Tumours with class 3 BRAF mutants are sensitive to the inhibition of activated RAS

Zhan Yao1, Rona Yaeger2, Vanessa S Rodrik-Outmezguine1

  • 1Program in Molecular Pharmacology, Memorial Sloan Kettering Cancer Center, New York, New York 10065, USA.

Nature
|August 8, 2017
PubMed

Insights

Researchers identified a third class of BRAF mutants (class 3) that are RAS-dependent and enhance ERK signaling. These BRAF mutants require coexistent RAS activation mechanisms, impacting cancer treatment strategies.

Area of Science:

  • Molecular Oncology and Cancer Genetics
  • Signal Transduction Pathways in Human Tumours
  • Therapeutic targeting of Class 3 BRAF mutants

Background:

Prior research has shown that approximately 200 distinct BRAF mutant alleles exist within the complex landscape of human oncogenic transformations. It was already known that these mutations typically disrupt the normal regulation of the Mitogen-Activated Protein Kinase (MAPK) pathway. Activating BRAF mutants generally induce a robust feedback inhibition of Guanosine Triphosphate (GTP)-bound RAS, rendering the signaling process largely RAS-independent. These variants are categorized into Class 1, which function as active monomers, and Class 2, which operate as constitutively active dimers. Both classes bypass the traditional cellular requirements for upstream activation to drive persistent downstream signaling. Despite this understanding, many kinase-impaired variants remained poorly understood regarding their role in tumourigenesis. This absence of evidence motivated a deeper investigation into kinase-impaired variants that do not fit these established paradigms.

Purpose Of The Study:

This investigation characterizes a third functional category of BRAF mutations defined by significantly impaired or entirely absent kinase activity. The researchers sought to determine how these kinase-dead variants influence Extracellular Signal-Regulated Kinase (ERK) signaling within diverse cellular environments. The study examines the sensitivity of these mutants to ERK-mediated feedback loops that normally regulate pathway flux. Investigators aimed to elucidate the specific requirement for RAS-GTP binding in these oncogenic contexts to understand their unique activation requirements. The project explores the co-occurrence of these mutations with other genetic alterations like Neurofibromin 1 (NF1) deletions in specific cancer types. The team evaluated how different malignancies, including lung and colorectal cancers, maintain the RAS activation necessary for these mutants to function. This comprehensive analysis seeks to define the biochemical and therapeutic distinctions between the three classes of BRAF mutations.

Main Methods:

The research team employed molecular characterization techniques to distinguish the biochemical properties of various BRAF alleles found in human tumours. Investigators utilized high-affinity binding assays to measure the interaction strength between mutant BRAF proteins and Guanosine Triphosphate (GTP)-bound RAS. The study incorporated extensive genetic sequencing data from human tumour samples to identify coexistent mutations in RAS or Neurofibromin 1 (NF1). Computational modeling helped simulate the dysregulation of signaling pathways under different feedback conditions to predict tumour behavior. Researchers applied pharmacological inhibitors of Receptor Tyrosine Kinases (RTK) to assess the therapeutic sensitivity of cell lines expressing Class 3 mutants. The experimental design compared ERK signaling levels across Class 1, Class 2, and Class 3 mutant environments to establish functional differences. These methodologies allowed for a precise mapping of the RAS-dependent signaling architecture unique to kinase-impaired BRAF variants.

Main Results:

Class 3 BRAF mutants exhibit impaired kinase activity and demonstrate a strict dependence on RAS for the activation of downstream signaling. These specific mutants bind more tightly to RAS-GTP than wild-type BRAF proteins, creating a stable complex for pathway initiation. Enhanced binding to wild-type CRAF leads to a significant increase in downstream Extracellular Signal-Regulated Kinase (ERK) signaling compared to non-mutant cells. Melanomas harboring these mutations frequently contain concurrent RAS mutations or Neurofibromin 1 (NF1) deletions to sustain the necessary pathway activity. Lung and colorectal cancers utilize Receptor Tyrosine Kinase (RTK) signaling to maintain the high levels of RAS activation required by these mutants. Inhibition of RAS activation via RTK inhibitors effectively suppresses signaling in tumours driven by these kinase-dead variants. The data confirms that Class 3 mutants rely on external mechanisms to overcome ERK-mediated feedback inhibition.

Conclusions:

The identification of three distinct functional classes of BRAF mutants provides a critical framework for advancing personalized oncology and targeted therapy. Therapeutic strategies must account for the specific mechanism of Extracellular Signal-Regulated Kinase (ERK) activation utilized by each mutant class to ensure efficacy. Targeting the inhibition of activated RAS offers a viable treatment path for patients whose tumours harbor Class 3 mutations. Future clinical trials should screen for coexistent Neurofibromin 1 (NF1) deletions or Receptor Tyrosine Kinase (RTK) overactivity when treating these specific patients. Understanding the RAS-dependence of kinase-impaired BRAF variants clarifies why certain inhibitors fail in specific genetic contexts while succeeding in others. This classification system enhances the precision of therapeutic interventions across diverse cancer types like melanoma, lung cancer, and colorectal cancer. The study establishes that the functional class of a BRAF mutation is a primary determinant of drug sensitivity.

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