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Implications of BRAF V600E mutation in gliomas: Molecular considerations, prognostic value and treatment evolution.

作者信息

Di Nunno Vincenzo, Gatto Lidia, Tosoni Alicia, Bartolini Stefania, Franceschi Enrico

机构信息

Department of Oncology, AUSL Bologna, Bologna, Italy.

Nervous System Medical Oncology Department, IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.

出版信息

Front Oncol. 2023 Jan 4;12:1067252. doi: 10.3389/fonc.2022.1067252. eCollection 2022.


DOI:10.3389/fonc.2022.1067252
PMID:36686797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9846085/
Abstract

Gliomas are molecularly heterogeneous brain tumors responsible for the most years of life lost by any cancer. High-grade gliomas have a poor prognosis and despite multimodal treatment including surgery, radiotherapy, and chemotherapy, exhibit a high recurrence rate. There is a need for new therapeutic approaches based on precision medicine informed by biomarker assessment and BRAF, a key regulator of MAPK signaling pathway, influencing cell differentiation, proliferation, migration and pro-tumorigenic activity, is emerging as a promising molecular target. V600E, is the most frequent BRAF alteration in gliomas, especially in pediatric low-grade astrocytomas, pleomorphic xanthoastrocytoma, papillary craniopharyngioma, epithelioid glioblastoma and ganglioglioma. The possible application of BRAF-targeted therapy in gliomas is continuously growing and there is preliminary evidence of prolonged disease control obtained by BRAF inhibitors in tumors harboring BRAF V600E mutation. The possibility of introducing targeted therapies into the treatment algorithm represents a paradigm shift for patients with BRAF V600E mutant recurrent high-grade and low-grade glioma and BRAF routine testing should be considered in clinical practice. The focus of this review is to summarize the molecular landscape of BRAF across glioma subtypes and the novel therapeutic strategies for BRAF V600E mutated tumors.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ac6/9846085/d7581ea90910/fonc-12-1067252-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ac6/9846085/d7581ea90910/fonc-12-1067252-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ac6/9846085/d7581ea90910/fonc-12-1067252-g001.jpg

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本文引用的文献

[1]
Pharmacotherapeutic Treatment of Glioblastoma: Where Are We to Date?

Drugs. 2022-4

[2]
Eleven Month Progression-Free Survival on Vemurafenib Monotherapy in a Patient With Recurrent and Metastatic V600E-Mutated Glioblastoma WHO Grade 4.

JCO Precis Oncol. 2017-11

[3]
Clinical and Molecular Features of Patients with Gliomas Harboring IDH1 Non-canonical Mutations: A Systematic Review and Meta-Analysis.

Adv Ther. 2022-1

[4]
Targeting BRAF-mutant glioma: reflections on the ROAR trial.

Lancet Oncol. 2022-1

[5]
Dabrafenib plus trametinib in patients with BRAF-mutant low-grade and high-grade glioma (ROAR): a multicentre, open-label, single-arm, phase 2, basket trial.

Lancet Oncol. 2022-1

[6]
Prevalence of BRAFV600 in glioma and use of BRAF Inhibitors in patients with BRAFV600 mutation-positive glioma: systematic review.

Neuro Oncol. 2022-4-1

[7]
Deconvoluting Mechanisms of Acquired Resistance to RAF Inhibitors in BRAF-Mutant Human Glioma.

Clin Cancer Res. 2021-11-15

[8]
Glioblastoma: Emerging Treatments and Novel Trial Designs.

Cancers (Basel). 2021-7-26

[9]
Current Therapeutic Strategies in BRAF-Mutant Metastatic Colorectal Cancer.

Front Oncol. 2021-6-23

[10]
The 2021 WHO Classification of Tumors of the Central Nervous System: a summary.

Neuro Oncol. 2021-8-2

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