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Combined inhibition of SHP2 overcomes adaptive resistance to type 1 BRAF inhibitors in BRAF V600E-driven high-grade glioma.

作者信息

Ayanlaja Abiola A, Chang Michael, Lalwani Kriti, Ioannou Maria, Wang Jiawan, Jagtap Shreya, Yang Yanbo, Lucas Calixto-Hope G, Mulcahy-Levy Jean M, Gartrell Robyn D, Pratilas Christine A, Schreck Karisa C

机构信息

Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Department of Oncology, Sidney Kimmel Comprehensive Cancer Center (SKCCC) at Johns Hopkins, Baltimore, Maryland, USA.

出版信息

Neurooncol Adv. 2025 Aug 2;7(1):vdaf170. doi: 10.1093/noajnl/vdaf170. eCollection 2025 Jan-Dec.


DOI:10.1093/noajnl/vdaf170
PMID:40900823
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12400027/
Abstract

BACKGROUND: -mutant gliomas can be targeted therapeutically using BRAF-selective inhibitors, yet responses are often transient due to adaptive resistance through reactivation of RAS-ERK signaling. Here, we evaluate the role of SHP2, a central regulator of RAS activity, and SHP2 inhibitors in overcoming resistance to BRAF inhibitors in glioma. METHODS: RNAseq and protein expression in human tissue samples and glioma cell lines were used to identify resistance mechanisms. BRAF p.V600E glioma cell lines were tested to evaluate the impact of combined SHP2 and BRAF inhibition on ERK pathway activity, cell growth/death, and tumor forming ability. In vivo studies utilized heterotopic and orthotopic cell lines and patient-derived xenografts (PDX). RESULTS: We observed frequent ERK pathway reactivation in human glioma specimens following BRAF inhibitors, most commonly through EGFR and PDGFRβ activation. In glioma models, we observed that knockdown of SHP2 prevented adaptive upregulation of ERK activity in response to BRAF or MEK inhibitors. Combined small molecule inhibition with SHP2 and BRAF/MEK inhibitors increased the depth and durability of ERK suppression, inhibited growth, and killed tumor cells. RNA sequencing analysis revealed profound suppression of ERK transcriptional output with combined therapy and decreased EGFR reactivation. In cell lines with treatment-emergent resistance, combined SHP2 and BRAF inhibition overcame resistance to monotherapy. In vivo experiments confirmed enhanced tumor growth inhibition with combined therapy. CONCLUSIONS: Our findings demonstrate the critical role of RAS-ERK signaling reactivation in driving resistance to BRAF inhibition in glioma and demonstrate the potential utility of adding SHP2 inhibitors to overcome resistance.

摘要

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本文引用的文献

[1]
MEK Inhibition Enhances the Antitumor Effect of Radiotherapy in NF1-Deficient Glioblastoma.

Mol Cancer Ther. 2024-9-4

[2]
Response Rate and Molecular Correlates to Encorafenib and Binimetinib in BRAF-V600E Mutant High-Grade Glioma.

Clin Cancer Res. 2024-5-15

[3]
BRAF - a tumour-agnostic drug target with lineage-specific dependencies.

Nat Rev Clin Oncol. 2024-3

[4]
The Targeted Degradation of BRAF V600E Reveals the Mechanisms of Resistance to BRAF-Targeted Treatments in Colorectal Cancer Cells.

Cancers (Basel). 2023-12-12

[5]
CDK4/6 inhibition enhances SHP2 inhibitor efficacy and is dependent upon RB function in malignant peripheral nerve sheath tumors.

Sci Adv. 2023-11-24

[6]
The type II RAF inhibitor tovorafenib in relapsed/refractory pediatric low-grade glioma: the phase 2 FIREFLY-1 trial.

Nat Med. 2024-1

[7]
Role of the Microenvironment in Glioma Pathogenesis.

Annu Rev Pathol. 2024-1-24

[8]
Dabrafenib plus Trametinib in Pediatric Glioma with V600 Mutations.

N Engl J Med. 2023-9-21

[9]
Efficacy and Safety of Trametinib Monotherapy or in Combination With Dabrafenib in Pediatric V600-Mutant Low-Grade Glioma.

J Clin Oncol. 2023-1-20

[10]
HSP90 Inhibition Overcomes Resistance to Molecular Targeted Therapy in BRAFV600E-mutant High-grade Glioma.

Clin Cancer Res. 2022-6-1

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