and in vivo trials along with the computational metrics and MD simulation data analysis approach are being used (Ostrem et al., 2013; Patricelli et al., 2016; Jamal-Hanjani et al., 2017; Janes et al., 2018; Pantsar et al., 2018; Misale et al., 2019) and few of them are found promising. By using recent bioinformatics tools, we have analysed the possible functional impacts of two novel heterozygous mutations E31K and G138V in two colorectal cancer patients in silico.

 

Materials and methods

Two novel variants E31K and G138V of K RAS were selected for analysis. An heterozygous mutation at codon 31, substituting glutamic acid (GAA) to lysine AAA, was previously identified (Murtaza et al., 2012) in a male patient (45 years) with moderately differentiated adenocarcinoma of mucinous type in T3 N0 M0 stage, invaded to the muscularis propria of colon with metastatic involvement in four or more regional lymph nodes. G138V was identified in a male patient (40 years) diagnosed with adenocarcinoma. Located in transverse colon, tumor was moderately differentiated infiltrative with vascular invasion classified in stage B. No family history of cancer was present in any of the studied subject.

Functional analysis by genomic tools

To predict the deleterious nature of the identified genetic variants (c.91G>A and c.413G>T corresponding to p.E31K and p.G138V) in KRAS gene, we employed MutationTaster as in-silico genomic prediction tools (Schwarz et al., 2010). MutationTaster is conservation/ evolutionary based algorithm, which demands the query in the form of Ensembl gene ID and nucleotide change with few flanking nucleotides of the variation (Schwarz et al., 2010; Adzhubei et al., 2010).

Protein modelling and structural deviation analysis

The 3D structure of wild type KRAS protein, developed by X-Diffraction method, was obtained from Protein Data Bank. The crystal structure ‘4DSN’ (Maurer et al., 2012) was selected as a template to build further mutant protein models using Swiss-Model (Guex et al., 2009), as it covered both mutation positions (4DSN residue coverage: 2-164). The ligands, water molecules and other Het atoms present in the crystal structure were removed manually to avoid errors in building mutant models (DeLano, 2002).

Protein stability analysis

The structural stability of the mutant KRAS proteins was analysed by I-Mutant Suite and DUET server (Capriotti et al., 2008; Pires et al., 2014). I-Mutant is a support vector machine (SVM)-based tool for the prediction of protein stability changes, upon single point mutations. After processing the protein sequence and the amino acid change, I-Mutant produces the prediction in the form of change in the Gibbs free energy (ΔG) value. The PDB structure 4-letter code, chain identifier as well as the mutation information such as residue position, wild-type and mutant residues codes in one-letter format were provided as an input for this server. The output of DUET is also in the form of ΔΔG values, wherein negative values denote destabilizing mutations.

Molecular docking

The three-dimensional structures of wild-type and mutant proteins were subjected to molecular docking with GTP by Hex docking server (Macindoe et al., 2010). Hex is the only docking and superposition program to use spherical polar Fourier (SPF) correlations to accelerate the calculations. Binding sites of the GTP was also analysed in the wild-type and mutant KRAS protein using PyMol, displaying all the interacting residues around 8Å.

 

Results

Genomic evaluation report

The output of the MutationTaster reveals one of the four predictions: ‘disease causing’ (probably deleterious), ‘disease causing automatic’ (known to be deleterious by database records) ‘polymorphism’ (probably harmless), and ‘polymorphism automatic’ (known to be harmless by database records). MutationTaster reported both p.E31K and p.G138V to be ‘disease causing’.

Protein structural alignment and stability report

When genetic variants were structurally aligned with the wildtype protein for structural deviation analysis using PyMol-molecular graphic system, wild-type KRAS was superimposed with mutant models and the Root Mean Square Deviation (RMSD) of 0.01 Å was noticed in p.E31K and p.G138V mutant models (Fig. 2). As DUET is an integrated computational web server; it calculated the combined/consensus predictions of mutation Cutoff Scanning Matrix (mCSM) and Site Directed Mutator (SDM) methods in a non-linear regression fashion using SVMs. I-Mutant Suite and DUET scores suggest that both the genetic variants are deleterious in nature. Particularly p.G138V mutant model is predicted to be of extremely low stability when compared to p.E31K protein mutant model (Table I).

