分子通路:BRAF(V600E)肿瘤中对 BRAF 和 MEK 抑制剂的反应和耐药性。

Molecular pathways: response and resistance to BRAF and MEK inhibitors in BRAF(V600E) tumors.

机构信息

Authors' Affiliation: Novartis Institutes for Biomedical Research, Emeryville, California.

出版信息

Clin Cancer Res. 2014 Mar 1;20(5):1074-80. doi: 10.1158/1078-0432.CCR-13-0103. Epub 2013 Dec 18.

Abstract

The RAS-RAF-MEK (MAP-ERK kinase)-ERK (extracellular signal-regulated kinase) pathway plays a central role in driving proliferation, survival, and metastasis signals in tumor cells, and the prevalence of oncogenic mutations in RAS and BRAF and upstream nodes makes this pathway the focus of significant oncology drug development efforts. This focus has been justified by the recent success of BRAF and MEK inhibitors in prolonging the lives of patients with BRAF(V600E/K)-mutant melanoma. Although it is disappointing that cures are relatively rare, this should not detract from the value of these agents to patients with cancer and the opportunity they provide in allowing us to gain a deeper understanding of drug response and resistance. These insights have already provided the basis for the evaluation of alternative dosing regimens and combination therapies in patients with melanoma.

摘要

RAS-RAF-MEK(MAPK 激酶)-ERK(细胞外信号调节激酶)通路在驱动肿瘤细胞的增殖、存活和转移信号中发挥着核心作用,RAS 和 BRAF 以及上游节点的致癌突变的普遍性使得该通路成为肿瘤药物开发的重点。最近 BRAF 和 MEK 抑制剂在延长 BRAF(V600E/K)-突变黑色素瘤患者的生命方面取得了成功,这一焦点是合理的。尽管治愈的情况相对较少令人失望,但这不应减损这些药物对癌症患者的价值,以及它们为我们提供的机会,使我们能够更深入地了解药物反应和耐药性。这些见解已经为评估黑色素瘤患者的替代剂量方案和联合治疗提供了基础。

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