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Updated: Dec 23, 2025

Development and Maintenance of a Preclinical Patient Derived Tumor Xenograft Model for the Investigation of Novel Anti-Cancer Therapies
Published on: September 30, 2016
Treatment options in BRAF-mutant metastatic colorectal cancer
Carolina Bernabe-Ramirez1, Rajvi Patel, Jaspreet Chahal
1Northwell Health Cancer Institute and Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Lake Success, New York, USA.
Abstract:
B-type Raf kinase (BRAF) mutations occur in approximately 10% of patients with metastatic colorectal cancers (mCRC). Tumors harboring this mutation have a unique molecular profile and clinical phenotype. Response rate to systemic chemotherapy is poor and associated with shorter survival rate. Although BRAF inhibition dramatically changed treatment for melanoma patients, similar clinical responses were not observed in BRAF-mutant CRC, proposing a distinct mechanism of carcinogenesis. The aggressive biology of BRAF-mutated mCRC has underlined the importance of developing new therapeutic agents to improve outcomes in these patients. Despite numerous attempts, chemotherapy regimens are limited for this population. Reactivation of mitogen activated protein kinase pathway may explain the resistance to monotherapy, thus different combinations to target the pathway at different levels have been studied. This article will describe most suitable treatment options for CRC patients with BRAF mutation and discuss new emerging agents.
Insights
BRAF mutations in metastatic colorectal cancer (mCRC) predict poor chemotherapy response. This review details current and emerging treatments targeting this aggressive cancer subtype.
Area of Science:
- Oncology
- Molecular Biology
- Gastroenterology
Background:
- BRAF mutations are found in ~10% of metastatic colorectal cancer (mCRC) cases.
- BRAF-mutant mCRC exhibits a distinct molecular profile and aggressive clinical behavior.
- Standard chemotherapy offers limited efficacy and poorer survival rates in BRAF-mutant mCRC.
Purpose of the Study:
- To review current and emerging therapeutic strategies for BRAF-mutant mCRC.
- To discuss the challenges and rationale for combination therapies targeting the MAPK pathway.
Main Methods:
- Literature review of clinical trials and preclinical studies.
- Analysis of treatment outcomes for BRAF-mutant mCRC patients.
- Discussion of targeted therapy combinations.
Main Results:
- BRAF inhibitors show limited efficacy as monotherapy in BRAF-mutant CRC, unlike in melanoma.
- Reactivation of the mitogen-activated protein kinase (MAPK) pathway contributes to treatment resistance.
- Combination therapies targeting the MAPK pathway are under investigation.
Conclusions:
- BRAF-mutant mCRC requires novel therapeutic approaches beyond standard chemotherapy.
- Targeting the MAPK pathway at multiple levels holds promise for improving patient outcomes.
- Emerging agents and combination strategies are crucial for advancing treatment in this population.
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