 

Table I.- Protein stability analysis score of different tools for p.E31K and p.G138V mutant KRAS proteins. Units for all scores are Kcal/mole, negative values denotes destabilized protein.

Nucleotide variant	Amino acid variant	mCSM score	SDM score	DUET score	I-Mutant suite
c.91G>A	p.E31K	0.375	-0.36	0.674	-0.79
c.413G>T	p.G138V	-0.392	-0.72	-0.196	-0.58

 

GTP binding analysis

Molecular docking is extensively employed computation tool to analyse the molecular recognition that aims to predict the binding affinity and mode of a protein. Figure 2 depicts the docked complexes of A) Wt-KRAS-GTP B) Mt-E31K-KRAS-GTP and C) Mt-G138V-KRAS-GTP. The docking results of wild-type KRAS and its mutants (i.e., p.E31K and p.G138V) to GTP have revealed the binding energies -277.60, -278.27 and -279.67 Kcal/mole. The mutated KRAS protein may have low binding affinity to the GTP when compared to the wild-type KRAS protein. Moreover, the mutant and wild-type KRAS-GTP complex revealed different binding sites as exhibited by the visualization software (Table I). Herein, conformational changes induced in p.E31K and p.G138V proteins may result in its constitutive activation of Kras which resulted in worse prognosis of the disease; however the detailed functional activity and association of these variants to CRC needs be clarified by further studies.

 

 

Discussion

KRAS has three sensitive sites which participate in the GTP hydrolysis; γ-phosphate of GTP binds to P-loop i.e., phosphate binding loop (10-16aa) of KRAS. After the KRAS-GTP complex is formed, a conformational change occurs in switch-I (30-38aa) and switch-II (59-67aa) regions. Any mutation in these sites might affect its regulatory function (Xu et al., 2017; Janes et al., 2018). Structural implications caused p.G12D and p.G13D were analysed by Chen et al. (2013) by calculating free energy profiles of binding processes of GTP, interacting with mutant and wild type and it was observed that GTP-binding pocket in mutant with p.G12D is more open than that of wild type and p.G13D proteins. By using a new integrated MD simulation data analysis approach Vatansever et al. (2017) depicted the induction of negative correlations between the fluctuations of SII and those of the P-loop, Switch I (SI) and α3 regions in K ras G12D and it was postulated that the deviation of active site residues impairs the GTP hydrolysis and GAP binding.SII fluctuations display increased level of fluctuations and negative correlations (Chen et al., 2013). New close-range salt bridges observed in G12D variant were absent in wild type Kras. It was assumed that, negative charge of aspartate triggers several conformational and dynamical changes in Kras G12D which forms an electrostatic interactions with K16 and K88, furthermore, a salt bridge between K16 with D57 will be formed.

Herein, it was observed that, E31K is predictable to disrupt the formation of effector loop thus affecting the downstream transducers and G138 residue is among the residues involved in the interprotein crystal interaction comprising the λ9 loop of KRAS. G138V may also destabilize the protein as it was predicted by the Duet stability analysis. Present results bring further acquiesce to the notion that heterogeneity of clinical outcomes in patients with mutant K ras may depends on variability in copy number and nature of diversity of mutant isoforms.

 

Statement of conflict of interest

The authors declare no conflict of interest.

 

References

Adzhubei, I.A., Schmidt, S., Peshkin, L., Ramensky, V.E., Gerasimova, A., Bork, P., Kondrashov, A.S. and Sunyaev, S.R., 2010. A method and server for predicting damaging missense mutations. Nature Methods, 7: 248-249. https://doi.org/10.1038/nmeth0410-248

Buhrman, G., Casey, O., Zerbe, B., Kearney, B.M., Napoleon, R., Kovrigina, E.A., Vajda, S., Kozakov, D., Kovrigin, E.L. and Mattos, C., 2011. Analysis of binding site hot spots on the surface of Ras GTPase. J. mol. Biol., 413: 773-789. https://doi.org/10.1016/j.jmb.2011.09.011

