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Updated: Jun 20, 2026

Characterize Disease-related Mutants of RAF Family Kinases by Using a Set of Practical and Feasible Methods
Published on: July 17, 2019
Emerging Raf inhibitors
James A McCubrey1, Linda S Steelman, Steven L Abrams
1Department of Microbiology & Immunology, Brody School of Medicine at East Carolina University, Greenville, NC 27858, USA. mccubreyj@ecu.edu
Background:
The Raf/MAPK kinase/extracellular-signal-regulated kinase pathway is often activated by genetic alterations in upstream signaling molecules. An integral component of this pathway, BRAF, is also activated by mutation, especially in melanoma and thyroid cancers. The Raf/MAPK kinase/extracellular-signal-regulated kinase pathway has profound effects on proliferative, apoptotic and differentiation pathways as well as the sensitivity and resistance to chemotherapeutic drugs.
Objectives/Methods:
This review discusses targeting of Raf which could control abnormal proliferation in cancer and other proliferative diseases. The important roles that genetics plays in the response of patients to Raf inhibitors is also evaluated. We also discuss the rationales for approaches combining Raf inhibitors and chemotherapeutic drugs.
Results/Conclusions:
Various Raf inhibitors have been developed and are being clinically used to treat patients with melanoma, thyroid, hepatocellular and renal cell cancers. Some 'Raf-kinase inhibitors' affect other kinases which are also expressed on malignant cells; yet, these inhibitors have proven useful in the therapy of certain cancer patients. Other more recently developed Raf specific inhibitors have shown success in the treatment of tumors bearing Raf mutations. The development of Raf inhibitors has significantly advanced cancer therapy in the past decade.
Insights
Targeting the Raf/MAPK pathway with inhibitors can control cancer cell proliferation. Genetic factors influence patient response to these drugs, guiding combination therapies for improved cancer treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- The Raf/MAPK kinase/extracellular-signal-regulated kinase pathway is frequently activated in cancers due to genetic alterations.
- BRAF mutations are common drivers, particularly in melanoma and thyroid cancers, impacting cell proliferation and drug sensitivity.
- This pathway influences critical cellular processes including proliferation, apoptosis, and differentiation.
Purpose of the Study:
- To review the therapeutic potential of targeting Raf for controlling abnormal cell proliferation in various diseases.
- To evaluate the role of patient genetics in determining response to Raf inhibitors.
- To explore the rationale for combining Raf inhibitors with chemotherapy.
Main Methods:
- Literature review of Raf inhibitors and their clinical applications.
- Analysis of genetic alterations affecting Raf pathway signaling.
- Evaluation of combination therapy strategies involving Raf inhibitors and chemotherapeutic agents.
Main Results:
- Raf inhibitors are clinically utilized for melanoma, thyroid, hepatocellular, and renal cell cancers.
- Both broad-spectrum and specific Raf inhibitors demonstrate efficacy, particularly in tumors with identified Raf mutations.
- The development of Raf inhibitors has marked significant progress in cancer therapy over the last decade.
Conclusions:
- Targeting the Raf pathway offers a viable strategy for managing proliferative diseases and cancers.
- Genetic profiling is crucial for predicting patient response to Raf-targeted therapies.
- Combination approaches with chemotherapy may enhance therapeutic benefits in specific cancer contexts.
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