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Updated: Mar 9, 2026

Characterize Disease-related Mutants of RAF Family Kinases by Using a Set of Practical and Feasible Methods
Published on: July 17, 2019
P21-activated kinase 1 regulates resistance to BRAF inhibition in human cancer cells
Mahamat Babagana1, Sydney Johnson1, Hannah Slabodkin1
1Department of Cell Stress Biology, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, New York.
Abstract:
BRAF is a commonly mutated oncogene in various human malignancies and a target of a new class of anti-cancer agents, BRAF-inhibitors (BRAFi). The initial enthusiasm for these agents, based on the early successes in the management of metastatic melanoma, is now challenged by the mounting evidence of intrinsic BRAFi-insensitivity in many BRAF-mutated tumors, by the scarcity of complete responses, and by the inevitable emergence of drug resistance in initially responsive cases. These setbacks put an emphasis on discovering the means to increase the efficacy of BRAFi and to prevent or overcome BRAFi-resistance. We explored the role of p21-activated kinases (PAKs), in particular PAK1, in BRAFi response. BRAFi lowered the levels of active PAK1 in treated cells. An activated form of PAK1 conferred BRAFi-resistance on otherwise sensitive cells, while genetic or pharmacologic suppression of PAK1 had a sensitizing effect. While activation of AKT1 and RAC1 proto-oncogenes increased BRAFi-tolerance, the protective effect was negated in the presence of PAK inhibitors. Furthermore, combining otherwise ineffective doses of PAK- and BRAF-inhibitors synergistically affected intrinsically BRAFi-resistant cells. Considering the high incidence of PAK1 activation in cancers, our findings suggests PAK inhibition as a strategy to augment BRAFi therapy and overcome some of the well-known resistance mechanisms.
Insights
Targeting p21-activated kinases (PAKs) can enhance BRAF-inhibitor (BRAFi) therapy effectiveness. Inhibiting PAK1 overcomes BRAFi resistance in cancer cells, suggesting a new strategy to improve anti-cancer treatments.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- BRAF mutations drive many cancers, making BRAF-inhibitors (BRAFi) a key therapeutic target.
- Intrinsic resistance and acquired drug resistance limit the clinical efficacy of BRAFi.
- Developing strategies to enhance BRAFi efficacy and overcome resistance is crucial for improving patient outcomes.
Purpose of the Study:
- To investigate the role of p21-activated kinases (PAKs), specifically PAK1, in mediating response to BRAF-inhibitors (BRAFi).
- To determine if modulating PAK1 activity can overcome BRAFi resistance in cancer cells.
- To explore the potential of combining PAK and BRAF inhibitors for cancer therapy.
Main Methods:
- Assessed the effect of BRAFi on active PAK1 levels in cancer cells.
- Utilized genetic and pharmacologic methods to manipulate PAK1 activity.
- Investigated the impact of PAK1 modulation on BRAFi sensitivity and resistance.
- Examined the combined effects of PAK and BRAF inhibitors on resistant cancer cells.
Main Results:
- BRAFi treatment reduced active PAK1 levels.
- Activated PAK1 conferred BRAFi resistance, while PAK1 inhibition sensitized cells to BRAFi.
- PAK inhibition negated the BRAFi-tolerance conferred by AKT1 and RAC1 activation.
- Combined PAK and BRAF inhibition showed synergistic effects on intrinsically BRAFi-resistant cells.
Conclusions:
- PAK1 plays a significant role in BRAFi response and resistance.
- Inhibition of PAK1 can sensitize cancer cells to BRAFi and overcome resistance mechanisms.
- Combining PAK inhibitors with BRAFi represents a promising strategy to augment anti-cancer therapy, particularly for BRAFi-resistant tumors.
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