Behling Felix, Schittenhelm Jens
Department of Neurosurgery, Eberhard Karls University Tübingen, 72074 Tübingen, Germany.
Department of Neuropathology, Comprehensive Cancer Center Tübingen-Stuttgart and Eberhard Karls University Tübingen, Abt. für Neuropathologie, Calwer Str.3, 72074 Tübingen, Germany.
Cancers (Basel). 2019 Jun 8;11(6):794. doi: 10.3390/cancers11060794.
Alterations of the v-raf murine sarcoma viral oncogene homolog B (BRAF) have been extensively studied in several tumor entities and are known to drive cell growth in several tumor entities. Effective targeted therapies with mutation-specific small molecule inhibitors have been developed and established for metastasized malignant melanoma. The BRAF V600E mutation and KIAA1549-BRAF fusion are alterations found in several brain tumors and show a distinct prognostic impact in some entities. Besides the diagnostic significance for the classification of central nervous system tumors, these alterations present possible therapy targets that may be exploitable for oncological treatments, as it has been established for malignant melanomas. In this review the different central nervous system tumors harboring BRAF alterations are presented and the diagnostic significance, prognostic role, and therapeutic potential are discussed.
v-raf鼠肉瘤病毒癌基因同源物B(BRAF)的改变已在多个肿瘤实体中得到广泛研究,并且已知其在多个肿瘤实体中驱动细胞生长。针对转移性恶性黑色素瘤,已开发并确立了使用突变特异性小分子抑制剂的有效靶向治疗方法。BRAF V600E突变和KIAA1549-BRAF融合是在几种脑肿瘤中发现的改变,并且在某些实体中显示出明显的预后影响。除了对中枢神经系统肿瘤分类的诊断意义外,这些改变还提供了可能的治疗靶点,如同在恶性黑色素瘤中所确立的那样,这些靶点可能可用于肿瘤治疗。在本综述中,介绍了存在BRAF改变的不同中枢神经系统肿瘤,并讨论了其诊断意义、预后作用和治疗潜力。