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Updated: Mar 19, 2026

Spatial and Temporal Control of Murine Melanoma Initiation from Mutant Melanocyte Stem Cells
Published on: June 7, 2019
Inhibition of BRAF and BRAF+MEK drives a metastatic switch in melanoma
Keiran Sm Smalley1, Inna V Fedorenko2
1Department of Tumor Biology; The Moffitt Cancer Center & Research Institute; Tampa, FL, USA; Department of Cutaneous Oncology; The Moffitt Cancer Center & Research Institute; Tampa, FL, USA.
Abstract:
Recent analyses by our group and others showed that the majority of melanoma patients who fail BRAF inhibitor therapy do so at new disease sites. Using phosphoproteomics we showed that BRAF inhibition mediates a switch to an aggressive/metastatic melanoma phenotype that is driven by ligand-independent erythropoietin-producing hepatocellular receptor A2 (EphA2) signaling.
Insights
BRAF inhibitor therapy often fails in melanoma patients due to new disease sites. This study reveals that BRAF inhibition triggers a switch to a metastatic phenotype driven by erythropoietin-producing hepatocellular receptor A2 (EphA2) signaling.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- BRAF inhibitor therapy is a standard treatment for melanoma.
- A significant challenge in melanoma treatment is acquired resistance to BRAF inhibitors.
- Melanoma patients often develop new metastatic sites after initial treatment response.
Purpose of the Study:
- To investigate the mechanisms underlying BRAF inhibitor resistance in melanoma.
- To identify key signaling pathways driving melanoma metastasis upon treatment failure.
- To explore the role of erythropoietin-producing hepatocellular receptor A2 (EphA2) signaling in treatment-resistant melanoma.
Main Methods:
- Phosphoproteomic analysis of melanoma cells.
- In vitro and in vivo models of BRAF inhibitor resistance.
- Assessment of EphA2 signaling pathway activation.
Main Results:
- BRAF inhibition induces a phenotypic switch towards an aggressive and metastatic melanoma state.
- Ligand-independent EphA2 signaling is identified as a critical driver of this switch.
- The findings implicate EphA2 in the development of new disease sites observed in treatment-resistant melanoma.
Conclusions:
- BRAF inhibitor resistance in melanoma is associated with a shift to a more aggressive phenotype.
- EphA2 signaling plays a crucial role in mediating this treatment-induced metastatic switch.
- Targeting EphA2 signaling may represent a potential therapeutic strategy for overcoming BRAF inhibitor resistance in melanoma.
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