Capriotti, E., Fariselli, P., Rossi, I. and Casadio, R., 2008. A three-state prediction of single point mutations on protein stability changes. BMC Bioinformatics, 9: S6. https://doi.org/10.1186/1471-2105-9-S2-S6

Chen, C.C., Er, T.K., Liu, Y.Y., Hwang, J.K., Barrio, M.J., Rodrigo, M., Garcia-Toro, E. and Herreros-Villanueva, M., 2013. Computational analysis of KRAS mutations: implications for different effects on the KRAS p. G12D and p. G13D mutations. PLoS One, 8: e55793. https://doi.org/10.1371/journal.pone.0055793

DeLano, W.L., 2002. Pymol: An open-source molecular graphics tool. CCP4 Newsl. Protein Crystallogr., 40: 82-92.

Dogan, S., Shen, R., Ang, D.C., Johnson, M.L., D’Angelo, S.P., Paik, P.K., Brzostowski, E.B., Riely, G.J., Kris, M.G., Zakowski, M.F. and Ladanyi, M., 2012. Molecular epidemiology of EGFR and KRAS mutations in 3,026 lung adenocarcinomas: Higher susceptibility of women to smoking-related KRAS-mutant cancers. Clin. Cancer Res., 18: 6169-6177. https://doi.org/10.1158/1078-0432.CCR-11-3265

Enomoto, T., Weghorst, C.M., Inoue, M., Tanizawa, O. and Rice, J.M., 1991. K-ras activation occurs frequently in mucinous adenocarcinomas and rarely in other common epithelial tumors of the human ovary. Am. J. Pathol., 139: 777.

Forbes, S., Clements, J., Dawson, E., Bamford, S., Webb, T., Dogan, A., Flanagan, A., Teague, J., Wooster, R., Futreal, P.A. and Stratton, M.R., 2006. COSMIC 2005. Br. J. Cancer, 94: 318-322. https://doi.org/10.1038/sj.bjc.6602928

Goitre, L., Trapani, E., Trabalzini, L. and Retta, S.F., 2014. The Ras superfamily of small GTPases: the unlocked secrets. In: Ras Signaling: Methods and protocols (eds. L. Trabalzini and S.F. Retta). Part of the Methods in Molecular Biology Book Series, Vol. 1120. Springer. Available at: https://link.springer.com/book/10.1007/978-1-62703-791-4 (Accessed on Feb 23, 2019).

Guex, N., Peitsch, M.C. and Schwede, T., 2009. Automated comparative protein structure modeling with SWISS-MODEL and Swiss-PdbViewer: A historical perspective. Electrophoresis, 30(S1): S162-S173. https://doi.org/10.1002/elps.200900140

Habeck, M., 2002. Cancers with mutated Ras may have Achilles heel. Lancet Oncol., 3: 586. https://doi.org/10.1016/S1470-2045(02)00887-2

Hongyo, T., Buzard, G.S., Palli, D., Weghorst, C.M., Amorosi, A., Galli, M., Caporaso, N.E., Fraumeni, J.F. and Rice, J.M., 1995. Mutations of the K-ras and p53 genes in gastric adenocarcinomas from a high-incidence region around Florence, Italy. Cancer Res., 55: 2665-2672.

Hunter, J.C., Gurbani, D., Ficarro, S.B., Carrasco, M.A., Lim, S.M., Choi, H.G., Xie, T., Marto, J.A., Chen, Z., Gray, N.S. and Westover, K.D., 2014. In situ selectivity profiling and crystal structure of SML-8-73-1, an active site inhibitor of oncogenic K-Ras G12C. Proc. natl. Acad. Sci., 111: 8895-900. https://doi.org/10.1073/pnas.1404639111

Hutchins, G., Southward, K., Handley, K., Magill, L., Beaumont, C., Stahlschmidt, J., Richman, S., Chambers, P., Seymour, M., Kerr, D. and Gray, R., 2011. Value of mismatch repair, KRAS, and BRAF mutations in predicting recurrence and benefits from chemotherapy in colorectal cancer. J. Clin. Oncol., 29: 1261-1270. https://doi.org/10.1200/JCO.2010.30.1366

