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Updated: May 23, 2026

Analysis of Lymph Node Volume by Ultra-High-Frequency Ultrasound Imaging in the Braf/Pten Genetically Engineered Mouse Model of Melanoma
Published on: September 8, 2021
Targeting mutant BRAF in melanoma: current status and future development of combination therapy strategies
Ragini Kudchadkar1, Kim H T Paraiso, Keiran S M Smalley
1Department of Cutaneous Oncology, The Moffitt Cancer Center, Tampa, FL 33612, USA.
Abstract:
The discovery of activating BRAF mutations in ∼50% of all melanomas has proved to be a turning point in the therapeutic management of the disseminated disease. In this commentary, we review the latest research delineating the role of mutant BRAF in melanoma initiation and progression and discuss the remarkable 10-year journey leading up to the recent U.S. Food and Drug Administration approval of the small-molecule BRAF inhibitor vemurafenib. We further outline the most recent findings on the mechanisms that underlie intrinsic and acquired BRAF inhibitor resistance and describe ongoing preclinical and clinical studies designed to delay or abrogate the onset of therapeutic escape. It is hoped that our evolving understanding of melanoma genetics and intracellular signaling coupled with a growing armamentarium of signal transduction inhibitors will lead to significant improvements in the level and durability of therapeutic response in metastatic melanoma.
Insights
Activating BRAF mutations are key in melanoma, leading to targeted therapies like vemurafenib. Research now focuses on overcoming BRAF inhibitor resistance for better metastatic melanoma treatment.
Area of Science:
- Oncology
- Genetics
- Pharmacology
Background:
- Activating BRAF mutations are found in approximately 50% of melanomas.
- These mutations represent a significant turning point in treating disseminated melanoma.
- BRAF mutations play a crucial role in melanoma initiation and progression.
Purpose of the Study:
- To review the role of mutant BRAF in melanoma.
- To discuss the development and approval of BRAF inhibitor vemurafenib.
- To outline mechanisms of BRAF inhibitor resistance and strategies to overcome it.
Main Methods:
- Review of the latest research on BRAF mutations in melanoma.
- Discussion of the 10-year journey to vemurafenib approval.
- Outline of findings on BRAF inhibitor resistance mechanisms.
- Description of ongoing preclinical and clinical studies.
Main Results:
- BRAF mutations are a critical factor in melanoma development.
- Vemurafenib, a BRAF inhibitor, has been approved for metastatic melanoma treatment.
- Understanding intrinsic and acquired resistance mechanisms is crucial.
Conclusions:
- Targeting BRAF mutations has transformed melanoma therapy.
- Overcoming BRAF inhibitor resistance is essential for durable responses.
- Continued research in melanoma genetics and signaling inhibitors promises improved outcomes.
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