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Updated: Jul 4, 2025

Characterize Disease-related Mutants of RAF Family Kinases by Using a Set of Practical and Feasible Methods
Published on: July 17, 2019
The Clinical, Genomic, and Transcriptomic Landscape of BRAF Mutant Cancers
Suzanne Kazandjian1,2, Emmanuelle Rousselle3,4, Matthew Dankner3,4,5,6
1Gerald Bronfman Department of Oncology, McGill University, Montreal, QC H4A 3T2, Canada.
Background:
BRAF mutations are classified into four molecularly distinct groups, and Class 1 (V600) mutant tumors are treated with targeted therapies. Effective treatment has not been established for Class 2/3 or BRAF Fusions. We investigated whether BRAF mutation class differed according to clinical, genomic, and transcriptomic variables in cancer patients.
Methods:
Using the AACR GENIE (v.12) cancer database, the distribution of BRAF mutation class in adult cancer patients was analyzed according to sex, age, primary race, and tumor type. Genomic alteration data and transcriptomic analysis was performed using The Cancer Genome Atlas.
Results:
BRAF mutations were identified in 9515 (6.2%) samples among 153,834, with melanoma (31%), CRC (20.7%), and NSCLC (13.9%) being the most frequent cancer types. Class 1 harbored co-mutations outside of the MAPK pathway (TERT, RFN43) vs. Class 2/3 mutations (RAS, NF1). Across all tumor types, Class 2/3 were enriched for alterations in genes involved in UV response and WNT/β-catenin. Pathway analysis revealed enrichment of WNT/β-catenin and Hedgehog signaling in non-V600 mutated CRC. Males had a higher proportion of Class 3 mutations vs. females (17.4% vs. 12.3% q = 0.003). Non-V600 mutations were generally more common in older patients (aged 60+) vs. younger (38% vs. 15% p < 0.0001), except in CRC (15% vs. 30% q = 0.0001). Black race was associated with non-V600 BRAF alterations (OR: 1.58; p < 0.0001).
Conclusions:
Class 2/3 BRAFs are more present in Black male patients with co-mutations outside of the MAPK pathway, likely requiring additional oncogenic input for tumorigenesis. Improving access to NGS and trial enrollment will help the development of targeted therapies for non-V600 BRAF mutations.
Insights
BRAF mutation class varies by patient demographics and tumor type. Non-V600 BRAF mutations are more common in Black males and older individuals, suggesting distinct therapeutic strategies are needed.
Area of Science:
- Oncology
- Genomics
- Cancer Research
Background:
- BRAF mutations are classified into four groups; Class 1 (V600) mutations are targetable, unlike Class 2/3 or BRAF Fusions.
- Understanding BRAF mutation class distribution is crucial for developing effective cancer treatments.
Purpose of the Study:
- To investigate the differences in BRAF mutation class based on clinical, genomic, and transcriptomic variables in cancer patients.
- To identify patient populations and tumor types associated with specific BRAF mutation classes.
Main Methods:
- Analysis of BRAF mutation class distribution across adult cancer patients using the AACR GENIE (v.12) database.
- Examination of genomic alterations and transcriptomic data from The Cancer Genome Atlas.
Main Results:
- BRAF mutations occurred in 6.2% of 153,834 samples; melanoma, CRC, and NSCLC were most frequent.
- Class 1 mutations showed co-mutations outside the MAPK pathway, while Class 2/3 mutations involved RAS/NF1.
- Class 2/3 mutations were enriched in UV response and WNT/β-catenin pathways; non-V600 mutations were more prevalent in Black males and older patients, with exceptions in CRC.
Conclusions:
- Class 2/3 BRAF mutations, often found in Black male patients with co-mutations, may require additional oncogenic drivers.
- Targeted therapies for non-V600 BRAF mutations necessitate improved access to next-generation sequencing (NGS) and clinical trial enrollment.
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