Targeted Therapy Resistance Mechanisms and Therapeutic Implications in Melanoma

被引:18
作者
Chen, Guo [1 ]
Davies, Michael A. [1 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, Dept Melanoma Med Oncol, Houston, TX 77030 USA
关键词
BRAF(V600); Melanoma; Drug resistance; MAPK; PI3K/AKT; Tumor heterogeneity; Combination therapy; BRAF INHIBITOR RESISTANCE; METASTATIC MELANOMA; ACQUIRED-RESISTANCE; B-RAF; TUMOR MICROENVIRONMENT; CONFER RESISTANCE; IMPROVED SURVIVAL; MEK INHIBITORS; UP-REGULATION; MUTATIONS;
D O I
10.1016/j.hoc.2014.03.001
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Although selective mutant BRAF inhibitors have revolutionized the treatment of metastatic melanoma, the magnitude and duration of their clinical benefit are significantly undermined by de novo and acquired resistance. Functional studies, molecular characterization of clinical samples, and clinical trials are providing insights into the landscape of resistance mechanisms in this disease. These findings have implications for the development of rational therapeutic approaches, and have identified several challenges that remain to be overcome if outcomes are to be improved in patients with metastatic melanoma.
引用
收藏
页码:523 / +
页数:15
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