Yao Zhan, Torres Neilawattie M, Tao Anthony, Gao Yijun, Luo Lusong, Li Qi, de Stanchina Elisa, Abdel-Wahab Omar, Solit David B, Poulikakos Poulikos I, Rosen Neal
Program in Molecular Pharmacology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.
College of Arts and Sciences, New York University, New York, NY 10003, USA.
Cancer Cell. 2015 Sep 14;28(3):370-83. doi: 10.1016/j.ccell.2015.08.001. Epub 2015 Sep 3.
ERK signaling requires RAS-induced RAF dimerization and is limited by feedback. Activated BRAF mutants evade feedback inhibition of RAS by either of two mechanisms. BRAF V600 mutants are activated monomers when RAS activity is low; all other activating BRAF mutants function as constitutive RAS-independent dimers. RAF inhibitors effectively inhibit mutant monomers, but not dimers; their binding to one site in the dimer significantly reduces their affinity for the second. Tumors with non-V600E BRAF mutants are insensitive to these drugs, and increased expression of BRAF V600E dimers causes acquired resistance. A compound that equally inhibits both sites of mutant RAF dimers inhibits tumors driven by either class of mutants or those BRAF V600E tumors with dimer-dependent acquired resistance to monomer-specific inhibitors.
ERK信号传导需要RAS诱导的RAF二聚化,并受到反馈的限制。活化的BRAF突变体通过两种机制之一逃避RAS的反馈抑制。当RAS活性较低时,BRAF V600突变体是活化的单体;所有其他活化的BRAF突变体作为组成型RAS非依赖性二聚体发挥作用。RAF抑制剂可有效抑制突变体单体,但不能抑制二聚体;它们与二聚体中一个位点的结合会显著降低其与第二个位点的亲和力。具有非V600E BRAF突变体的肿瘤对这些药物不敏感,而BRAF V600E二聚体表达的增加会导致获得性耐药。一种能同等抑制突变体RAF二聚体两个位点的化合物可抑制由这两类突变体驱动的肿瘤,或那些对单体特异性抑制剂具有二聚体依赖性获得性耐药的BRAF V600E肿瘤。