Receptor tyrosine kinases in cancer escape from BRAF inhibitors
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摘要:
The BRAF inhibitors (BRAFi) induce anti-tumor responses in nearly 60% of patients with advanced V600BRAF-mutant melanomas but only 5% of patients with V600BRAFmutant colorectal carcinomas.Earlier studies of how a subset of melanoma that initially responds to BRAFi but later acquires drug resistance pointed to the importance of receptor tyrosine kinases (RTKs) in drug escape.In a pair of recent reports,this RTK-mediated mechanism of acquired BRAFi resistance in melanoma is re-surfacing in the context of innate or primary BRAFi resistance in V600BRAF-mutant colorectal carcinomas,suggesting potential upfront therapeutic strategies to prevent BRAFi resistance.