Mutations in BRAF and KRAS converge on activation of the mitogen-activated protein kinase pathway in lung cancer mouse models

H Ji, Z Wang, SA Perera, D Li, MC Liang, S Zaghlul… - Cancer research, 2007 - AACR
H Ji, Z Wang, SA Perera, D Li, MC Liang, S Zaghlul, K McNamara, L Chen, M Albert, Y Sun
Cancer research, 2007AACR
Mutations in the BRAF and KRAS genes occur in∼ 1% to 2% and 20% to 30% of non–small-
cell lung cancer patients, respectively, suggesting that the mitogen-activated protein kinase
(MAPK) pathway is preferentially activated in lung cancers. Here, we show that lung-specific
expression of the BRAF V600E mutant induces the activation of extracellular signal–
regulated kinase (ERK)-1/2 (MAPK) pathway and the development of lung adenocarcinoma
with bronchioloalveolar carcinoma features in vivo. Deinduction of transgene expression led …
Abstract
Mutations in the BRAF and KRAS genes occur in ∼1% to 2% and 20% to 30% of non–small-cell lung cancer patients, respectively, suggesting that the mitogen-activated protein kinase (MAPK) pathway is preferentially activated in lung cancers. Here, we show that lung-specific expression of the BRAF V600E mutant induces the activation of extracellular signal–regulated kinase (ERK)-1/2 (MAPK) pathway and the development of lung adenocarcinoma with bronchioloalveolar carcinoma features in vivo. Deinduction of transgene expression led to dramatic tumor regression, paralleled by dramatic dephosphorylation of ERK1/2, implying a dependency of BRAF-mutant lung tumors on the MAPK pathway. Accordingly, in vivo pharmacologic inhibition of MAPK/ERK kinase (MEK; MAPKK) using a specific MEK inhibitor, CI-1040, induced tumor regression associated with inhibition of cell proliferation and induction of apoptosis in these de novo lung tumors. CI-1040 treatment also led to dramatic tumor shrinkage in murine lung tumors driven by a mutant KRas allele. Thus, somatic mutations in different signaling intermediates of the same pathway induce exquisite dependency on a shared downstream effector. These results unveil a potential common vulnerability of BRAF and KRas mutant lung tumors that potentially affects rational deployment of MEK targeted therapies to non–small-cell lung cancer patients. [Cancer Res 2007;67(10):4933–9]
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