Annotation Detail

Information
Associated Genes
NRAS
Associated Variants
NRAS MUTATION
NRAS MUTATION
Associated Disease
cancer
Source Database
CIViC Evidence
Description
Preclinical study in 16 NRAS mutant cell lines (melanoma, lung carcinoma, neuroblastoma with various Q61, G13, G12 mutations). The combination of metformin and trametinib shown synergistic effects in most tested cell lines (no antagonistic effects observed) and a melanoma xenograft model. Metformin-induced PI3K pathway suppression was identified as a potential mechanism.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1230
Gene URL
https://civic.genome.wustl.edu/links/genes/36
Variant URL
https://civic.genome.wustl.edu/links/variants/208
Rating
3
Evidence Type
Predictive
Disease
Cancer
Evidence Direction
Supports
Drug
Trametinib,Metformin
Evidence Level
D
Clinical Significance
Sensitivity/Response
Pubmed
25504439
Drugs
Drug NameSensitivitySupported
MetforminSensitivitytrue
TrametinibSensitivitytrue