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Updated: Jan 1, 2026

Spatial and Temporal Control of Murine Melanoma Initiation from Mutant Melanocyte Stem Cells
Published on: June 7, 2019
Dual-specificity protein phosphatase DUSP4 regulates response to MEK inhibition in BRAF wild-type melanoma
Avinash Gupta1,2, Christopher Towers3, Frances Willenbrock3
1Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester, UK. avinash.gupta@christie.nhs.uk.
Background:
Aiming to improve treatment options for BRAF wild-type melanoma, we previously conducted the DOC-MEK study of docetaxel with MEK inhibitor (MEKi) selumetinib or placebo, revealing trends to prolongation of progression-free survival (hazard ratio 0.75, P = 0.130), and improved response rates (32% vs 14%, P = 0.059) with docetaxel plus selumetinib. NRAS status did not associate with outcome. Here, the aim was to identify novel biomarkers of response to MEKi.
Methods:
A MEK 6 gene signature was quantified using NanoString and correlated with clinical outcomes. Two components of the gene signature were investigated by gene silencing in BRAF/NRAS wild-type melanoma cells.
Results:
In melanomas of patients on the selumetinib but not the placebo arm, two gene signature components, dual-specificity protein phosphatase 4 (DUSP4) and ETS translocation variant 4 (ETV4), were expressed more highly in responders than non-responders. In vitro, ETV4 depletion inhibited cell survival but did not influence sensitivity to MEKi selumetinib or trametinib. In contrast, DUSP4-depleted cells showed enhanced cell survival and increased resistance to both selumetinib and trametinib.
Conclusions:
ETV4 and DUSP4 associated with clinical response to docetaxel plus selumetinib. DUSP4 depletion induced MEKi resistance, suggesting that DUSP4 is not only a biomarker but also a mediator of MEKi sensitivity.
Clinical Trial Registration:
DOC-MEK (EudraCT no: 2009-018153-23).
Insights
Dual-specificity protein phosphatase 4 (DUSP4) and ETS translocation variant 4 (ETV4) are novel biomarkers for MEK inhibitor response in BRAF wild-type melanoma. DUSP4 is also a mediator of MEK inhibitor sensitivity.
Area of Science:
- Oncology
- Melanoma Research
- Molecular Biology
Background:
- BRAF wild-type melanoma treatment options are limited.
- The DOC-MEK study investigated docetaxel with MEK inhibitor (MEKi) selumetinib, showing trends towards improved progression-free survival and response rates.
- NRAS status did not impact outcomes in the DOC-MEK study.
Purpose of the Study:
- To identify novel biomarkers predicting response to MEK inhibitors (MEKi) in BRAF wild-type melanoma.
- To investigate the role of specific gene signature components in MEKi sensitivity.
Main Methods:
- Quantified a MEK gene signature using NanoString and correlated it with clinical outcomes.
- Investigated two gene signature components, DUSP4 and ETV4, using gene silencing in melanoma cell lines.
- Analyzed gene expression in patient melanomas from the DOC-MEK study.
Main Results:
- DUSP4 and ETV4 were more highly expressed in responders to selumetinib compared to non-responders.
- ETV4 depletion inhibited melanoma cell survival but did not affect MEKi sensitivity.
- DUSP4 depletion enhanced melanoma cell survival and increased resistance to MEKi selumetinib and trametinib.
Conclusions:
- ETV4 and DUSP4 are associated with clinical response to docetaxel plus selumetinib.
- DUSP4 depletion induced MEKi resistance, indicating it acts as both a biomarker and a mediator of MEKi sensitivity.
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