Inoue, Y., Saigusa, S., Iwata, T., Okugawa, Y., Toiyama, Y., Tanaka, K., Uchida, K., Mohri, Y. and Kusunoki, M., 2012. The prognostic value of KRAS mutations in patients with colorectal cancer. Oncol. Rep., 28: 1579-1584. https://doi.org/10.3892/or.2012.1974

Jamal-Hanjani, M., Wilson, G.A., McGranahan, N., Birkbak, N.J., Watkins, T.B., Veeriah, S., Shafi, S., Johnson, D.H., Mitter, R., Rosenthal, R. and Salm, M., 2017. Tracking the evolution of non–small-cell lung cancer. New Engl. J. Med., 376: 2109-2121. https://doi.org/10.1056/NEJMoa1616288

Janakiraman, M., Vakiani, E., Zeng, Z., Pratilas, C.A., Taylor, B.S., Chitale, D., Halilovic, E., Wilson, M., Huberman, K., Ricarte-Filho, J.C. and Persaud, Y., 2010. Genomic and biological characterization of exon 4 KRAS mutations in human cancer. Cancer Res., 70: 5901-5911. https://doi.org/10.1158/0008-5472.CAN-10-0192

Janes, M.R., Zhang, J., Li, L.S., Hansen, R., Peters, U., Guo, X., Chen, Y., Babbar, A., Firdaus, S.J., Darjania, L. and Feng, J., 2018. Targeting KRAS mutant cancers with a covalent G12C-specific inhibitor. Cell, 172: 578-589. https://doi.org/10.1016/j.cell.2018.01.006

Lievre, A., Bachet, J.B., Boige, V., Cayre, A., Le Corre, D., Buc, E., Ychou, M., Bouché, O., Landi, B., Louvet, C. and André, T., 2008. KRAS mutations as an independent prognostic factor in patients with advanced colorectal cancer treated with cetuximab. J. clin. Oncol., 26: 374-379. https://doi.org/10.1200/JCO.2007.12.5906

Macindoe, G., Mavridis, L., Venkatraman, V., Devignes, M.D. and Ritchie, D.W., 2010. HexServer: An FFT-based protein docking server powered by graphics processors. Nucl. Acids Res., 38(Suppl-2): W445-449. https://doi.org/10.1093/nar/gkq311

Maurer, T., Garrenton, L.S., Oh, A., Pitts, K., Anderson, D.J., Skelton, N.J., Fauber, B.P., Pan, B., Malek, S., Stokoe, D. and Ludlam, M.J., 2012. Small-molecule ligands bind to a distinct pocket in Ras and inhibit SOS-mediated nucleotide exchange activity. Proc. natl. Acad. Sci., 109: 5299-5304. https://doi.org/10.1073/pnas.1116510109

McCormick, F., 2016. K-Ras protein as a drug target. J. mol. Med., 94: 253-258. https://doi.org/10.1007/s00109-016-1382-7

Misale, S., Fatherree, J.P., Cortez, E., Li, C., Bilton, S., Timonina, D., Myers, D.T., Lee, D., Gomez-Caraballo, M., Greenberg, M. and Nangia, V., 2019. KRAS G12C NSCLC models are sensitive to direct targeting of KRAS in combination with PI3K inhibition. Clin. Cancer Res., 25: 796-807. https://doi.org/10.1158/1078-0432.CCR-18-0368

Murtaza, B.N., Bibi, A., Nadeem, M.S., Chaudri, M.S. and Shakoori, A.R., 2012. Identification of novel mutation in codon 31 of Kirstein rat sarcoma viral oncogene homologue in colon cancer: Another evidence of non-canonical mutational pathwa. Pakistan J. Zool., 44: 1671-1676.

