The Piro Lito Lab
Research
The Lito lab investigates the properties of oncoproteins that drive cancer cell growth, with a focus on cancers driven by RAS mutations. RAS mutants were historically thought to be locked in an active state due to an inability to break down the nucleotide GTP. Contrary to this long-held view, we discovered that mutant RAS transitions between its active and inactive states — and demonstrated how the ability to cycle can be exploited therapeutically by inhibitors targeting either of its states. We identified cellular proteins and pharmacologic approaches that enable mutant RAS to hydrolyze GTP, thus restoring its natural GTPase function and leading to its physiologic inactivation in cancer cells. We co-led the first-in-human trial of an inhibitor targeting KRAS(G12C), the most common RAS mutation in lung cancer, work that culminated in the first FDA-approved therapy for patients with this form of lung cancer. We showed how tumors adapt to RAS inhibition, uncovered genetic mechanisms of resistance in patients, and identified combination therapies that can improve patient outcomes. Together, these findings have advanced our understanding of RAS-driven tumor biology and promise to benefit a broad population of patients, who had limited treatment options in the past. This work has been recognized with the Trailblazer Prize for Clinician Scientists by the Foundation of the National Institutes of Health and the Seldin-Smith Award for Pioneering Research by the American Society for Clinical Investigation.
Research Projects
Featured News
Publications Highlights
Cuevas-Navarro A, Pourfarjam Y, Hu F, Rodriguez DJ, Vides A, Sang B, Golgur Y, de Stanchina E, and Lito P. Pharmacologic restoration of GTP hydrolysis by mutant RAS. Nature. 2025 Jan;637(8044):224-229. doi: 10.1038/s41586-024-08283-2. Epub 2024 Oct 30. PMID: 39476862
Schulze C, Seamon KJ, Zhao Y, Yang YC, Cregg J, Kim DS, Tomlinson A, Choy TS, Wang Z, Sang B, Pourfarjam Y, Lucas J, Cuevas Navarro A, Ayala Santos C, Vides A, Marquez A, Zhong M, Vemulapalli V, Weller C, Gould A, Whalen D, Salvador A, Saldajeno-Concar M, Dinglasan N, Chen A, Evans J, Knox JE, Koltun ES, Li C, Singh M, Nichols R, Wildes D, Gill AL, Smith JAM, and Lito P. Chemical remodeling of a cellular chaperone to target the active state of mutant KRAS. Science. 2023 Aug 18;381(6659):794-799. doi: 10.1126/science.adg9652. Epub 2023 Aug 17. PMID: 37590355
Kim D, Herdeis L, Rudolph D, Zhao Y, Böttcher J, Vides A, Ayala-Santos C, Pourfarjam Y, Mantoulidis A, Wolkerstorfer B, Kroatisch KG, Sang B, Li C, McConnell DB, Kraut N, and Lito P. Pan KRAS inhibitor selectively inactivates oncogenic signaling and tumor growth. Nature. 2023 Jul;619(7968):160-166. doi: 10.1038/s41586-023-06123-3. PMID: 37258666
Zhao Y, Murciano-Goroff Y, Xue Y, Ang A, Lucas J, Da Cruz Paula A, Mai T, Sisk A, Arora K, Roy R, Kim D, Li C, Lim L, Li M, Bahr A, Loomis B, de Stanchina E, Reis-Filho J, Weigelt B, Berger M, Riely G, Arbour K, Lipford R, Li B, and Lito P. Diverse genetic alterations associated with resistance to KRAS(G12C) inhibition. Nature. 2021 Nov 10;599(7886):679-683. doi: 10.1038/s41586-021-04065-2. PMID: 34759319
Li C, Vides A, Kim D, Xue J, Zhao Y, and Lito P. The G-protein signaling regulator RGS3 enhances the GTPase activity of KRAS. Science. 2021 Oct 8;374(6564):197-201. PMID: 34618566
People
Piro Lito, MD, PhD
Enid A. Haupt Chair in Therapeutic Research
- The Lito lab investigates the properties of oncoproteins that drive cancer cell growth, with a focus on cancers driven by RAS mutations.
- MD, PhD, Michigan State University
- View physician profile
- Physician profile
Members
Achievements
- 2022 Life Sciences Breakthroughs of the Year
- ASCI Seldin Smith Award (2022)
- 2022 Pershing Square Sohn Prize for Young Investigators
- FNIH Trailblazer Prize for Clinician Scientists (2021)
- Josie Robertson Investigator (2016-2021)
- Pew-Stewart Scholar for Cancer Research (2019)
- Damon Runyon Clinical Investigator (2017)
- The V Foundation for Cancer Research, Translational Research Award (2015)
- LUNGevity Foundation, Career Development Award (2015)
- NIH K08, Mentored Clinical Scientist Research Career Development Award (2015)
- Stand up to Cancer Lung Cancer Dream Team, Young Investigator (2015)
- Conquer Cancer Foundation, Young Investigator Award (2013)
- Charles A. Dana Fellow/Clinical Scholar in Biomedical Research (2011)
Open Positions
To learn more about available postdoctoral opportunities, please visit our Career Center
To learn more about compensation and benefits for postdoctoral researchers at MSK, please visit Resources for Postdocs
Postdoctoral Positions
Get in Touch
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Lab Phone
Disclosures
Members of the MSK Community often work with pharmaceutical, device, biotechnology, and life sciences companies, and other organizations outside of MSK, to find safe and effective cancer treatments, to improve patient care, and to educate the health care community. These activities outside of MSK further our mission, provide productive collaborations, and promote the practical application of scientific discoveries.
MSK requires doctors, faculty members, and leaders to report (“disclose”) the relationships and financial interests they have with external entities. As a commitment to transparency with our community, we make that information available to the public. Not all disclosed interests and relationships present conflicts of interest. MSK reviews all disclosed interests and relationships to assess whether a conflict of interest exists and whether formal COI management is needed.
Piro Lito discloses the following relationships and financial interests:
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AmMax Bio, Inc.
Professional Services and Activities -
Biotheryx, Inc.
Equity; Professional Services and Activities -
Black Diamond Therapeutics, Inc.
Professional Services and Activities -
Blueprint Medicines
Professional Services and Activities -
Boehringer Ingelheim
Professional Services and Activities -
Decheng Capital LLC
Professional Services and Activities -
Erasca, Inc.
Equity
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Frontier Medicines Corporation
Equity; Professional Services and Activities -
Ikena Oncology
Equity; Professional Services and Activities -
Menarini Ricerche
Professional Services and Activities -
OrbiMed
Professional Services and Activities -
PAQ Therapeutics Inc.
Equity; Professional Services and Activities -
Repare Therapeutics
Professional Services and Activities -
Revolution Medicines
Professional Services and Activities
The information published here is a complement to other publicly reported data and is for a specific annual disclosure period. There may be differences between information on this and other public sites as a result of different reporting periods and/or the various ways relationships and financial interests are categorized by organizations that publish such data.
This page and data include information for a specific MSK annual disclosure period (January 1, 2024 through disclosure submission in spring 2025). This data reflects interests that may or may not still exist. This data is updated annually.
Learn more about MSK’s COI policies here. For questions regarding MSK’s COI-related policies and procedures, email MSK’s Compliance Office at ecoi@mskcc.org.