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Characterize Disease-related Mutants of RAF Family Kinases by Using a Set of Practical and Feasible Methods
Published on: July 17, 2019
Drug resistance in targeted cancer therapies with RAF inhibitors
Ufuk Degirmenci1,2, Jiajun Yap1,3,2, Yuen Rong M Sim1
1The Laboratory of Cancer Signaling, National Cancer Centre Singapore, Singapore 169610, Singapore.
Abstract:
Hyperactive RAS/RAF/MEK/ERK signaling has a well-defined role in cancer biology. Targeting this pathway results in complete or partial regression of most cancers. In recent years, cancer genomic studies have revealed that genetic alterations that aberrantly activate the RAS/RAF/MEK/ERK signaling mainly occur on RAF or upstream, which motivated the extensive development of RAF inhibitors for cancer therapy. Currently, the first-generation RAF inhibitors have been approved for treating late-stage cancers with BRAF(V600E) mutations. Although these inhibitors have achieved promising outcomes in clinical treatments, their efficacy is abolished by quick-rising drug resistance. Moreover, cancers with hyperactive RAS exhibit intrinsic resistance to these drugs. To resolve these problems, the second-generation RAF inhibitors have been designed and are undergoing clinical evaluations. Here, we summarize the recent findings from mechanistic studies on RAF inhibitor resistance and discuss the critical issues in the development of next-generation RAF inhibitors with better therapeutic index, which may provide insights for improving targeted cancer therapy with RAF inhibitors.
Insights
Targeting the RAS/RAF/MEK/ERK pathway shows promise in cancer treatment. However, drug resistance limits efficacy, driving the development of next-generation RAF inhibitors for improved cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Hyperactive RAS/RAF/MEK/ERK signaling is crucial in cancer development.
- RAF inhibitors are approved for specific mutations like BRAF(V600E).
- Drug resistance and intrinsic resistance in RAS-mutated cancers limit current therapies.
Purpose of the Study:
- To summarize findings on RAF inhibitor resistance mechanisms.
- To discuss challenges in developing next-generation RAF inhibitors.
- To provide insights for improving targeted cancer therapy.
Main Methods:
- Review of recent mechanistic studies on RAF inhibitor resistance.
- Analysis of genetic alterations activating the RAS/RAF/MEK/ERK pathway.
- Evaluation of clinical data for first- and second-generation RAF inhibitors.
Main Results:
- First-generation RAF inhibitors show efficacy but face rapid resistance.
- Cancers with hyperactive RAS often exhibit intrinsic resistance to RAF inhibitors.
- Second-generation RAF inhibitors are under development to overcome resistance.
Conclusions:
- Understanding resistance mechanisms is key to improving RAF inhibitor therapy.
- Next-generation RAF inhibitors aim for a better therapeutic index.
- Further research can enhance targeted cancer treatment strategies.
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