PERK mediates resistance to BRAF inhibition in melanoma with impaired PTEN
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Updated: Oct 27, 2025

Spatial and Temporal Control of Murine Melanoma Initiation from Mutant Melanocyte Stem Cells
Published on: June 7, 2019
Yifei Qin1, Qiang Zuo1,2, Lei Huang1
1Laboratory of Cancer Biology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Abstract:
Targeting mutant BRAF in patients with melanomas harboring this oncogene has been highly successful as a first-line treatment, but other mutations may affect its efficacy and alter the route of acquired resistance resulting in recurrence and poor prognosis. As an evolving strategy, melanoma treatment needs to be expanded to include targets based on newly discovered emerging molecules and pathways. We here show that PERK plays a critical role in BRAF inhibitor-acquired resistance in melanoma with impaired PTEN. Inhibition of PERK by either shRNA or a pharmacological inhibitor blocked the growth of BRAF inhibitor-resistant melanoma with impaired PTEN in vitro and in vivo, suggesting an effective approach against melanomas with mutant BRAF and PTEN deficiency. Our current findings, along with our previous discovery that the AXL/AKT axis mediates resistance to BRAF inhibition in melanoma with wild-type PTEN, provide new insights toward a strategy for combating BRAF inhibition-acquired resistance in BRAF mutant melanoma with different PTEN statuses.
Insights
Targeting PERK offers a new strategy against BRAF inhibitor-resistant melanoma, especially in tumors with PTEN deficiency. This approach aims to overcome acquired resistance and improve patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- BRAF inhibitors are effective first-line melanoma treatments, but acquired resistance leads to recurrence.
- Emerging resistance mechanisms necessitate novel therapeutic targets beyond BRAF.
- PTEN status influences treatment efficacy and resistance pathways in melanoma.
Purpose of the Study:
- To investigate the role of PERK in BRAF inhibitor-acquired resistance in melanoma.
- To evaluate PERK inhibition as a therapeutic strategy for BRAF inhibitor-resistant melanoma, particularly in PTEN-deficient cases.
Main Methods:
- Utilized shRNA and pharmacological inhibitors to target PERK.
- Assessed the efficacy of PERK inhibition in vitro and in vivo models of BRAF inhibitor-resistant melanoma with impaired PTEN.
Main Results:
- PERK was identified as critical in acquired resistance to BRAF inhibitors in PTEN-deficient melanoma.
- Inhibition of PERK effectively blocked the growth of resistant melanoma cells both in vitro and in vivo.
- Findings complement previous work on the AXL/AKT axis in PTEN-wild-type resistance.
Conclusions:
- PERK inhibition presents a promising therapeutic strategy for BRAF mutant melanoma with PTEN deficiency and acquired resistance.
- Understanding PTEN status is crucial for developing targeted resistance-combating strategies in melanoma.
- This research provides new insights for overcoming BRAF inhibitor resistance in diverse melanoma subtypes.
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