1. CRAF mutations in lung cancer can be oncogenic and predict sensitivity to combined type II RAF and MEK inhibition
- Author
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Rajendra Bahadur Shahi, Hugo Vandenplas, Carolien Eggermont, Philippe Giron, Jacques De Greve, Erik Teugels, Bram Boeckx, Diether Lambrechts, Sylvia De Brakeleer, Alfiah Noor, Amir Noeparast, Clinical sciences, Laboratory for Medical and Molecular Oncology, Faculty of Medicine and Pharmacy, Basic (bio-) Medical Sciences, and Medical Genetics
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0301 basic medicine ,MAPK/ERK pathway ,Cancer Research ,Lung Neoplasms ,Somatic cell ,medicine.disease_cause ,ACTIVATION ,Mice ,Antineoplastic Agents, Immunological ,0302 clinical medicine ,Carcinoma, Non-Small-Cell Lung ,PHOSPHORYLATION ,Genetics & Heredity ,Mutation ,MEK inhibitor ,B-RAF ,COMBINED BRAF ,MAP Kinase Kinase Kinases ,C-RAF ,Oncology ,030220 oncology & carcinogenesis ,Phosphorylation ,Life Sciences & Biomedicine ,DABRAFENIB PLUS TRAMETINIB ,Biochemistry & Molecular Biology ,MAP Kinase Signaling System ,Antineoplastic Agents ,Biology ,Brief Communication ,Predictive markers ,03 medical and health sciences ,Targeted therapies ,MAPK PATHWAY ,KINASE ,KRAS ,Genetics ,medicine ,Animals ,Humans ,Lung cancer ,Protein Kinase Inhibitors ,Molecular Biology ,Science & Technology ,HEK 293 cells ,Cancer ,Cell Biology ,medicine.disease ,Mice, Inbred C57BL ,Proto-Oncogene Proteins c-raf ,SORAFENIB ,HEK293 Cells ,030104 developmental biology ,Cancer research - Abstract
Two out of 41 non-small cell lung cancer patients enrolled in a clinical study were found with a somatic CRAF mutation in their tumor, namely CRAFP261A and CRAFP207S. To our knowledge, both mutations are novel in lung cancer and CRAFP261A has not been previously reported in cancer. Expression of CRAFP261A in HEK293T cells and BEAS-2B lung epithelial cells led to increased ERK pathway activation in a dimer-dependent manner, accompanied with loss of CRAF phosphorylation at the negative regulatory S259 residue. Moreover, stable expression of CRAFP261A in mouse embryonic fibroblasts and BEAS-2B cells led to anchorage-independent growth. Consistent with a previous report, we could not observe a gain-of-function with CRAFP207S. Type II but not type I RAF inhibitors suppressed the CRAFP261A-induced ERK pathway activity in BEAS-2B cells, and combinatorial treatment with type II RAF inhibitors and a MEK inhibitor led to a stronger ERK pathway inhibition and growth arrest. Our findings suggest that the acquisition of a CRAFP261A mutation can provide oncogenic properties to cells, and that such cells are sensitive to combined MEK and type II RAF inhibitors. CRAF mutations should be diagnostically and therapeutically explored in lung and perhaps other cancers. ispartof: ONCOGENE vol:38 issue:31 pages:5933-5941 ispartof: location:England status: published
- Published
- 2019
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