Evidence map›Paper›PMID 39687047›Full record

ArticlePathology oncology research : POR2024

Combination of farnesyl-transferase inhibition with KRAS G12D targeting breaks down therapeutic resistance in pancreatic cancer.

Eszter Molnár, Marcell Baranyi, Krisztina Szigeti, Luca Hegedűs, Fanni Bordás, Zsófia Gábriel, Gréta Petényi, József Tóvári, Balázs Hegedűs, József Tímár

Abstract read
In one paragraph

Article in Pathology oncology research : POR, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Renaissance of farnesyltransferase inhibitors in cancer.Journal of translational medicine · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Recent Anti-KRASCancers · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Eszter Molnár *Department of Pathology, Forensic and Insurance Medicine, Semmelweis University, Budapest, Hungary.
Marcell Baranyi *Department of Pathology, Forensic and Insurance Medicine, Semmelweis University, Budapest, Hungary.
Krisztina SzigetiDepartment of Pathology, Forensic and Insurance Medicine, Semmelweis University, Budapest, Hungary.
Luca HegedűsDepartment of Thoracic Surgery, University Medicine Essen - Ruhrlandklinik, University Duisburg-Essen, Essen, Germany.
Fanni BordásDepartment of Pathology, Forensic and Insurance Medicine, Semmelweis University, Budapest, Hungary.
Zsófia GábrielDepartment of Pathology, Forensic and Insurance Medicine, Semmelweis University, Budapest, Hungary.
Gréta PetényiDepartment of Pathology, Forensic and Insurance Medicine, Semmelweis University, Budapest, Hungary.
József TóváriDepartment of Experimental Pharmacology and the National Tumor Biology Laboratory, National Institute of Oncology, Budapest, Hungary.
Balázs HegedűsDepartment of Pathology, Forensic and Insurance Medicine, Semmelweis University, Budapest, Hungary.
József TímárDepartment of Pathology, Forensic and Insurance Medicine, Semmelweis University, Budapest, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pancreatic adenocarcinoma is one of the deadliest forms of cancer with no effective therapeutic options. A KRAS mutation can be found in up to 90% of all pancreatic tumors, making it a promising therapeutic target. The introduction of new KRAS inhibitors has been a milestone in the history of KRAS mutant tumors; however, therapeutic resistance limits their efficacy. Thus, new therapeutic options, including combination therapies, are urgently needed. Recently, we have shown that KRAS G12C inhibitors in combination with farnesyl-transferase inhibitors exert synergistic antitumor effects. Here, we provide evidence for the feasibility of this combinational approach to break down resistance in KRAS G12D mutant pancreatic cancer. Although we have shown that the 3D environment dramatically sensitizes cells to MRTX1133 treatment, the synergistic effect of this drug combination is present in both 2D and 3D in the PANC1 pancreatic adenocarcinoma model, which showed high resistance to MRTX1133 in 2D. The effects of the combination treatment show an association with the inhibition of farnesylated regulatory proteins, including HRAS and RHEB, along with the expression level of KRAS. Our study warrants further investigation for the potential applicability of KRAS G12D inhibitors in combination with farnesyl-transferase inhibitors for the treatment of KRAS mutant pancreatic adenocarcinoma.

Indexed as

Drug Resistance, NeoplasmEnzyme InhibitorsFarnesyltranstransferaseMutationPancreatic NeoplasmsProto-Oncogene Proteins p21(ras)ApoptosisCell CycleCell Line, TumorCell ProliferationDrug SynergismHeterocyclic Compounds, 2-RingHumansNaphthalenesPrenylationQuinolonesEnzyme InhibitorsFarnesyltranstransferaseHeterocyclic Compounds, 2-RingKRASG12D inhibitor MRTX1133NaphthalenesProto-Oncogene Proteins p21(ras)Quinolonestipifarnibcombination therapyFTIG12D mutant KRASKRAS inhibitor resistancePDAC

Identifiers

PMID39687047
PMCPMC11646715

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.