Pathology · Neoplasia (Classification, Carcinogenesis, Tumor Markers, Paraneoplastic)

Which of the following best explains why tumor cells with mutated RAS oncogene have constitutive proliferative signalling even in the absence of growth factor receptor activation?

  • A RAS mutation prevents GTP hydrolysis, locking RAS in the active GTP-bound state
  • B Mutant RAS blocks downstream RAF kinase phosphorylation permanently
  • C RAS mutation increases affinity for GDP, amplifying receptor tyrosine kinase signalling
  • D Mutant RAS directly activates p53 leading to apoptosis resistance
Correct answer: A. RAS mutation prevents GTP hydrolysis, locking RAS in the active GTP-bound state

Explanation

Normal RAS cycles between active GTP-bound and inactive GDP-bound forms; intrinsic GTPase activity hydrolyses GTP to GDP, terminating the signal. Point mutations at codons 12 or 13 of RAS impair GTPase activity, so RAS remains permanently GTP-bound and continuously activates downstream proliferative pathways (RAF/MEK/ERK). This accounts for the oncogenic gain-of-function phenotype seen in ~30% of all human cancers.

Reference: Robbins & Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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