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Cited by 173

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A Novel AKT1 Mutant Amplifies an Adaptive Melanoma Response to BRAF Inhibition

Open access
Shi, Hubing, Hong, Aayoung, Kong, Xiangju, Koya, Richard C., Song, Chunying, Moriceau, Gatien, Hugo, Willy, Yu, Clarissa C., Ng, Charles, Chodon, Thinle, Scolyer, Richard A., Kefford, Richard F., Ribas, Antoni, Long, Georgina V., Lo, Roger S.·2014·Cancer Discovery

Abstract

BRAF inhibitor (BRAFi) therapy leads to remarkable anti melanoma responses, but the initial tumor shrinkage is commonly incomplete, providing a nidus for subsequent disease progression. Adaptive signaling may underlie early BRAFi resistance and influence the selection pattern for genetic variants, causing late, acquired resistance. We show here that BRAFi (or BRAFi + MEKi) therapy in patients frequently led to rebound phosphorylated AKT (p-AKT) levels in their melanomas early on-treatment. In cell lines, BRAFi treatment led to rebound levels of receptor tyrosine kinases (RTK; including PDGFRβ), phosphatidyl (3,4,5)-triphosphate (PIP3), pleckstrin homology domain recruitment, and p-AKT. PTEN expression limited this BRAFi-elicited PI3K–AKT signaling, which could be rescued by the introduction of a mutant AKT1 (Q79K) known to confer acquired BRAFi resistance. Functionally, AKT1Q79K conferred BRAFi resistance via amplification of BRAFi-elicited PI3K–AKT signaling. In addition, mitogen-activated protein kinase pathway inhibition enhanced clonogenic growth dependency on PI3K or AKT. Thus, adaptive or genetic upregulation of AKT critically participates in melanoma survival during BRAFi therapy. Significance: This study provides a mechanistic link between early, adaptive and late, acquired BRAF inhibitor resistance in melanoma, with early BRAFi-induced signaling alterations shaping the subsequent evolutionary selective pressure. These findings argue for upfront, combined targeting of the mutant BRAF genotype and a pervasive drug-adaptive, AKT-dependent tumor response. Cancer Discov; 4(1); 69–79. ©2013 AACR. See related commentary by Solit and Rosen, p. 27 This article is highlighted in the In This Issue feature, p. 1

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Metadata

Authors
Shi, H., Hong, A., Kong, X., Koya, R. C., Song, C., Moriceau, G., Hugo, W., Yu, C. C., Ng, C., Chodon, T., Scolyer, R. A., Kefford, R. F., Ribas, A., Long, G. V., & Lo, R. S.
Venue
Cancer Discovery
Published
2014-01-01
Volume
4
Issue
1
Pages
69-79
ISSN
  • 2159-8274 (ISSN-L)
  • 2159-8290
OpenAlex
W2100969832
Cited by
173
References
7
FWCI
8.88
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: A Novel AKT1 Mutant Amplifies an Adaptive Melanoma Response to BRAF Inhibition. https://app.cochat.ai/papers/10.1158/2159-8290.cd-13-0279
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Shi, H., Hong, A., Kong, X., Koya, R. C., Song, C., Moriceau, G., Hugo, W., Yu, C. C., Ng, C., Chodon, T., Scolyer, R. A., Kefford, R. F., Ribas, A., Long, G. V., & Lo, R. S. (2014). A Novel AKT1 Mutant Amplifies an Adaptive Melanoma Response to BRAF Inhibition. Cancer Discovery. https://doi.org/10.1158/2159-8290.cd-13-0279

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