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Updated: May 10, 2026

Characterize Disease-related Mutants of RAF Family Kinases by Using a Set of Practical and Feasible Methods
Published on: July 17, 2019
C-RAF mutations confer resistance to RAF inhibitors
Rajee Antony1, Caroline M Emery, Allison M Sawyer
1Department of Medical Oncology, Center for Cancer Genome Discovery, Dana Farber Cancer Institute, Boston, MA 02115, USA.
Abstract:
Melanomas that contain B-RAF(V600E) mutations respond transiently to RAF and MEK inhibitors; however, resistance to these agents remains a formidable challenge. Although B- or C-RAF dysregulation represents prominent resistance mechanisms, resistance-associated point mutations in RAF oncoproteins are surprisingly rare. To gain insights herein, we conducted random mutagenesis screens to identify B- or C-RAF mutations that confer resistance to RAF inhibitors. Whereas bona fide B-RAF(V600E) resistance alleles were rarely observed, we identified multiple C-RAF mutations that produced biochemical and pharmacologic resistance. Potent C-RAF resistance alleles localized to a 14-3-3 consensus binding site or a separate site within the P loop. These mutations elicited paradoxical upregulation of RAF kinase activity in a dimerization-dependent manner following exposure to RAF inhibitors. Knowledge of resistance-associated C-RAF mutations may enhance biochemical understanding of RAF-dependent signaling, anticipate clinical resistance to novel RAF inhibitors, and guide the design of "next-generation" inhibitors for deployment in RAF- or RAS-driven malignancies.
Insights
New research identifies specific C-RAF mutations causing resistance to RAF inhibitors in melanoma. Understanding these mutations can help develop next-generation cancer drugs for BRAF-mutated cancers.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Melanomas with BRAF(V600E) mutations initially respond to RAF and MEK inhibitors.
- Drug resistance, often due to RAF dysregulation, is a significant clinical challenge.
- Specific point mutations in RAF oncoproteins conferring resistance are infrequently identified.
Purpose of the Study:
- To identify B-RAF or C-RAF mutations that confer resistance to RAF inhibitors.
- To understand the mechanisms underlying drug resistance in BRAF-mutated melanomas.
Main Methods:
- Utilized random mutagenesis screens to identify resistance-conferring RAF mutations.
- Performed biochemical and pharmacologic analyses of identified C-RAF mutations.
Main Results:
- Identified multiple C-RAF mutations, but rarely B-RAF(V600E) resistance alleles.
- Potent C-RAF resistance mutations were found in a 14-3-3 binding site and the P loop.
- These mutations caused paradoxical RAF kinase activity upregulation via dimerization upon RAF inhibitor exposure.
Conclusions:
- Resistance-associated C-RAF mutations offer insights into RAF-dependent signaling.
- Findings may help predict clinical resistance to current RAF inhibitors.
- Knowledge gained can guide the development of next-generation inhibitors for RAF/RAS-driven cancers.
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