[PDF][PDF] Acquired resistance to BRAF inhibitors mediated by a RAF kinase switch in melanoma can be overcome by cotargeting MEK and IGF-1R/PI3K

J Villanueva, A Vultur, JT Lee, R Somasundaram… - Cancer cell, 2010 - cell.com
J Villanueva, A Vultur, JT Lee, R Somasundaram, M Fukunaga-Kalabis, AK Cipolla…
Cancer cell, 2010cell.com
BRAF is an attractive target for melanoma drug development. However, resistance to BRAF
inhibitors is a significant clinical challenge. We describe a model of resistance to BRAF
inhibitors developed by chronic treatment of BRAF V600E melanoma cells with the BRAF
inhibitor SB-590885; these cells are cross-resistant to other BRAF-selective inhibitors.
Resistance involves flexible switching among the three RAF isoforms, underscoring the
ability of melanoma cells to adapt to pharmacological challenges. IGF-1R/PI3K signaling …
Summary
BRAF is an attractive target for melanoma drug development. However, resistance to BRAF inhibitors is a significant clinical challenge. We describe a model of resistance to BRAF inhibitors developed by chronic treatment of BRAFV600E melanoma cells with the BRAF inhibitor SB-590885; these cells are cross-resistant to other BRAF-selective inhibitors. Resistance involves flexible switching among the three RAF isoforms, underscoring the ability of melanoma cells to adapt to pharmacological challenges. IGF-1R/PI3K signaling was enhanced in resistant melanomas, and combined treatment with IGF-1R/PI3K and MEK inhibitors induced death of BRAF inhibitor-resistant cells. Increased IGF-1R and pAKT levels in a post-relapse human tumor sample are consistent with a role for IGF-1R/PI3K-dependent survival in the development of resistance to BRAF inhibitors.
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