2020
DOI: 10.1158/2159-8290.cd-19-0672
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Mutant BRAF and MEK Inhibitors Regulate the Tumor Immune Microenvironment via Pyroptosis

Abstract: Combinations of BRAF inhibitors and MEK inhibitors (BRAFi + MEKi) are FDAapproved to treat BRAF V600E/K-mutant melanoma. Effi cacy of BRAFi + MEKi associates with cancer cell death and alterations in the tumor immune microenvironment; however, the links are poorly understood. We show that BRAFi + MEKi caused durable melanoma regression in an immunemediated manner. BRAFi + MEKi treatment promoted cleavage of gasdermin E (GSDME) and release of HMGB1, markers of pyroptotic cell death. GSDME-defi cient melanoma sh… Show more

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Cited by 338 publications
(346 citation statements)
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“…As a critical form of cell death, pyroptosis has been reported to be involved in many physiological processes, such as regulation of tumor immune microenvironment [35], treatment of acute myeloid leukemia [36] and act as an innate immune effector against intracellular bacteria [37]. There are various researches showing an association between pyroptosis and tumor proliferation [38][39][40].…”
Section: Discussionmentioning
confidence: 99%
“…As a critical form of cell death, pyroptosis has been reported to be involved in many physiological processes, such as regulation of tumor immune microenvironment [35], treatment of acute myeloid leukemia [36] and act as an innate immune effector against intracellular bacteria [37]. There are various researches showing an association between pyroptosis and tumor proliferation [38][39][40].…”
Section: Discussionmentioning
confidence: 99%
“…Combinations of BRAF inhibitors and MEK inhibitors (BRAFi + MEKi) are Food and Drug Administration (FDA)-approved to treat BRAF V600E/K mutant melanoma. BRAFi + MEKi treatment promotes cleavage of GSDME and release of high-mobility group protein B1 (HMGB1) to induce cell pyroptotic death [91]. Transcription factor p53 overexpression triggers pyroptosis to suppress tumor growth in A549 tumor-bearing mice.…”
Section: Non-chemotherapy Drug-induced Pyroptosis Exerts Anticancer Ementioning
confidence: 99%
“…Mechanistically, gasdermin E was indispensable for melanoma cell response as GSDME deficiency resulted in more frequent tumor re-growth when administration of drugs was ceased. Notably, BRAFi-and MEKi-resistant cells were still sensitive to pyroptosis-inducing compounds [222].…”
Section: Pyroptosis In Melanomamentioning
confidence: 99%