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低MITF/AXL比值预示黑色素瘤对多种靶向药物的早期耐药性。

Low MITF/AXL ratio predicts early resistance to multiple targeted drugs in melanoma.

作者信息

Müller Judith, Krijgsman Oscar, Tsoi Jennifer, Robert Lidia, Hugo Willy, Song Chunying, Kong Xiangju, Possik Patricia A, Cornelissen-Steijger Paulien D M, Geukes Foppen Marnix H, Kemper Kristel, Goding Colin R, McDermott Ultan, Blank Christian, Haanen John, Graeber Thomas G, Ribas Antoni, Lo Roger S, Peeper Daniel S

机构信息

Division of Molecular Oncology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066CX Amsterdam, The Netherlands.

Division of Molecular and Medical Pharmacology, David Geffen School of Medicine at University of California, University of California, Los Angeles (UCLA), 10833 Le Conte Avenue, Los Angeles, California 90095-1750, USA.

出版信息

Nat Commun. 2014 Dec 15;5:5712. doi: 10.1038/ncomms6712.


DOI:10.1038/ncomms6712
PMID:25502142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4428333/
Abstract

Increased expression of the Microphthalmia-associated transcription factor (MITF) contributes to melanoma progression and resistance to BRAF pathway inhibition. Here we show that the lack of MITF is associated with more severe resistance to a range of inhibitors, while its presence is required for robust drug responses. Both in primary and acquired resistance, MITF levels inversely correlate with the expression of several activated receptor tyrosine kinases, most frequently AXL. The MITF-low/AXL-high/drug-resistance phenotype is common among mutant BRAF and NRAS melanoma cell lines. The dichotomous behaviour of MITF in drug response is corroborated in vemurafenib-resistant biopsies, including MITF-high and -low clones in a relapsed patient. Furthermore, drug cocktails containing AXL inhibitor enhance melanoma cell elimination by BRAF or ERK inhibition. Our results demonstrate that a low MITF/AXL ratio predicts early resistance to multiple targeted drugs, and warrant clinical validation of AXL inhibitors to combat resistance of BRAF and NRAS mutant MITF-low melanomas.

摘要

小眼畸形相关转录因子(MITF)表达的增加促进黑色素瘤进展以及对BRAF通路抑制的抗性。我们在此表明,MITF的缺失与对一系列抑制剂的更严重抗性相关,而其存在是产生强烈药物反应所必需的。在原发性和获得性抗性中,MITF水平均与几种活化受体酪氨酸激酶(最常见的是AXL)的表达呈负相关。MITF低/AXL高/耐药表型在突变型BRAF和NRAS黑色素瘤细胞系中很常见。在维莫非尼耐药活检中证实了MITF在药物反应中的二分行为,包括一名复发患者中的MITF高和低克隆。此外,含有AXL抑制剂的药物鸡尾酒通过抑制BRAF或ERK增强黑色素瘤细胞清除。我们的结果表明,低MITF/AXL比值可预测对多种靶向药物的早期抗性,并保证对AXL抑制剂进行临床验证以对抗BRAF和NRAS突变型MITF低黑色素瘤的抗性。

相似文献

[1]
Low MITF/AXL ratio predicts early resistance to multiple targeted drugs in melanoma.

Nat Commun. 2014-12-15

[2]
Overcoming acquired BRAF inhibitor resistance in melanoma via targeted inhibition of Hsp90 with ganetespib.

Mol Cancer Ther. 2014-2

[3]
BRAF inhibition alters the microRNA cargo in the vesicular secretome of malignant melanoma cells.

Proc Natl Acad Sci U S A. 2017-7-6

[4]
Mutational activation of BRAF confers sensitivity to transforming growth factor beta inhibitors in human cancer cells.

Oncotarget. 2016-12-13

[5]
Human cutaneous melanomas lacking MITF and melanocyte differentiation antigens express a functional Axl receptor kinase.

