In vivo MAPK reporting reveals the heterogeneity in tumoral selection of resistance to RAF inhibitors

Cancer Res. 2013 Dec 1;73(23):7101-10. doi: 10.1158/0008-5472.CAN-13-1628. Epub 2013 Oct 11.

Abstract

Activation of the ERK1/2 mitogen-activated protein kinases (MAPK) confers resistance to the RAF inhibitors vemurafenib and dabrafenib in mutant BRAF-driven melanomas. Methods to understand how resistance develops are important to optimize the clinical use of RAF inhibitors in patients. Here, we report the development of a novel ERK1/2 reporter system that provides a noninvasive, quantitative, and temporal analysis of RAF inhibitor efficacy in vivo. Use of this system revealed heterogeneity in the level of ERK1/2 reactivation associated with acquired resistance to RAF inhibition. We identified several distinct novel and known molecular changes in resistant tumors emerging from treatment-naïve cell populations including BRAF V600E variants and HRAS mutation, both of which were required and sufficient for ERK1/2 reactivation and drug resistance. Our work offers an advance in understanding RAF inhibitor resistance and the heterogeneity in resistance mechanisms, which emerge from a malignant cell population.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Drug Resistance, Neoplasm / genetics*
  • Enzyme Activation / genetics
  • Female
  • Genes, Reporter* / physiology
  • Genetic Heterogeneity* / drug effects
  • Green Fluorescent Proteins / genetics
  • Green Fluorescent Proteins / metabolism
  • Humans
  • Indoles / therapeutic use*
  • MAP Kinase Signaling System / genetics*
  • Mice
  • Mice, Nude
  • Mice, Transgenic
  • Neoplasms / drug therapy
  • Neoplasms / genetics*
  • Neoplasms / metabolism
  • Proto-Oncogene Proteins B-raf / antagonists & inhibitors
  • Proto-Oncogene Proteins B-raf / genetics
  • Selection, Genetic / physiology
  • Sulfonamides / therapeutic use*
  • Transfection
  • Tumor Cells, Cultured
  • Xenograft Model Antitumor Assays

Substances

  • Indoles
  • PLX 4720
  • Sulfonamides
  • enhanced green fluorescent protein
  • Green Fluorescent Proteins
  • BRAF protein, human
  • Proto-Oncogene Proteins B-raf