Targeting MAPK pathway in melanoma therapy

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• 作者：Yabin Cheng (1)
  Guohong Zhang (1) (3)
  Gang Li (1) (2)
  
• 关键词：BRAF ; MAPK ; MEK ; Melanoma ; RAS
• 刊名：Cancer and Metastasis Reviews
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：32
• 期：3-4
• 页码：567-584
• 全文大小：
• 作者单位：Yabin Cheng (1)
  Guohong Zhang (1) (3)
  Gang Li (1) (2)
  
  1. Department of Dermatology and Skin Science, Research Pavilion, Vancouver Coastal Health Research Institute, University of British Columbia, Vancouver, BC, Canada
  3. Department of Pathology, Shantou University Medical College, Shantou, Guangdong, China
  2. 828 W. 10th Avenue, Vancouver, BC, V5Z 1L8, Canada
  
• ISSN：1573-7233

文摘

New drugs targeting the mitogen-activated protein kinase (MAPK) pathway have generated striking clinical response in melanoma therapy. From the discovery of BRAF mutation in melanoma in 2002, to the approval of first BRAF inhibitor vemurafenib for melanoma treatment by the US Food and Drug Administration in 2011, therapies targeting the MAPK pathway have been proven effective in less than a decade. The success of vemurafenib stimulated more intensive investigation of the molecular mechanisms of melanoma pathogenesis and development of new treatment strategies targeting specific molecules in MAPK pathway. Although selective BRAF inhibitors and MEK inhibitors demonstrated improved overall survival of metastatic melanoma patients, limited duration or development of resistance to BRAF inhibitors have been reported. Patients with metastatic melanoma still face very poor prognosis and lack of clarified therapies. Studies and multiple clinical trials on more potent and selective small molecule inhibitory compounds to further improve the clinical effects and overcome drug resistance are underway. In this review, we analyzed the therapeutic potentials of each member of the MAPK signaling pathway, summarized important MAPK-inhibiting drugs, and discussed the promising combination treatment targeting multiple targets in melanoma therapy, which may overcome the drawbacks of current drugs treatment.