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Updated: May 4, 2026

Characterize Disease-related Mutants of RAF Family Kinases by Using a Set of Practical and Feasible Methods
Published on: July 17, 2019
Inhibition of mutant BRAF splice variant signaling by next-generation, selective RAF inhibitors
Kevin J Basile1, Kaitlyn Le, Edward J Hartsough
1Department of Cancer Biology and Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, USA.
Abstract:
Vemurafenib and dabrafenib block MEK-ERK1/2 signaling and cause tumor regression in the majority of advanced-stage BRAF(V600E) melanoma patients; however, acquired resistance and paradoxical signaling have driven efforts for more potent and selective RAF inhibitors. Next-generation RAF inhibitors, such as PLX7904 (PB04), effectively inhibit RAF signaling in BRAF(V600E) melanoma cells without paradoxical effects in wild-type cells. Furthermore, PLX7904 blocks the growth of vemurafenib-resistant BRAF(V600E) cells that express mutant NRAS. Acquired resistance to vemurafenib and dabrafenib is also frequently driven by expression of mutation BRAF splice variants; thus, we tested the effects of PLX7904 and its clinical analog, PLX8394 (PB03), in BRAF(V600E) splice variant-mediated vemurafenib-resistant cells. We show that paradox-breaker RAF inhibitors potently block MEK-ERK1/2 signaling, G1/S cell cycle events, survival and growth of vemurafenib/PLX4720-resistant cells harboring distinct BRAF(V600E) splice variants. These data support the further investigation of paradox-breaker RAF inhibitors as a second-line treatment option for patients failing on vemurafenib or dabrafenib.
Insights
Next-generation RAF inhibitors, like PLX7904, show promise in treating advanced melanoma by overcoming resistance to current therapies. These new drugs effectively target BRAF V600E mutations and splice variants, offering a potential second-line treatment option.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Vemurafenib and dabrafenib are standard treatments for BRAF(V600E) melanoma but face challenges with acquired resistance and paradoxical signaling.
- Next-generation RAF inhibitors are needed to overcome these limitations and improve patient outcomes.
Purpose of the Study:
- To evaluate the efficacy of next-generation RAF inhibitors, PLX7904 and PLX8394, in preclinical models of melanoma.
- To assess their ability to overcome resistance mechanisms, including NRAS mutations and BRAF splice variants.
Main Methods:
- In vitro testing of PLX7904 and PLX8394 in BRAF(V600E) melanoma cell lines, including those resistant to vemurafenib.
- Analysis of MEK-ERK1/2 signaling pathway, cell cycle progression, and cell survival.
Main Results:
- PLX7904 effectively inhibits RAF signaling in BRAF(V600E) melanoma without paradoxical effects in wild-type cells.
- PLX7904 demonstrated activity against vemurafenib-resistant cells with NRAS mutations and BRAF splice variants.
- PLX7904 and PLX8394 potently blocked signaling and growth in cells resistant to vemurafenib/PLX4720 due to BRAF splice variants.
Conclusions:
- Paradox-breaker RAF inhibitors like PLX7904 and PLX8394 are potent against melanoma with resistance mechanisms.
- These agents warrant further investigation as a second-line therapy for patients with advanced BRAF(V600E) melanoma who have progressed on existing treatments.
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