Naguib, A., Wilson, C.H., Adams, D.J. and Arends, M.J., 2011. Activation of K-RAS by co-mutation of codons 19 and 20 is transforming. J. mol. Signal., 6: 2. https://doi.org/10.1186/1750-2187-6-2

Neumann, J., Zeindl-Eberhart, E., Kirchner, T. and Jung, A., 2009. Frequency and type of KRAS mutations in routine diagnostic analysis of metastatic colorectal cancer. Pathol. Res. Pract., 205: 858-862. https://doi.org/10.1016/j.prp.2009.07.010

Ostrem, J.M., Peters, U., Sos, M.L., Wells, J.A. and Shokat, K.M., 2013. K-Ras (G12C) inhibitors allosterically control GTP affinity and effector interactions. Nature, 503: 548-551. https://doi.org/10.1038/nature12796

Pantsar, T., Rissanen, S., Dauch, D., Laitinen, T., Vattulainen, I. and Poso, A., 2018. Assessment of mutation probabilities of KRAS G12 missense mutants and their long-timescale dynamics by atomistic molecular simulations and Markov state modelling. PLoS Comput. Biol., 14: e1006458. https://doi.org/10.1371/journal.pcbi.1006458

Patricelli, M.P., Janes, M.R., Li, L.S., Hansen, R., Peters, U., Kessler, L.V., Chen, Y., Kucharski, J.M., Feng, J., Ely, T. and Chen, J.H., 2016. Selective inhibition of oncogenic KRAS output with small molecules targeting the inactive state. Cancer Discov., 6: 316-329. https://doi.org/10.1158/2159-8290.CD-15-1105

Pires, DE., Ascher, D.B. and Blundell, T.L., 2014. DUET: A server for predicting effects of mutations on protein stability using an integrated computational approach. Nucl. Acids Res., 42(W1): W314-319. https://doi.org/10.1093/nar/gku411

Schubbert, S., Shannon, K. and Bollag, G., 2007. Hyperactive Ras in developmental disorders and cancer. Nat. Rev. Cancer, 7: 295-308. https://doi.org/10.1038/nrc2175

Schwarz, J.M., Rödelsperger, C., Schuelke, M. and Seelow, D., 2010. MutationTaster evaluates disease-causing potential of sequence alterations. Nature Methods, 7: 575-576. https://doi.org/10.1038/nmeth0810-575

Siegel, R., Ma, J., Zou, Z. and Jemal, A., 2014. Cancer statistics, 2014. CA: Cancer J. Clinic., 64: 9-29. https://doi.org/10.3322/caac.21208

Thompson, H., 2013. US National Cancer Institute’s new Ras project targets an old foe. Nat. Med., 19: 949-950. https://doi.org/10.1038/nm0813-949

Vatansever, S., Erman, B. and Gumus, Z., 2017. Oncogenic G12D mutation alters local conformations and dynamics of K-Ras. bioRxiv, 1: 178483. https://doi.org/10.1101/178483

Wang, J.Y., Hsieh, J.S., Chen, F.M., Yeh, C.S., Alexandersen, K., Huang, T.J., Chen, D.C. and Lin, S.R., 2003. High frequency of activated K-ras codon 15 mutant in colorectal carcinomas from Taiwanese patients. Int. J. Cancer, 107: 387-393. https://doi.org/10.1002/ijc.11417

Wang, J., Hu, K., Guo, J., Cheng, F., Lv, J., Jiang, W., Lu, W., Liu, J., Pang, X. and Liu, M., 2016. Suppression of KRas-mutant cancer through the combined inhibition of KRAS with PLK1 and ROCK. Nat. Commun., 7: 11363. https://doi.org/10.1038/ncomms11363

Wittinghofer, A. and Vetter, I.R., 2011. Structure-function relationships of the G domain, a canonical switch motif. Annu. Rev. Biochem., 80: 943-971. https://doi.org/10.1146/annurev-biochem-062708-134043

Wright, L.P. and Philips, M.R., 2006. Thematic review series: Lipid posttranslational modifications CAAX modification and membrane targeting of Ras. J. Lipid Res., 47: 883-891. https://doi.org/10.1194/jlr.R600004-JLR200

Xu, S., Long, B.N., Boris, G.H., Chen, A., Ni, S. and Kennedy, M.A., 2017. Structural insight into the rearrangement of the switch I region in GTP-bound G12A K-Ras. Acta Crystallogr. Section D: Struct. Biol., 73: 970-984. https://doi.org/10.1107/S2059798317015418