Evidence map›Paper›PMID 42468991›Full record

ReviewJournal for immunotherapy of cancer2026

RAS signaling at the crossroads of radioresistance and tumor immunity.

Clément Quevrin, Michele Mondini, Lydia Meziani, Marine Gerbe-De-Thore, Winchygn Liu, Eloise Lopes, Daphné Morel, Céline Clémenson, Eric Deutsch, Antonin Levy

Abstract readReview
In one paragraph

Review in Journal for immunotherapy of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Clément QuevrinInserm U1355, Radiothérapie moléculaire et innovations thérapeutiques (RAMO-IT), Gustave Roussy, Université Paris-Saclay, Villejuif, France.
Michele MondiniInserm U1355, Radiothérapie moléculaire et innovations thérapeutiques (RAMO-IT), Gustave Roussy, Université Paris-Saclay, Villejuif, France.
Lydia MezianiInserm U1355, Radiothérapie moléculaire et innovations thérapeutiques (RAMO-IT), Gustave Roussy, Université Paris-Saclay, Villejuif, France.
Marine Gerbe-De-ThoreInserm U1355, Radiothérapie moléculaire et innovations thérapeutiques (RAMO-IT), Gustave Roussy, Université Paris-Saclay, Villejuif, France.
Winchygn LiuInserm U1355, Radiothérapie moléculaire et innovations thérapeutiques (RAMO-IT), Gustave Roussy, Université Paris-Saclay, Villejuif, France.
Eloise LopesInserm U1355, Radiothérapie moléculaire et innovations thérapeutiques (RAMO-IT), Gustave Roussy, Université Paris-Saclay, Villejuif, France.
Daphné MorelInserm U1355, Radiothérapie moléculaire et innovations thérapeutiques (RAMO-IT), Gustave Roussy, Université Paris-Saclay, Villejuif, France.
Céline ClémensonInserm U1355, Radiothérapie moléculaire et innovations thérapeutiques (RAMO-IT), Gustave Roussy, Université Paris-Saclay, Villejuif, France.
Eric DeutschInserm U1355, Radiothérapie moléculaire et innovations thérapeutiques (RAMO-IT), Gustave Roussy, Université Paris-Saclay, Villejuif, France.ORCID http://orcid.org/0000-0002-8223-3697
Antonin LevyInserm U1355, Radiothérapie moléculaire et innovations thérapeutiques (RAMO-IT), Gustave Roussy, Université Paris-Saclay, Villejuif, France antonin.levy@gustaveroussy.fr.ORCID http://orcid.org/0000-0003-4798-8899

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

RAS mutations are among the most prevalent oncogenic drivers in solid tumors and are consistently associated with suboptimal responses to radiation therapy (RT). Within this family, KRAS is the dominant isoform and a central regulator of tumor stress adaptation. Increasing evidence indicates that oncogenic KRAS orchestrates radioresistance through coordinated tumor-intrinsic and microenvironmental mechanisms. Cell-intrinsically, KRAS enhances DNA damage repair, replication stress tolerance, redox buffering, and ferroptosis defense. The KRAS-NRF2-53BP1 axis exemplifies this program by accelerating non-homologous end joining and enabling rapid repair of radiation-induced DNA double-strand breaks. Concurrently, KRAS reshapes the tumor microenvironment by promoting myeloid recruitment, metabolic rewiring, impaired antigen presentation, and immune checkpoint upregulation, thereby constraining the immunogenic effects of RT. The rapid evolution of RAS-directed therapeutics, including allele-specific, ON-state, dual-state, and pan-RAS inhibitors, as well as emerging degraders and molecular reprogramming strategies, has transformed a historically "undruggable" target into a clinically actionable vulnerability. Preclinical evidence indicates that KRAS inhibition can restore radiosensitivity and partially recondition antitumor immunity. However, adaptive resistance frequently converges on MAPK pathway reactivation and persistent immune suppression. Integrating next-generation RAS inhibitors with RT and immune-directed therapies may therefore represent a critical strategy for achieving durable tumor control in KRAS-mutant cancers.

Indexed as

NeoplasmsRadiation ToleranceAnimalsHumansSignal TransductionCombination therapyLung CancerRadiotherapy/radioimmunotherapy

Identifiers

PMID42468991
PMCPMC13384182

What OpenQuestion holds

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LicenceCC BY-NC
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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.