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Characterize Disease-related Mutants of RAF Family Kinases by Using a Set of Practical and Feasible Methods
Published on: July 17, 2019
SHOC2 and CRAF mediate ERK1/2 reactivation in mutant NRAS-mediated resistance to RAF inhibitor
Fred M Kaplan1, Curtis H Kugel, Neda Dadpey
1Department of Cancer Biology, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
Abstract:
ERK1/2 signaling is frequently dysregulated in tumors through BRAF mutation. Targeting mutant BRAF with vemurafenib frequently elicits therapeutic responses; however, durable effects are often limited by ERK1/2 pathway reactivation via poorly defined mechanisms. We generated mutant BRAF(V600E) melanoma cells that exhibit resistance to PLX4720, the tool compound for vemurafenib, that co-expressed mutant (Q61K) NRAS. In these BRAF(V600E)/NRAS(Q61K) co-expressing cells, re-activation of the ERK1/2 pathway during PLX4720 treatment was dependent on NRAS. Expression of mutant NRAS in parental BRAF(V600) cells was sufficient to by-pass PLX4720 effects on ERK1/2 signaling, entry into S phase and susceptibility to apoptosis in a manner dependent on the RAF binding site in NRAS. ERK1/2 activation in BRAF(V600E)/NRAS(Q61K) cells required CRAF only in the presence of PLX4720, indicating a switch in RAF isoform requirement. Both ERK1/2 activation and resistance to apoptosis of BRAF(V600E)/NRAS(Q61K) cells in the presence of PLX4720 was modulated by SHOC-2/Sur-8 expression, a RAS-RAF scaffold protein. These data show that NRAS mutations confer resistance to RAF inhibitors in mutant BRAF cells and alter RAF isoform and scaffold molecule requirements to re-activate the ERK1/2 pathway.
Insights
NRAS mutations can cause resistance to BRAF inhibitors like vemurafenib in melanoma by reactivating ERK1/2 signaling. This resistance involves altered RAF isoform and scaffold protein requirements, highlighting new therapeutic targets.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Signaling Pathways
Background:
- BRAF mutations are common in melanoma, and BRAF inhibitors show efficacy.
- However, resistance to BRAF inhibitors often occurs due to ERK1/2 pathway reactivation.
- Mechanisms of resistance, particularly involving NRAS, are not fully understood.
Purpose of the Study:
- To investigate how NRAS mutations contribute to resistance against BRAF inhibitors in melanoma.
- To elucidate the molecular mechanisms underlying ERK1/2 pathway reactivation in resistant cells.
- To identify potential therapeutic strategies to overcome BRAF inhibitor resistance.
Main Methods:
- Generated BRAF(V600E) melanoma cells co-expressing NRAS(Q61K) to model resistance.
- Utilized PLX4720 (a vemurafenib tool compound) to assess drug response.
- Analyzed ERK1/2 pathway activation, cell cycle progression (S phase), and apoptosis.
- Investigated the roles of RAF isoforms (CRAF) and scaffold proteins (SHOC-2/Sur-8).
Main Results:
- NRAS(Q61K) expression in BRAF(V600E) cells conferred resistance to PLX4720 by reactivating ERK1/2 signaling.
- NRAS-mediated resistance bypassed PLX4720 effects on cell cycle and apoptosis.
- ERK1/2 activation in resistant cells required CRAF and was modulated by SHOC-2/Sur-8.
- A switch in RAF isoform requirement (CRAF) was observed during drug treatment.
Conclusions:
- NRAS mutations are a key mechanism of resistance to BRAF inhibitors in BRAF-mutant melanoma.
- Reactivation of the ERK1/2 pathway by NRAS involves altered RAF isoform and scaffold protein dependencies.
- Targeting NRAS or downstream effectors may overcome BRAF inhibitor resistance.
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