Acquired resistance to BRAF inhibitors mediated by a RAF kinase switch in melanoma can be overcome by cotargeting MEK and IGF-1R/PI3K.

Acquired resistance to BRAF inhibitors mediated by a RAF kinase switch in melanoma can be overcome by cotargeting MEK and IGF-1R/PI3K.
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DOI:
10.1016/j.ccr.2010.11.023
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发表时间:
2010-12-14
期刊:
影响因子:
50.3
通讯作者:
Herlyn M
Herlyn M
中科院分区:
医学1区
文献类型:
--
作者:
Villanueva J;Vultur A;Lee JT;Somasundaram R;Fukunaga-Kalabis M;Cipolla AK;Wubbenhorst B;Xu X;Gimotty PA;Kee D;Santiago-Walker AE;Letrero R;D'Andrea K;Pushparajan A;Hayden JE;Brown KD;Laquerre S;McArthur GA;Sosman JA;Nathanson KL;Herlyn M

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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-1R/PI3K signaling was enhanced in resistant melanomas, and combined treatment with IGF-1R/PI3K and MEK inhibitors induced death of BRAF inhibitor-resistant cells. Increased IGFR-1R and pAKT levels in a post-relapse human tumor sample are consistent with a role for IGF-1R/PI3K-dependent survival in the development of resistance to BRAF inhibitors.
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