J Invest Dermatol. 2011-7-28

[6]
A PAX3/BRN2 rheostat controls the dynamics of BRAF mediated MITF regulation in MITF /AXL melanoma.

Pigment Cell Melanoma Res. 2018-10-19

[7]
A melanoma cell state distinction influences sensitivity to MAPK pathway inhibitors.

Cancer Discov. 2014-7

[8]
AXL/AKT axis mediated-resistance to BRAF inhibitor depends on PTEN status in melanoma.

Oncogene. 2018-3-19

[9]
PDGFRα up-regulation mediated by sonic hedgehog pathway activation leads to BRAF inhibitor resistance in melanoma cells with BRAF mutation.

Oncotarget. 2014-4-15

[10]
The BRAF(V600E) inhibitor, PLX4032, increases type I collagen synthesis in melanoma cells.

Matrix Biol. 2015-10

引用本文的文献

[1]
Molecular Basis of BRAF Inhibitor Resistance in Melanoma: A Systematic Review.

Pharmaceuticals (Basel). 2025-8-21

[2]
A novel patient-derived cutaneous melanoma cell line reveals key features of metastatic melanoma.

Front Oncol. 2025-7-18

[3]
A CD24CD271 melanoma cancer stem cell possesses hybrid characteristics of its single marker counterparts and promotes invasion and therapeutic resistance.

BMC Biol. 2025-8-4

[4]
Heterogeneous therapy-resistant cancer cells have distinct and exploitable drug sensitivity profiles.

bioRxiv. 2025-5-6

[5]
Do BRAF-targeted therapies have a role in the era of immunotherapy?

ESMO Open. 2025-6-20

[6]
Axl inhibitor-mediated reprogramming of the myeloid compartment of the tumor microenvironment is influenced by prior targeted therapy treatment.

Front Immunol. 2025-6-5

[7]
Patient-derived organotypic tumor spheroids, tumoroids, and organoids: advancing immunotherapy using state-of-the-art 3D tumor model systems.

Lab Chip. 2025-6-24

[8]
NSD2 and miRNAs as Key Regulators of Melanoma Response to Romidepsin and Interferon-α2b Treatment.

Cancer Med. 2025-5

[9]
Sensitivity to immune checkpoint inhibitors in BRAF/MEK inhibitor refractory melanoma.

J Immunother Cancer. 2025-5-15

[10]
Circulating MicroRNAs: functional biomarkers for melanoma prognosis and treatment.

Mol Cancer. 2025-3-28

本文引用的文献

[1]
A melanoma cell state distinction influences sensitivity to MAPK pathway inhibitors.

Cancer Discov. 2014-7

[2]
Identification of a ZEB2-MITF-ZEB1 transcriptional network that controls melanogenesis and melanoma progression.

Cell Death Differ. 2014-8

[3]
Reversible and adaptive resistance to BRAF(V600E) inhibition in melanoma.

Nature. 2014-3-26

[4]
Secretome from senescent melanoma engages the STAT3 pathway to favor reprogramming of naive melanoma towards a tumor-initiating cell phenotype.

Oncotarget. 2013-12

[5]
Acquired resistance and clonal evolution in melanoma during BRAF inhibitor therapy.

Cancer Discov. 2013-11-21

[6]
MAP kinase pathway alterations in BRAF-mutant melanoma patients with acquired resistance to combined RAF/MEK inhibition.

Cancer Discov. 2013-11-21

[7]
The genetic landscape of clinical resistance to RAF inhibition in metastatic melanoma.

Cancer Discov. 2013-11-21

[8]
A novel AKT1 mutant amplifies an adaptive melanoma response to BRAF inhibition.

Cancer Discov. 2013-11-21

[9]
A melanocyte lineage program confers resistance to MAP kinase pathway inhibition.

Nature. 2013-11-3

[10]
Association of MITF and other melanosome-related proteins with chemoresistance in melanoma tumors and cell lines.

Melanoma Res. 2013-10

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