Evidence map›Paper›PMID 42095550›Full record

ArticleCancer research2026

PI3K Regulates Wild-type RAS Signaling to Confer Resistance to KRAS Inhibition.

Xiangyu Ge, Jaffarguriqbal Singh, Wenxue Li, Cassandra S Markham, Christian Felipe Ruiz, Edward C Stites, Moitrayee Bhattacharyya, Yansheng Liu, Mandar Deepak Muzumdar

Abstract read
In one paragraph

Article in Cancer research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Xiangyu GeYale Cancer Biology Institute, Yale University, West Haven, Connecticut.ORCID 0009-0006-2657-0775
Jaffarguriqbal SinghYale Cancer Biology Institute, Yale University, West Haven, Connecticut.ORCID 0000-0002-6730-0222
Wenxue LiYale Cancer Biology Institute, Yale University, West Haven, Connecticut.ORCID 0000-0002-8902-0184
Cassandra S MarkhamYale Cancer Biology Institute, Yale University, West Haven, Connecticut.ORCID 0000-0001-9153-9615
Christian Felipe RuizYale Cancer Biology Institute, Yale University, West Haven, Connecticut.ORCID 0000-0003-1470-8061
Edward C StitesDepartment of Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0002-3783-7336
Moitrayee BhattacharyyaTranslational Molecular Medicine, Pharmacology, and Physiology Program, Yale University, New Haven, Connecticut.ORCID 0000-0002-2168-1541
Yansheng LiuYale Cancer Biology Institute, Yale University, West Haven, Connecticut.ORCID 0000-0002-2626-3912
Mandar Deepak MuzumdarYale Cancer Biology Institute, Yale University, West Haven, Connecticut.ORCID 0000-0001-7424-7223

Funding

Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI ANN M HABERMAN · 1985 to 2026
$85.0M
Understanding how membrane composition directs membrane protein structure and functionRM1GM149406 · NIGMS · YALE UNIVERSITY · PI Joel Adam Butterwick, KATHRYN M FERGUSON · 2023 to 2026
$8.4M
Yale Cancer Biology Training GrantT32CA193200 · NCI · YALE UNIVERSITY · PI PETER M GLAZER, Qin Yan · 2016 to 2026
$3.6M
Dietary fatty acids drive pancreatic cancer developmentR01CA276108 · NCI · YALE UNIVERSITY · PI Mandar Deepak Muzumdar · 2023 to 2026
$2.6M
Defining tumor cell and host adaptations in cancer progressionDP2CA248136 · NCI · YALE UNIVERSITY · PI MUZUMDAR, MANDAR DEEPAK · 2019 to 2019
$2.5M
Understanding proteome remodeling in aneuploidyR01GM137031 · NIGMS · YALE UNIVERSITY · PI LIU, YANSHENG · 2020 to 2024
$2.0M
Molecular mechanism of regulation and activation of membrane proteins in native membrane milieuR35GM147095 · NIGMS · YALE UNIVERSITY · PI Moitrayee Bhattacharyya · 2022 to 2026
$2.0M
Elucidating KRAS-specific vulnerabilities in pancreatic cancerK08CA208016 · NCI · YALE UNIVERSITY · PI MUZUMDAR, MANDAR DEEPAK · 2016 to 2020
$880k
Systems Biology of RAS and RAF Oncogenes and Personalized MedicineK22CA216318 · NCI · SALK INSTITUTE FOR BIOLOGICAL STUDIES · PI STITES, EDWARD C. · 2017 to 2019
$583k
American Cancer Society (ACS) IRG 17-172-57Lustgarten Foundation (Lustgarten) Therapeutics-Focused Research ProgramNational Cancer Institute (NCI) K08-CA2080016National Cancer Institute (NCI) K22-CA216318National Cancer Institute (NCI) P30-CA016359National Cancer Institute (NCI) R01-CA276108National Cancer Institute (NCI) T32-CA193200National Institute of General Medical Sciences (NIGMS) R01-GM137031National Institute of General Medical Sciences (NIGMS) R35-GM147095National Institute of General Medical Sciences (NIGMS) RM1-GM149406National Science Foundation Graduate Research Fellowship Program (GRFP)NCI NIH HHS DP2 CA248136NCI NIH HHS K08 CA208016NCI NIH HHS K22 CA216318NCI NIH HHS P30 CA016359NCI NIH HHS R01 CA276108NCI NIH HHS T32 CA193200NIGMS NIH HHS R01 GM137031NIGMS NIH HHS R35 GM147095NIGMS NIH HHS RM1 GM149406NIH Office of the Director (OD) DP2-CA248136
6 · The paper itself

Abstract

Despite the availability of RAS inhibitors and the dependence of >90% of pancreatic ductal adenocarcinomas (PDAC) on oncogenic KRAS mutations, resistance to KRAS inhibition remains a serious obstacle. We showed here that phosphoinositide 3-kinase (PI3K) plays a major role in this resistance through upstream activation of wild-type (WT) RAS signaling-beyond its known KRAS effector function. The combination of proximity labeling, CRISPR screening, live-cell imaging, and functional assays revealed that PI3K orchestrates phosphoinositide-mediated GAB1 recruitment to the plasma membrane, nucleating assembly of RAS signaling complexes that activate mitogen-activated protein kinase (MAPK) in an EGFR/SHP2/SOS1-dependent manner. Inhibiting PI3K enhanced sensitivity to mutant-specific KRAS inhibitors in PDAC cells, including in cells with clinically identified PIK3CA mutations. These findings refine RAS-PI3K signaling paradigms, reveal that PI3K-driven WT RAS activation drives resistance to KRAS inhibition, and illuminate avenues for augmenting KRAS-targeted therapies in PDAC. SIGNIFICANCE: PI3K plays a functional upstream role in assembling wild-type RAS signaling complexes that confer KRAS inhibitor resistance, providing a rationale for combined targeting of PI3K and KRAS in pancreatic cancer.

Indexed as

Carcinoma, Pancreatic DuctalClass I Phosphatidylinositol 3-KinasesDrug Resistance, NeoplasmPancreatic NeoplasmsPhosphatidylinositol 3-KinasesProto-Oncogene Proteins p21(ras)AnimalsCell Line, TumorHumansMutationPhosphoinositide-3 Kinase InhibitorsProtein Kinase InhibitorsSignal TransductionClass I Phosphatidylinositol 3-KinasesKRAS protein, humanPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsPIK3CA protein, humanProtein Kinase InhibitorsProto-Oncogene Proteins p21(ras)

Identifiers

PMID42095550
PMCPMC13237827

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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.