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Updated: Dec 21, 2025

Characterize Disease-related Mutants of RAF Family Kinases by Using a Set of Practical and Feasible Methods
Published on: July 17, 2019
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.
Abstract:
Overactivation of the mitogen-activated protein kinase (MAPK) pathway is an important driver of many human cancers. First line, FDA-approved therapies targeting MAPK signalling, which include BRAF and MEK inhibitors, have variable success across cancers, and a significant number of patients quickly develop resistance. In recent years, a number of preclinical studies have reported alternative methods of overcoming resistance, which include promoting apoptosis, modulating autophagy, and targeting mitochondrial metabolism. This review summarizes mechanisms of resistance to approved MAPK-targeted therapies in BRAF-mutated cancers and discusses novel preclinical approaches to overcoming resistance.
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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