Resistance to MEK inhibitors: should we co-target upstream?
Abstract
Amplification of an upstream kinase in a three-kinase module confers resistance to cancer drugs that target a downstream kinase.
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Acquired resistance will invariably occur after prolonged treatment with targeted drugs, including RAF and MEK inhibitors.
“It has been long recognized that acquired resistance will invariably occur after prolonged treatment with targeted drugs, including those against Ras downstream effectors, such as RAF and MEK.72, 73, 74”
From Overcoming Resistance to Drugs Targeting KRAS Mutation (2020) · cites this paper as [74]
Prolonged treatment with either RAF or MEK inhibitors results in rebounded ERK activation due to amplification of upstream drivers such as RTKs and Ras.
“For example, prolonged treatment of either RAF or MEK inhibitors results in rebounded ERK activation due to the amplification of upstream drivers, such as RTKs and Ras.72,74”
From Overcoming Resistance to Drugs Targeting KRAS Mutation (2020) · cites this paper as [74]
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- Authors
- Poulikakos, P. I., & Solit, D. B.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- Corresponding author
- Solit, David B.
- Venue
- Science Signaling
- Published
- 2011-03-29
- Volume
- 4
- Issue
- 166
- Pages
- pe16-pe16
- ISSN
- 1937-9145 (ISSN-L)
- 1945-0877
- OpenAlex
- W2142859055
- Cited by
- 119
- References
- 22
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 8 · 2020: 6 · 2019: 12 · 2018: 7 · 2017: 3 · 2016: 7 · 2015: 10 · 2014: 16 · 2013: 19 · 2012: 18
- FWCI
- 6.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Science Signaling (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Melanoma and MAPK Pathways
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Kinase Regulation and GTPase Signaling
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Tyrosine Phosphatases
- Keywords
- MEK inhibitor resistance, Raf/MEK/ERK pathway, RAF inhibitors, KRAS, BRAF, MAPK signaling, combination therapy, chemoresistance, negative feedback loop
- MeSH terms
- Animals, Humans, Neoplasms, Proto-Oncogene Proteins, Proto-Oncogene Proteins p21(ras), ras Proteins, Drug Resistance, Neoplasm, Mitogen-Activated Protein Kinase Kinases, MAP Kinase Signaling System, Protein Kinase Inhibitors, Extracellular Signal-Regulated MAP Kinases, Proto-Oncogene Proteins B-raf
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