# Project 1- Elucidating oncogenic KRAS in PDAC cell signaling, resistance and immunity

> **NIH NIH P01** · UNIVERSITY OF TX MD ANDERSON CAN CTR · 2024 · $519,415

## Abstract

Project 1 -­ Abstract/Summary 
Oncogenic KRAS (KRAS*) is universally present in >90% of human pancreatic adenocarcinoma (PDAC) and 
functions as the dominant driver for tumor development. The central theme of Project 1 has been the elucidation 
of KRAS* function in PDAC and translate of these insights into effective therapies. In our previous grant cycles, 
Project 1 and our P01 team have established the essential role for KRAS* in PDAC maintenance, prompting the 
development of KRAS*-­targeted exosome-­based RNAi therapy from Project 3 that has been translated into a 
first-­in-­human trial. Collaborative work from Project 1 and Project 2 has not only elaborated the regulation of 
anabolic metabolism and nutrient salvage pathways that are essential for KRAS*-­driven tumor maintenance, but 
also identified molecular and metabolism mechanisms leading to the resistance to KRAS* depletion. While these 
studies elucidated the cancer cell-­autonomous regulation of KRAS*-­dependency in PDAC, recent studies from 
Projects 1 and 3, further demonstrated the profound impact of KRAS* on the remodeling of the tumor 
microenvironment (TME), a major hallmark of PDAC and barrier for effective therapies, including 
immunotherapy. Specifically, we discovered a shift of myeloid infiltration in TME toward macrophages following 
KRAS* extinction, which produce TGFBeta to support Kras*-­independent cancer cell survival growth. In depth 
analysis of the TME further identified alternative immune checkpoints and demonstrated the importance of 
myeloid cells in immune suppression, leading to the development of novel immunotherapy regimens with 
unprecedented prolongation of survival in preclinical models. In this treatment study, we discovered a similar 
shift toward monocytic myeloid lineage which may contribute to the resistance to combinatory immune 
checkpoint inhibition. Therefore, in this next cycle, Project 1 will focus on elucidating the crosstalk between 
KRAS* and the TME, focusing on monocytic myeloid cells, with the goal of translating these mechanistic insights 
into effective new therapies. To achieve this goal, we will work closely with our innovative Cores, which have 
extensive expertise in pathology, mouse modeling and computational biology, to conduct a systematic in vivo 
genetic validation of the myeloid-­dependent KRAS* escape mechanism. These studies will be followed by 
experiments to characterize the myeloid-­mediated resistance to the alternative immune checkpoint inhibition 
regimen we have discovered. In the end, we will evaluate the anti-­tumor potential of blocking such myeloid-­
mediated resistance mechanisms in combination with novel immune checkpoint inhibitions. Our study will be 
highly integrated with Project 2 to characterize the impact of signature PDAC mutations on TME-­mediated 
KRAS* escape mechanisms. In addition, outcome from the proposed studies will be highly complementary to 
the preclinical studies of Project 3 to deplete KR...

## Key facts

- **NIH application ID:** 10829376
- **Project number:** 5P01CA117969-19
- **Recipient organization:** UNIVERSITY OF TX MD ANDERSON CAN CTR
- **Principal Investigator:** RONALD ANTHONY DEPINHO
- **Activity code:** P01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $519,415
- **Award type:** 5
- **Project period:** 2005-12-01 → 2026-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10829376

## Citation

> US National Institutes of Health, RePORTER application 10829376, Project 1- Elucidating oncogenic KRAS in PDAC cell signaling, resistance and immunity (5P01CA117969-19). Retrieved via AI Analytics 2026-05-29 from https://api.ai-analytics.org/grant/nih/10829376. Licensed CC0.

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