Effective Treatment of Metastatic Melanoma by Combining MAPK and PI3K Signaling Pathway Inhibitors

Synnøve Nymark Aasen1,2, Himalaya Parajuli1, Tuyen Hoang1

  • 1Kristian Gerhard Jebsen Brain Tumour Research Centre, Department of Biomedicine, University of Bergen, Jonas Lies vei 91, 5009 Bergen, Norway.

Insights

Combined therapy targeting both PI3K and MEK pathways shows promise for melanoma brain metastases. This dual-action approach effectively inhibits tumor growth and increases apoptosis, offering a potential new treatment strategy.

Area of Science:

  • Oncology
  • Dermatology
  • Cancer Research

Background:

  • Malignant melanoma is an aggressive skin cancer often metastasizing to the brain.
  • Current treatments for melanoma brain metastases have limited efficacy, with poor prognosis.
  • Signaling pathways like PI3K and MAPK are frequently altered in melanoma, leading to therapeutic resistance.

Purpose of the Study:

  • To investigate the efficacy of combined PI3K and MEK inhibition in melanoma brain metastases.
  • To evaluate the effects of buparlisib (PI3K inhibitor) and trametinib (MEK1/2 inhibitor) on melanoma cell migration and apoptosis.
  • To assess the in vivo therapeutic potential of combination therapy in a mouse model.

Main Methods:

  • In vitro studies using patient-derived melanoma brain metastasis cell lines.
  • Scratch wound and trans-well assays to evaluate cell migration.
  • Flow cytometry, apoptosis array, and Western blots to assess apoptosis.
  • In vivo experiments utilizing NOD/SCID mice.

Main Results:

  • Combined buparlisib and trametinib therapy demonstrated superior efficacy compared to monotherapy.
  • Combination treatment significantly enhanced apoptosis in melanoma cells.
  • In vivo studies showed that combined therapy effectively inhibited tumor growth in mice.

Conclusions:

  • Combined PI3K and MEK inhibition is a promising strategy to overcome resistance in melanoma brain metastases.
  • This combination therapy warrants further clinical evaluation for patients with melanoma brain metastases.
  • The findings suggest potential to improve treatment outcomes by overcoming monotherapy resistance.

Related Concept Videos

PI3K/mTOR/AKT Signaling Pathway01:22

PI3K/mTOR/AKT Signaling Pathway

The mammalian target of rapamycin  (mTOR) is a serine/threonine kinase that regulates growth, proliferation, and cell survival in response to hormones, growth factors, or nutrient availability. This kinase exists in two structurally and functionally distinct forms: mTOR complex 1  (mTORC1) and mTOR complex 2  (mTORC2). The first form (mTORC1) is composed of a rapamycin-sensitive Raptor and proline-rich Akt substrate, PRAS40. In contrast,  mTORC2 consists of a...
5.4K
Experimental Metastatic Melanoma Mouse Model: A Platform to Study the Metastatic Potential of Melanoma Cells in the Lungs03:52

Experimental Metastatic Melanoma Mouse Model: A Platform to Study the Metastatic Potential of Melanoma Cells in the Lungs

In this video, melanoma cells are intravenously injected through the tail vein in the mouse model. The melanoma cells further travel through the circulatory system, adapting to the distant microenvironment and causing metastasis in organs like...
1.4K
Mechanism of Kemeng Fang's Inhibition of Podocyte Apoptosis in Rats with Membranous Nephropathy through the PI3K/AKT Signaling Pathway07:15

Mechanism of Kemeng Fang's Inhibition of Podocyte Apoptosis in Rats with Membranous Nephropathy through the PI3K/AKT Signaling Pathway

The present protocol describes the establishment of a membranous nephropathy (MN) animal model, and how Kemeng Fang's inhibition reduces MN rat podocyte apoptosis by activating the PI3K/AKT signaling...
875
MAPK Signaling Cascades01:07

MAPK Signaling Cascades

Mitogen-activated protein kinase, or MAPK pathway, activates three sequential kinases to regulate cellular responses such as proliferation, differentiation, survival, and apoptosis. The canonical MAPK pathway starts with a mitogen or growth factor binding to an RTK. The activated RTKs stimulate Ras, which recruits Raf or MAP3 Kinase (MAPKKK), the first kinase of the MAPK signaling cascade. Raf further phosphorylates and activates MEK or MAP2 Kinases (MAPKK), which in turn phosphorylates MAP...
8.0K
Isolated Hepatic Perfusion as a Treatment for Liver Metastases of Uveal Melanoma09:52

Isolated Hepatic Perfusion as a Treatment for Liver Metastases of Uveal Melanoma

Here, we present a protocol how to perform an isolated liver perfusion (IHP) with melphalan and we also discuss IHP as a treatment option for liver metastases of uveal...
13.9K
Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays07:42

Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays

Here, we present a protocol for antibody arrays to identify alterations in signaling pathways in various cellular models. These changes, caused by drugs/hypoxia/ultra-violet light/radiation, or by overexpression/downregulation/knockouts, are important for various disease models and can indicate whether a therapy will be effective or can identify mechanisms of drugs...
8.3K