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. 2023 Mar 16;15:17588359231160141. doi: 10.1177/17588359231160141

Figure 3.

Figure 3.

Detailed schematic of adaptive and acquired GDP-KRASG12C inhibitor resistance. The MAPK and PI3K/AKT pathways are shown here. Any protein in green indicates mRNA or protein upregulation after GDP-KRASG12C inhibitor (G12Ci) treatment, while any protein in red indicates any secondary mutation or copy number amplification that occurred after G12Ci treatment. Clinical trials investigating G12Ci combination therapies with targeted molecules against specific proteins are listed here. This schematic fails to address the resistance mechanisms including but not limited to histologic transformation, genetic rearrangements, immunomodulation, or global proteome changes in metabolic programming.