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Tumor Cell Resistance to the Inhibition of BRAF and MEK1/2. Int J Mol Sci 2023 Oct 02;24(19)

Date

10/14/2023

Pubmed ID

37834284

Pubmed Central ID

PMC10573597

DOI

10.3390/ijms241914837

Scopus ID

2-s2.0-85174308251 (requires institutional sign-in at Scopus site)   3 Citations

Abstract

BRAF is one of the most frequently mutated oncogenes, with an overall frequency of about 50%. Targeting BRAF and its effector mitogen-activated protein kinase kinase 1/2 (MEK1/2) is now a key therapeutic strategy for BRAF-mutant tumors, and therapies based on dual BRAF/MEK inhibition showed significant efficacy in a broad spectrum of BRAF tumors. Nonetheless, BRAF/MEK inhibition therapy is not always effective for BRAF tumor suppression, and significant challenges remain to improve its clinical outcomes. First, certain BRAF tumors have an intrinsic ability to rapidly adapt to the presence of BRAF and MEK1/2 inhibitors by bypassing drug effects via rewired signaling, metabolic, and regulatory networks. Second, almost all tumors initially responsive to BRAF and MEK1/2 inhibitors eventually acquire therapy resistance via an additional genetic or epigenetic alteration(s). Overcoming these challenges requires identifying the molecular mechanism underlying tumor cell resistance to BRAF and MEK inhibitors and analyzing their specificity in different BRAF tumors. This review aims to update this information.

Author List

Chen W, Park JI

Author

Jong-In Park PhD Professor in the Biochemistry department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Cell Line, Tumor
Drug Resistance, Neoplasm
MAP Kinase Kinase 1
Mutation
Protein Kinase Inhibitors
Proto-Oncogene Proteins B-raf
Signal Transduction