[HTML][HTML] Differential activity of MEK and ERK inhibitors in BRAF inhibitor resistant melanoma

MS Carlino, JR Todd, K Gowrishankar, B Mijatov… - Molecular …, 2014 - Elsevier
MS Carlino, JR Todd, K Gowrishankar, B Mijatov, GM Pupo, C Fung, S Snoyman, P Hersey
Molecular oncology, 2014Elsevier
Acquired resistance to BRAF inhibitors often involves MAPK re-activation, yet the MEK
inhibitor trametinib showed minimal clinical activity in melanoma patients that had
progressed on BRAF-inhibitor therapy. Selective ERK inhibitors have been proposed as
alternative salvage therapies. We show that ERK inhibition is more potent than MEK
inhibition at suppressing MAPK activity and inhibiting the proliferation of multiple BRAF
inhibitor resistant melanoma cell models. Nevertheless, melanoma cells often failed to …
Abstract
Acquired resistance to BRAF inhibitors often involves MAPK re-activation, yet the MEK inhibitor trametinib showed minimal clinical activity in melanoma patients that had progressed on BRAF-inhibitor therapy. Selective ERK inhibitors have been proposed as alternative salvage therapies. We show that ERK inhibition is more potent than MEK inhibition at suppressing MAPK activity and inhibiting the proliferation of multiple BRAF inhibitor resistant melanoma cell models. Nevertheless, melanoma cells often failed to undergo apoptosis in response to ERK inhibition, because the relief of ERK-dependent negative feedback activated RAS and PI3K signalling. Consequently, the combination of ERK and PI3K/mTOR inhibition was effective at promoting cell death in all resistant melanoma cell models, and was substantially more potent than the MEK/PI3K/mTOR inhibitor combination. Our data indicate that a broader targeting strategy concurrently inhibiting ERK, rather than MEK, and PI3K/mTOR may circumvent BRAF inhibitor resistance, and should be considered during the clinical development of ERK inhibitors.
Elsevier