2019
DOI: 10.1016/j.ejphar.2019.172621
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Drug resistance of BRAF-mutant melanoma: Review of up-to-date mechanisms of action and promising targeted agents

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Cited by 73 publications
(77 citation statements)
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“…These mechanisms include a.o. genetic causes, epigenomic and transcriptomic changes, altered communication with the tumor microenvironment, an immunomodulatory effect, and the presence of CSCs [17]. Genetic mechanisms of resistance apply to BRAF alone: amplification of gene copying and alternative splicing, which were detected in 20%-32% of melanoma cases [18,19], or genes encoding proteins directly, and indirectly interacting with BRAF kinase.…”
Section: Discussionmentioning
confidence: 99%
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“…These mechanisms include a.o. genetic causes, epigenomic and transcriptomic changes, altered communication with the tumor microenvironment, an immunomodulatory effect, and the presence of CSCs [17]. Genetic mechanisms of resistance apply to BRAF alone: amplification of gene copying and alternative splicing, which were detected in 20%-32% of melanoma cases [18,19], or genes encoding proteins directly, and indirectly interacting with BRAF kinase.…”
Section: Discussionmentioning
confidence: 99%
“…In the case of epigenomic or transcriptomic changes, which constitute ca. 40% of cases with identified BRAF mutation and treated with a specific inhibitor, many aberrations are present in elements of negative feedback loops regulating MAPK and PI3K/AKT pathways [17,21]. A great number of changes directly involve elements of the MAPK pathway-there is evidence of hyperactivation and overexpression of RAS or RTKs, e.g., IGFR1, PDGFRβ, EGFR [22][23][24].…”
Section: Discussionmentioning
confidence: 99%
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“…We propose here a pipeline based 41 on logical modelling and able to go from the formulation of a biological question to the validation of 42 a mathematical model on pre-clinical data, in this case a set of cell lines (Fig 1), and the 43 subsequent interpretation of potential resistance mechanisms. The application of the mechanistic 44 model to different cell lines is therefore done without any training of parameters but only on the 45 basis of the automatic integration and interpretation of their omic features. The construction of a mathematical model must be based first and foremost on a precise and 48 specific biological problem, at the origin of the design of the model.…”
Section: Introductionmentioning
confidence: 99%
“…A generic logical model for melanoma and colorectal cancers 250 The construction of the logical model aims at summarizing the current molecular understanding of 251 BRAF gene and its molecular partners in both colorectal cancers and melanomas. The focus of this 252 model is put on two important signalling pathways involved in the mechanisms of resistance to 253 BRAF inhibition which are the ERK1/2 MAPK and PI3K/AKT pathways [44,45].…”
mentioning
confidence: 99%