The invention belongs to the technical field of biological
medicine and
molecular biology, and particularly relates to application of
KRAS to regulation of
fatty acid metabolism in
chronic lymphocytic leukemia. Specifically, the regulation and
control effect and mechanism of KRASG13D
mutation on CLL
fatty acid oxidation and malignant progression are disclosed for the first time through research, the relationship between
KRAS mutation and CLL progression is disclosed from the perspective of
energy metabolism, and the KRASG13D
mutation activates a downstream PI3K / AKT / mTOR
signal channel through up-regulation of PIK3C2A, so that CLL
cell fatty acid oxidation and
proliferation activity enhancement are promoted. The PI3K inhibitor is applied to treatment of recurrent and
refractory CLL, however, the research finds that KRASG13D
mutant CLL cells show the
drug resistance tendency of the PI3K inhibitor, and the
treatment effect of the PI3K inhibitor can be improved by combined application of the
KRAS inhibitor, so that a clue is provided for further knowing the occurrence and development mechanism of CLL and developing a new strategy for clinical targeted treatment.