
doi: 10.1007/82_2011_163
pmid: 21826607
Recent progress in the analysis of genetic alterations in melanoma has identified recurrent mutations that result in the activation of critical signaling pathways promoting growth and survival of tumors cells. Alterations in the RAS-RAF-MAP kinase and PI3-kinase signaling pathways are commonly altered in melanoma. Mutations in BRAF, NRAS, KIT, and GNAQ occur in a mutually exclusive pattern and lead to MAP-kinase activation. Loss of PTEN function, primarily by deletion, is the most common known genetic alteration in the PI3-kinase cascade, and is commonly associated with BRAF mutations (Curtin et al., N Engl J Med 353:2135-2147, 2005; Tsao et al., Cancer Res 60:1800-1804, 2000, J Investig Dermatol 122:337-341, 2004). The growth advantage conveyed by the constitutive activation of these pathways leads to positive selection of cells that have acquired the mutations and in many instances leads to critical dependency of the cancer cells on their activation. This creates opportunities for therapeutic interventions targeted at signaling components within these pathways that are amenable for pharmacological inhibition. This concept follows the paradigm established by the landmark discovery that inhibition of the fusion kinase BCR-ABL can be used to treat chronic myelogenous leukemia (Druker et al., N Engl J Med 344:1031-037, 2001). The review will focus primarily on kinases involved in signaling that are currently being evaluated for therapeutic intervention in melanoma.
Proto-Oncogene Proteins B-raf, Clinical Trials as Topic, MAP Kinase Signaling System, Antineoplastic Agents, G1 Phase Cell Cycle Checkpoints, Enzyme Activation, ErbB Receptors, Gene Expression Regulation, Neoplastic, Proto-Oncogene Proteins c-kit, Mutation, Animals, Humans, Receptor, Fibroblast Growth Factor, Type 1, Melanoma, Protein Kinase Inhibitors
Proto-Oncogene Proteins B-raf, Clinical Trials as Topic, MAP Kinase Signaling System, Antineoplastic Agents, G1 Phase Cell Cycle Checkpoints, Enzyme Activation, ErbB Receptors, Gene Expression Regulation, Neoplastic, Proto-Oncogene Proteins c-kit, Mutation, Animals, Humans, Receptor, Fibroblast Growth Factor, Type 1, Melanoma, Protein Kinase Inhibitors
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 14 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
