Related Experiment Video
Updated: Apr 28, 2026

The Three-Dimensional Human Skin Reconstruct Model: a Tool to Study Normal Skin and Melanoma Progression
Published on: August 3, 2011
[Cutaneous side effects of anti-tumor therapy with BRAF and MEK inhibitors]
R Gutzmer1, J C Hassel, K C Kähler
1Klinik für Dermatologie, Allergologie und Venerologie, Hauttumorzentrum Hannover (HTZH), Medizinische Hochschule Hannover, Ricklinger Str. 5, 30449, Hannover, Deutschland, gutzmer.ralf@mh-hannover.de.
Background:
BRAF and MEK inhibitors are new targeted therapies which are used in the treatment of malignancies, in particular of malignant melanoma.
Side Effects:
Cutaneous side effects are common during the treatment with both types of inhibitors. These side effects include inflammatory reactions such as maculopapular and papulopustular exanthema, hand-foot syndrome, panniculitis, paronychia, photo- and radio-sensitization. As a class effect, BRAF-inhibitors induce proliferative disorders of keratinocytes and melanocytes, such as palmoplantar hyperkeratosis (as part of the hand-foot syndrome), verruciform and acanthoma-like lesions, follicular and Grover disease-like hyperkeratoses, keratoacanthomas, squamous cell carcinomas and atypical melanocytic nevi with transition to secondary melanomas. Furthermore, hair alterations and xerosis are possible.
Conclusions:
Treatment with BRAF and MEK inhibitors requires close dermatologic monitoring of the patient. This manuscript summarizes the most frequent cutaneous side effects and their management.
Insights
BRAF and MEK inhibitors are new targeted therapies for malignancies. Close dermatologic monitoring is essential due to frequent and varied skin side effects, including inflammatory reactions and keratinocyte disorders.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Context:
- BRAF and MEK inhibitors represent novel targeted therapies for malignancies, particularly malignant melanoma.
- These targeted therapies are increasingly utilized in cancer treatment regimens.
Purpose:
- To summarize the most frequent cutaneous side effects associated with BRAF and MEK inhibitor treatment.
- To provide guidance on the management of these dermatologic adverse events.
Summary:
- Cutaneous side effects are common with BRAF and MEK inhibitors, encompassing inflammatory reactions (e.g., exanthema, hand-foot syndrome, paronychia) and proliferative disorders.
- BRAF inhibitors specifically can induce keratinocyte and melanocyte proliferation, leading to conditions like palmoplantar hyperkeratosis, verruciform lesions, and potentially secondary melanomas.
- Other reported side effects include hair alterations and xerosis.
Impact:
- Highlights the necessity for vigilant dermatologic monitoring during BRAF and MEK inhibitor therapy.
- Aims to improve patient management by detailing common skin toxicities and their therapeutic approaches.
Related Concept Videos
Skin Cancer
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Targeted Cancer Therapies
There are several types of targeted therapies against...
MAPK Signaling Cascades
Skin Diseases and Disorders
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Mitogens and the Cell Cycle
The Tumor Microenvironment

