2021
DOI: 10.1016/j.celrep.2021.109157
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A systematic analysis of signaling reactivation and drug resistance

Abstract: A systematic analysis of signaling reactivation and drug resistance Graphical abstract Highlights d Feedback loops cannot fully buffer drug perturbations and recover signaling output d Activating and inhibitory paths from a drug target can reactivate signaling output d Drug target dimerization combined with feedback can restore signaling output d Combining type I½ and II RAF inhibitors quells ERK reactivation in NRAS mutant cancers

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Cited by 24 publications
(29 citation statements)
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References 119 publications
(201 reference statements)
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“…A combination of types I½ and II RAF inhibitors reduces the dose ranges of paradoxical activation, yielding synergy over a wider dose range than a combination of RAF and MEK inhibitors in RAS-mutant cells. Experiments conducted on RAS-mutant melanoma and acute myeloid leukemia cell lines support these model predictions [ 169 ].…”
Section: Mechanistic Models Help Us Understand Resistance To Targeted Therapiesmentioning
confidence: 82%
See 4 more Smart Citations
“…A combination of types I½ and II RAF inhibitors reduces the dose ranges of paradoxical activation, yielding synergy over a wider dose range than a combination of RAF and MEK inhibitors in RAS-mutant cells. Experiments conducted on RAS-mutant melanoma and acute myeloid leukemia cell lines support these model predictions [ 169 ].…”
Section: Mechanistic Models Help Us Understand Resistance To Targeted Therapiesmentioning
confidence: 82%
“…The model faithfully predicted RAF inhibitor responses in BRAF-mutant, RAS wild-type cells, as well as in RAS-mutant cell lines, confirming the effectiveness of a combination of two structurally different RAF inhibitors, such as vemurafenib plus sorafenib, in inhibiting ERK signaling, cell proliferation and colony formation, even in RAS-mutant cell lines. This paradoxical pathway activation can be facilitated by negative feedback loops, when the alleviation of the feedback induced by a kinase inhibitor leads to further increase in kinase dimerization [ 169 ]. The model allows to estimate the levels of synergy or antagonism between RAF inhibitors and MEK inhibitors, based on the type of RAF inhibitor and the level of RAS activity.…”
Section: Mechanistic Models Help Us Understand Resistance To Targeted Therapiesmentioning
confidence: 99%
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