Overcoming Resistance to Therapies Targeting the MAPK Pathway in BRAF-Mutated Tumours

Emily L Paton1, Jacqueline A Turner1, Isabel R Schlaepfer1

  • 1Division of Medical Oncology, The University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA.

Journal of Oncology
|May 16, 2020
PubMed

Insights

MAPK pathway overactivation drives cancer, but BRAF/MEK inhibitors face resistance. This review explores resistance mechanisms and novel preclinical strategies like apoptosis induction and metabolic targeting to improve cancer therapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Mitogen-activated protein kinase (MAPK) pathway overactivation is a key driver in numerous human cancers.
  • FDA-approved BRAF and MEK inhibitors targeting MAPK signaling show variable efficacy and are often overcome by rapid drug resistance.

Purpose of the Study:

  • To review established mechanisms of resistance to MAPK-targeted therapies in BRAF-mutated cancers.
  • To discuss emerging preclinical strategies for overcoming therapeutic resistance.

Main Methods:

  • Literature review of preclinical studies on MAPK pathway inhibitors.
  • Analysis of resistance mechanisms in BRAF-mutated cancers.
  • Synthesis of novel therapeutic approaches targeting resistance.

Main Results:

  • Identified key resistance mechanisms to current MAPK inhibitors.
  • Highlighted preclinical strategies including apoptosis promotion, autophagy modulation, and mitochondrial metabolism targeting.
  • Demonstrated potential for novel therapeutic combinations.

Conclusions:

  • Understanding MAPK inhibitor resistance is crucial for developing effective cancer treatments.
  • Preclinical strategies targeting apoptosis, autophagy, and metabolism offer promising avenues to overcome resistance.
  • Further research into novel therapeutic combinations is warranted to improve patient outcomes in BRAF-mutated cancers.

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