The
mitogen-activated protein kinase (MAPK) signal transduction pathway plays a central role in regulating
tumor cell growth, survival, differentiation, and angiogenesis. The key components of the Ras/Raf/
MEK/ERK signal module are frequently altered in human
cancers. Targeting this pathway represents a promising anticancer strategy. Small molecule inhibitors targeting MEK1/2 have shown promise in the clinic; however, ultimate clinical proof-of-concept remains elusive. Here, we report a potent and highly selective non-
ATP-competitive MEK1/2 inhibitor,
RO4927350, with a novel chemical structure and unique mechanism of action. It selectively blocks the MAPK pathway signaling both in vitro and in vivo, which results in significant antitumor efficacy in a broad spectrum of
tumor models. Compared with previously reported
MEK inhibitors,
RO4927350 inhibits not only ERK1/2 but also MEK1/2 phosphorylation. In
cancer cells, high basal levels of phospho-MEK1/2 rather than phospho-ERK1/2 seem to correlate with greater sensitivity to
RO4927350. Furthermore,
RO4927350 prevents a feedback increase in
MEK phosphorylation, which has been observed with other
MEK inhibitors. We show that B-Raf rather than C-Raf plays a critical role in the feedback regulation. The unique MAPK signaling blockade mediated by
RO4927350 in
cancer may reduce the risk of developing drug resistance. Thus,
RO4927350 represents a novel therapeutic modality in
cancers with aberrant MAPK pathway activation.