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Updated: Apr 23, 2026

Spatial and Temporal Control of Murine Melanoma Initiation from Mutant Melanocyte Stem Cells
Published on: June 7, 2019
Epigenetic changes of EGFR have an important role in BRAF inhibitor-resistant cutaneous melanomas
Jinhua Wang1, Sharon K Huang1, Diego M Marzese1
1Department of Molecular Oncology, John Wayne Cancer Institute, Santa Monica, California, USA.
Abstract:
BRAF mutations are frequent in cutaneous melanomas, and BRAF inhibitors (BRAFi) have shown remarkable clinical efficacy in BRAF mutant melanoma patients. However, acquired drug resistance can occur rapidly and tumor(s) often progresses thereafter. Various mechanisms of BRAFi resistance have recently been described; however, the mechanism of resistance remains controversial. In this study, we developed BRAFi-resistant melanoma cell lines and found that metastasis-related epithelial to mesenchymal transition properties of BRAFi-resistant cells were enhanced significantly. Upregulation of EGFR was observed in BRAFi-resistant cell lines and patient tumors because of demethylation of EGFR regulatory DNA elements. EGFR induced PI3K/AKT pathway activation in BRAFi-resistant cells through epigenetic regulation. Treatment of EGFR inhibitor was effective in BRAFi-resistant melanoma cell lines. The study demonstrates that EGFR epigenetic activation has important implications in BRAFi resistance in melanoma.
Insights
Drug resistance in melanoma is a challenge. This study reveals that epigenetic activation of EGFR drives resistance to BRAF inhibitors by enhancing cell metastasis and activating key signaling pathways, suggesting EGFR inhibitors as a potential treatment.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- BRAF mutations are common in cutaneous melanoma, and BRAF inhibitors (BRAFi) offer significant clinical benefits.
- Acquired resistance to BRAFi is a major clinical challenge, leading to tumor progression.
- The precise mechanisms underlying BRAFi resistance in melanoma are still debated.
Purpose of the Study:
- To investigate the mechanisms of acquired resistance to BRAF inhibitors in melanoma.
- To identify potential therapeutic targets for overcoming BRAFi resistance.
Main Methods:
- Development of BRAFi-resistant melanoma cell lines.
- Analysis of epithelial to mesenchymal transition (EMT) properties.
- Assessment of Epidermal Growth Factor Receptor (EGFR) expression and its regulatory elements.
- Investigation of the PI3K/AKT signaling pathway.
- Evaluation of EGFR inhibitor efficacy in resistant cells.
Main Results:
- BRAFi-resistant melanoma cells exhibited enhanced metastatic properties (EMT).
- EGFR was upregulated in resistant cells and patient tumors due to demethylation of regulatory DNA.
- EGFR activation led to PI3K/AKT pathway activation via epigenetic mechanisms.
- EGFR inhibition demonstrated effectiveness against BRAFi-resistant melanoma cells.
Conclusions:
- Epigenetic activation of EGFR plays a critical role in mediating BRAFi resistance in melanoma.
- Targeting EGFR offers a promising therapeutic strategy for patients with BRAFi-resistant melanoma.
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