# Mechanistic Basis for ERK in driving KRAS-dependent pancreatic cancer

> **NIH NIH K99** · UNIV OF NORTH CAROLINA CHAPEL HILL · 2024 · $111,438

## Abstract

Project Summary/Abstract
Pancreatic ductal adenocarcinoma (PDAC), the third leading cause of cancer deaths in the United States, is
characterized by a 95% rate of mutational activation of the KRAS oncogene. After nearly four decades of failure,
the recent clinical approval of a direct KRAS inhibitor targeting one KRAS mutation (G12C) for lung cancer marks
a significant milestone in the development of therapies for KRAS-mutant cancers. KRASG12C-specific inhibitors
have demonstrated dramatic tumor shrinkage in a subset of KRASG12C-mutant patients but essentially all relapse
due to treatment-induced acquired resistance. Genetic analyses of relapsed patients have identified mechanisms
of resistance, with a majority involving mutational activation of signaling components that drive reactivation of
the key KRAS effector pathway, the three-tiered RAF-MEK-ERK mitogen-activated protein kinase cascade.
Thus, ERK reactivation will limit the long-term efficacy of direct KRAS inhibitors. Despite the highly successful
development of potent and selective inhibitors of each node of the ERK MAPK cascade, when used as
monotherapy, they have shown little to no clinical efficacy against RAS-mutant cancers. Two key issues have
contributed to this outcome, toxicity for normal tissues and de novo or treatment-induced acquired resistance in
cancer cells. I propose that further delineation of the mechanisms by which ERK drives KRAS-dependent cancer
growth will guide the development of more effective anti-ERK therapies. However, the mechanisms by which
ERK drives PDAC growth remain poorly understood. One major unresolved issue is how ERK activity in different
subcellular compartments supports cancer growth. Aim 1 studies comprise my K99 phase of training where I will
take two complementary approaches to gain a better understanding of the role of cytoplasmic and nuclear ERK
activity in supporting KRAS-dependent PDAC growth. First, I will determine the capacity of cytoplasmic versus
nuclear ERK activity in supporting the growth of KRAS-mutant PDAC. Second, I will use a pharmacological
inhibitor of the nuclear export protein exportin-1 (Selinexor) to determine whether it disrupts ERK cytoplasmic-
nuclear dynamics and sensitizes PDAC models to KRAS inhibition. My Aim 2 studies comprise my R00-
supported independent research and are based on our comprehensive ERK-dependent phosphoproteome/
transcriptome studies in KRAS-mutant PDAC. Using these data, I designed a CRISPR-Cas9 genetic loss-of-
function screen library, targeting ERK regulated phosphoproteins and/or transcripts. I will now perform a system-
wide determination of how ERK contributes to PDAC tumorigenesis as well as identify new ERK dependent
targets to combine with KRAS inhibitors. To help me achieve these research goals and successfully transition to
the independent phase I have an exceptional mentoring committee comprised of leading researchers in the study
of KRAS signaling and therapeutics (Channing Der), in ERK...

## Key facts

- **NIH application ID:** 10874777
- **Project number:** 5K99CA276700-02
- **Recipient organization:** UNIV OF NORTH CAROLINA CHAPEL HILL
- **Principal Investigator:** Jennifer E Klomp
- **Activity code:** K99 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $111,438
- **Award type:** 5
- **Project period:** 2023-07-01 → 2024-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10874777

## Citation

> US National Institutes of Health, RePORTER application 10874777, Mechanistic Basis for ERK in driving KRAS-dependent pancreatic cancer (5K99CA276700-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10874777. Licensed CC0.

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