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A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Targeted Therapy for Melanoma
Deborah J L Wong1, Antoni Ribas2,3
1Department of Medicine, Division of Hematology/Oncology, University of California Los Angeles (UCLA), Le Conte Avenue, Los Angeles, CA, 10833, USA.
Abstract:
Vemurafenib and dabrafenib, two potent tyrosine kinase inhibitors (TKIs) of the BRAF(V600E) kinase, are highly effective in the treatment of a BRAF (V600) -mutant metastatic melanoma. These are selective type I inhibitors (functional against the active conformation of the kinase) of the RAF kinases, which are key players in the mitogen-activated protein kinase (MAPK) pathway. BRAF (V600) mutations are present in approximately 7 % of all cancers, including high frequencies of mutations reported in 50 % of advanced melanomas and 100 % of hairy cell leukemias. As with most targeted therapies, resistance to BRAF inhibitors is an issue, and mechanisms of resistance are varied. Combining BRAF inhibitors with MEK inhibitors such as trametinib delays the development of resistance. Rationally combining targeted therapies to address the mechanism of resistance or combining BRAF inhibitors with other effective therapies such as immunotherapy may result in further improvement in outcomes for patients.
Insights
BRAF inhibitors like vemurafenib and dabrafenib treat BRAF V600-mutant melanoma. Combining them with MEK inhibitors or immunotherapy may overcome resistance and improve patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- BRAF V600 mutations drive melanoma and other cancers.
- BRAF inhibitors (vemurafenib, dabrafenib) target the MAPK pathway.
- Resistance to BRAF inhibitors is a significant clinical challenge.
Purpose of the Study:
- To review the efficacy of BRAF inhibitors in metastatic melanoma.
- To discuss mechanisms of resistance to BRAF inhibitors.
- To explore strategies for overcoming BRAF inhibitor resistance.
Main Methods:
- Literature review of BRAF inhibitor therapy.
- Analysis of resistance mechanisms in BRAF-mutant cancers.
- Evaluation of combination therapy approaches.
Main Results:
- BRAF inhibitors show high efficacy in BRAF V600-mutant melanoma.
- Resistance mechanisms are diverse and complex.
- Combination therapy with MEK inhibitors delays resistance.
Conclusions:
- BRAF inhibitors are effective targeted therapies for melanoma.
- Overcoming resistance is crucial for long-term patient benefit.
- Combining BRAF inhibitors with MEK inhibitors or immunotherapy offers promising strategies.
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