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In vivo MAPK reporting reveals the heterogeneity in tumoral selection of resistance to RAF inhibitors.

Abstract
Activation of the ERK1/2 mitogen-activated protein kinases (MAPK) confers resistance to the RAF inhibitors vemurafenib and dabrafenib in mutant BRAF-driven melanomas. Methods to understand how resistance develops are important to optimize the clinical use of RAF inhibitors in patients. Here, we report the development of a novel ERK1/2 reporter system that provides a noninvasive, quantitative, and temporal analysis of RAF inhibitor efficacy in vivo. Use of this system revealed heterogeneity in the level of ERK1/2 reactivation associated with acquired resistance to RAF inhibition. We identified several distinct novel and known molecular changes in resistant tumors emerging from treatment-naïve cell populations including BRAF V600E variants and HRAS mutation, both of which were required and sufficient for ERK1/2 reactivation and drug resistance. Our work offers an advance in understanding RAF inhibitor resistance and the heterogeneity in resistance mechanisms, which emerge from a malignant cell population.
AuthorsKevin J Basile, Ethan V Abel, Neda Dadpey, Edward J Hartsough, Paolo Fortina, Andrew E Aplin
JournalCancer research (Cancer Res) Vol. 73 Issue 23 Pg. 7101-10 (Dec 01 2013) ISSN: 1538-7445 [Electronic] United States
PMID24121492 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S.)
Chemical References
  • Indoles
  • PLX 4720
  • Sulfonamides
  • enhanced green fluorescent protein
  • Green Fluorescent Proteins
  • BRAF protein, human
  • Proto-Oncogene Proteins B-raf
Topics
  • Animals
  • Drug Resistance, Neoplasm (genetics)
  • Enzyme Activation (genetics)
  • Female
  • Genes, Reporter (physiology)
  • Genetic Heterogeneity (drug effects)
  • Green Fluorescent Proteins (genetics, metabolism)
  • Humans
  • Indoles (therapeutic use)
  • MAP Kinase Signaling System (genetics)
  • Mice
  • Mice, Nude
  • Mice, Transgenic
  • Neoplasms (drug therapy, genetics, metabolism)
  • Proto-Oncogene Proteins B-raf (antagonists & inhibitors, genetics)
  • Selection, Genetic (physiology)
  • Sulfonamides (therapeutic use)
  • Transfection
  • Tumor Cells, Cultured
  • Xenograft Model Antitumor Assays

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