2010
DOI: 10.1016/j.ccr.2010.11.023
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Acquired Resistance to BRAF Inhibitors Mediated by a RAF Kinase Switch in Melanoma Can Be Overcome by Cotargeting MEK and IGF-1R/PI3K

Abstract: Summary BRAF is an attractive target for melanoma drug development. However, resistance to BRAF inhibitors is a significant clinical challenge. We describe a model of resistance to BRAF inhibitors developed by chronic treatment of BRAFV600E melanoma cells with the BRAF inhibitor SB-590885; these cells are cross resistant to other BRAF-selective inhibitors. Resistance involves flexible switching among the three RAF isoforms, underscoring the ability of melanoma cells to adapt to pharmacological challenges. IGF-… Show more

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Cited by 1,144 publications
(1,154 citation statements)
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“…This is the basis of the high therapeutic index of these drugs, but RAF dimerization is also predicted to result in drug resistance Samatar and Poulikakos, 2014). Indeed, mechanisms that result in increased RAF dimerization, such as upregulation of receptor tyrosine kinases (RTK) signaling, RAS mutation, BRAF amplification and expression of splice variants of BRAF V600E were reported to be responsible for clinical resistance to RAF inhibitors (Corcoran et al, 2011;Nazarian et al, 2010;Poulikakos et al, 2011;Shi et al, 2012;Villanueva et al, 2010).…”
Section: Introductionmentioning
confidence: 99%
“…This is the basis of the high therapeutic index of these drugs, but RAF dimerization is also predicted to result in drug resistance Samatar and Poulikakos, 2014). Indeed, mechanisms that result in increased RAF dimerization, such as upregulation of receptor tyrosine kinases (RTK) signaling, RAS mutation, BRAF amplification and expression of splice variants of BRAF V600E were reported to be responsible for clinical resistance to RAF inhibitors (Corcoran et al, 2011;Nazarian et al, 2010;Poulikakos et al, 2011;Shi et al, 2012;Villanueva et al, 2010).…”
Section: Introductionmentioning
confidence: 99%
“…5,24), with recent clinical studies reporting that highly specific BRAF inhibitors are effective in the treatment of metastatic melanoma (25)(26)(27). However, initial promise has been hampered by the development of resistance (28)(29)(30), which is characterized by the reactivation of ERK1/2 (31)(32)(33) and has been attributed to various mechanisms including activating NRAS mutations (29), CRAF overexpression (34), compensatory upregulation of MAP2K kinase COT (28), activating MEK1 mutations (35), and amplification of mutant BRAF (36).…”
Section: Introductionmentioning
confidence: 99%
“…Several mechanisms of resistance to B-Raf inhibitors have been described in melanoma, such as activation of PI3 K and COT pathways, and N-Ras mutations (Villanueva et al, 2010;Nazarian et al, 2010;Johannessen et al, 2010). By activating parallel pathways involved in cell growth, cancer cells are able to overcome the blockade at MAPK pathway.…”
Section: Overcoming Resistancementioning
confidence: 99%