BRAF inhibition promotes ER stress-mediated cell death in uveal melanoma

Yinu Zhao1, Yue Wang2, Li Zhang1

  • 1Eye Center, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Neoplasma
|July 5, 2022
PubMed

Insights

BRAF inhibitors trigger autophagy and endoplasmic reticulum (ER) stress in uveal melanoma (UM). Targeting ER stress may reverse autophagy and cell death, potentially impacting BRAF inhibitor efficacy in UM treatment.

Area of Science:

  • Oncology
  • Cell Biology
  • Molecular Medicine

Background:

  • BRAF mutations are common in fatal melanomas.
  • BRAF inhibitor-induced autophagy impacts drug efficacy across cancers.
  • The role of autophagy in BRAF inhibition within uveal melanoma (UM) is not well understood.

Purpose of the Study:

  • To investigate the role of autophagy and endoplasmic reticulum (ER) stress during BRAF inhibition in UM.
  • To examine autophagic flux and autophagic vacuoles in UM cells under BRAF inhibition.
  • To determine if the PKR-like endoplasmic reticulum (ER) kinase (PERK) pathway is involved in ER stress.

Main Methods:

  • Assessed autophagic flux and autophagic vacuoles in OCM1A cells treated with BRAF inhibitor.
  • Utilized GFP-LC3 puncta and transmission electron microscopy to quantify autophagy.
  • Investigated the involvement of the PERK arm of the ER stress response.
  • Evaluated the effects of targeting the PERK arm pharmacologically and genetically.

Main Results:

  • BRAF inhibition led to a dose-dependent increase in autophagic flux in OCM1A cells.
  • Enhanced GFP-LC3 puncta and an increased autophagic index confirmed increased autophagy.
  • Vemurafenib-induced autophagy was independent of the MAPK signaling pathway.
  • Autophagy appeared to be regulated by enhanced ER stress response.
  • Inhibiting the ER stress response rescued cell death.

Conclusions:

  • BRAF inhibition in UM promotes autophagy via an enhanced ER stress response.
  • Targeting the ER stress response can partially reverse autophagy and rescue cell death.
  • This interplay may affect the anti-tumor efficacy of BRAF inhibitors in UM.