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Updated: Feb 5, 2026

Spatial and Temporal Control of Murine Melanoma Initiation from Mutant Melanocyte Stem Cells
Published on: June 7, 2019
NRAS mutant melanoma: an overview for the clinician for melanoma management
Russell W Jenkins1, Ryan J Sullivan1
1Massachusetts General Hospital Cancer Center, Boston, MA, USA.
Abstract:
Melanoma is the deadliest form of skin cancer and the incidence continues to rise in the United States and worldwide. Activating mutations in RAS oncogenes are found in roughly a third of all human cancers. Mutations in NRAS occur in approximately a fifth of cutaneous melanomas and are associated with aggressive clinical behavior. Cells harboring oncogenic NRAS mutations exhibit activation of multiple signaling cascades, including PI3K/Akt, MEK-ERK and RAL, which collectively stimulate cancer growth. While strategies to target N-Ras itself have proven ineffective, targeting one or more N-Ras effector pathways has shown promise in preclinical models. Despite promising preclinical data, current therapies for NRAS mutant melanoma remain limited. Immune checkpoint inhibitors and targeted therapies for BRAF mutant melanoma are transforming the treatment of metastatic melanoma, but the ideal treatment for NRAS mutant melanoma remains unknown. Improved understanding of NRAS mutant melanoma and relevant N-Ras effector signaling modules will be essential to develop new treatment strategies.
Insights
NRAS mutations drive aggressive melanoma by activating key signaling pathways. New therapeutic strategies targeting these NRAS effector pathways are crucial for effective treatment of NRAS-mutant melanoma.
Area of Science:
- Oncology
- Molecular Biology
- Dermatology
Background:
- Melanoma incidence is rising globally, with NRAS mutations found in about 20% of cutaneous melanomas.
- NRAS mutations are linked to aggressive disease and activate critical cancer growth pathways like PI3K/Akt and MEK-ERK.
- Current treatments for NRAS-mutant melanoma are limited, despite promising preclinical findings.
Purpose of the Study:
- To review the role of NRAS mutations in melanoma.
- To discuss the signaling pathways affected by NRAS mutations.
- To highlight the need for novel therapeutic strategies for NRAS-mutant melanoma.
Main Methods:
- Literature review of NRAS mutations in melanoma.
- Analysis of NRAS effector pathways (PI3K/Akt, MEK-ERK, RAL).
- Comparison of current melanoma treatments.
Main Results:
- NRAS mutations activate multiple pro-growth signaling cascades in melanoma cells.
- Targeting NRAS effector pathways shows preclinical promise.
- Effective therapies for NRAS-mutant melanoma are still lacking.
Conclusions:
- Understanding NRAS effector signaling is key to developing new treatments.
- Targeting downstream pathways, not NRAS directly, may be a viable strategy.
- Further research is essential to identify optimal treatments for NRAS-mutant melanoma.
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