Evidence map›Paper›PMID 40485603›Full record

ReviewAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

Mechanistic Foundations of KRAS-Driven Tumor Ecosystems: Integrating Crosstalk among Immune, Metabolic, Microbial, and Stromal Microenvironment.

Jiayao Ma, Shenao Fu, Jun Tan, Ying Han, Yihong Chen, Xiangying Deng, Hong Shen, Shan Zeng, Yinghui Peng, Changjing Cai

Abstract readReview
In one paragraph

Review in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Review
  2. Review
  3. KRASScience advances · 2026
    Article
  4. Review
  5. Article
  6. Review
  7. Systematic and precise interventions for KRAS-mutant cancers.Experimental hematology & oncology · 2026
    Review
  8. Key Considerations for TargetingDrug design, development and therapy · 2026
    Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. RETRACTED: The Impact ofInternational journal of molecular sciences · 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.

Jiayao MaDepartment of Oncology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Shenao FuDepartment of Oncology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Jun TanDepartment of Neurosurgery, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Ying HanDepartment of Oncology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Yihong ChenDepartment of Oncology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Xiangying DengDepartment of Oncology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Hong ShenDepartment of Oncology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Shan ZengDepartment of Oncology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.ORCID https://orcid.org/0000-0002-0988-723X
Yinghui PengDepartment of Oncology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Changjing CaiDepartment of Oncology, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.

Funding

China Postdoctoral Science Foundation 2024M753679National Natural Science Foundation of China 82173342National Natural Science Foundation of China 82203015National Natural Science Foundation of China 82373275National Natural Science Foundation of China 82403920Natural Science Foundation of Hunan Province 2024JJ6662Natural Science Foundation of Hunan Province 2025JJ20077Nature Science Foundation of Changsha kq2403008Postdoctoral Fellowship Program of the CPSF GZC20242044Science and Technology Innovation Program of Hunan Province 2024RC3042Youth Science Foundation of Xiangya Hospital 2023Q01
6 · The paper itself

Abstract

Kirsten rat sarcoma viral oncogene homolog (KRAS) is the most frequently mutated member of the RAS family of small GTPases (RAS). It affects about one-fifth of cancer cases. The tumor microenvironment (TME) is a multifaceted network of immune cells, metabolites, microbiota, stromal components, and extracellular matrix. It creates a dynamic ecosystem that supports malignant initiation, progression, and therapy resistance through bidirectional crosstalk with tumor cells. Emerging evidence reveals distinct TME landscapes shaped by wild-type versus oncogenic KRAS variants. Additionally, TME rewiring occurs during KRAS-targeted therapies. Deciphering these KRAS-dependent TME architectures and their therapeutic vulnerabilities represents a critical frontier for precision oncology. This review synthesizes key milestones and persistent challenges in KRAS inhibitor development. And it systematically evaluates how KRAS mutations orchestrated immunosuppressive niches, metabolic symbiosis, stromal remodeling, and microbiome dysbiosis, supported by mechanistic insights from preclinical and clinical studies. It further explores therapeutic opportunities arising from targeting TME interactions, including rational combinations of KRAS inhibitors with immune checkpoint blockade, metabolic agents, or microbiota-modulating strategies.

Indexed as

NeoplasmsProto-Oncogene Proteins p21(ras)Tumor MicroenvironmentAnimalsHumansMicrobiotaMutationKRAS protein, humanProto-Oncogene Proteins p21(ras)cancerimmunityKRASmetabolismmicrobiotamicroenvironmentstroma

Identifiers

PMID40485603
PMCPMC12376694

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Registered trials

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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.