Clinical Acquired Resistance to RAF Inhibitor Combinations in BRAF-Mutant Colorectal Cancer through MAPK Pathway Alterations

通过 MAPK 通路改变,BRAF 突变型结直肠癌对 RAF 抑制剂组合产生临床获得性耐药性

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作者:Leanne G Ahronian, Erin M Sennott, Eliezer M Van Allen, Nikhil Wagle, Eunice L Kwak, Jason E Faris, Jason T Godfrey, Koki Nishimura, Kerry D Lynch, Craig H Mermel, Elizabeth L Lockerman, Anuj Kalsy, Joseph M Gurski Jr, Samira Bahl, Kristin Anderka, Lisa M Green, Niall J Lennon, Tiffany G Huynh, Mari

Significance

RAF inhibitor combinations represent promising approaches in clinical development for BRAF-mutant colorectal cancer. Initial characterization of clinical acquired resistance mechanisms to these regimens identified several MAPK pathway alterations driving resistance by reactivating MAPK signaling, highlighting the critical dependence of BRAF-mutant colorectal cancers on MAPK signaling and offering potential strategies to overcome resistance.

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