Epigenetic Mechanisms of Escape from BRAF Oncogene Dependency

Mehwish Khaliq1,2, Mohammad Fallahi-Sichani3,4,5

  • 1Department of Biomedical Engineering, University of Michigan Medical School, Ann Arbor, MI 48109, USA. mehwishk@umich.edu.

Cancers
|October 5, 2019
PubMed

Insights

BRAF-mutant tumors often develop resistance to MAPK-targeted therapies. Epigenetic mechanisms contribute to this resistance by influencing tumor cell heterogeneity and therapy response.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Genetics

Background:

  • Gain-of-function mutations in the BRAF oncogene are present in approximately 8% of human tumors, notably 50% of melanomas.
  • Hyperactivation of the MAPK signaling pathway due to BRAF mutations drives tumor growth and is a target for therapy.
  • Drug resistance remains a significant challenge in treating BRAF-mutant tumors with MAPK-targeted therapies.

Purpose of the Study:

  • To review the contribution of epigenetic mechanisms to drug resistance in BRAF-mutant tumors.
  • To highlight how epigenetic plasticity influences tumor cell heterogeneity and therapy response.
  • To focus on class 1 BRAF-mutant cells and their response to MAPK-targeted therapy.

Main Methods:

  • Literature review focusing on epigenetic mechanisms in BRAF-mutant cancers.
  • Analysis of research on histone-modifying enzymes and gene regulation in therapy resistance.
  • Examination of inter- and intratumor cell heterogeneity in response to MAPK-targeted therapy.

Main Results:

  • Epigenetic alterations are key mechanisms driving resistance to MAPK-targeted therapies.
  • Epigenetic plasticity can modulate a tumor cell's dependency on BRAF signaling.
  • Heterogeneity within and between tumors contributes to variable responses to therapy.

Conclusions:

  • Epigenetic mechanisms play a crucial role in the development of resistance to MAPK-targeted therapies in BRAF-mutant cancers.
  • Understanding epigenetic contributions to tumor heterogeneity is vital for improving therapeutic strategies.
  • Targeting epigenetic pathways may offer novel approaches to overcome drug resistance.

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