2018
DOI: 10.1016/j.cels.2018.06.002
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Dissecting RAF Inhibitor Resistance by Structure-based Modeling Reveals Ways to Overcome Oncogenic RAS Signaling

Abstract: Clinically used RAF inhibitors are ineffective in RAS mutant tumors because they enhance homo- and heterodimerization of RAF kinases, leading to paradoxical activation of ERK signaling. Overcoming enhanced RAF dimerization and the resulting resistance is a challenge for drug design. Combining multiple inhibitors could be more effective, but it is unclear how the best combinations can be chosen. We built a next-generation mechanistic dynamic model to analyze combinations of structurally different RAF inhibitors… Show more

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Cited by 57 publications
(82 citation statements)
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References 118 publications
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“…Overall, our mathematical analysis suggests that the conformational regulation of RAF kinase activity combined with inhibitor dependent dimerization is a critical mechanism that drives PA. Although autoinhibition has been recognized as an important component of the entire PA phenomenon (15,21) it appears to have been underappreciated as a mechanism capable of driving PA; for example, it has neither been discussed as a motivation for the development of third generation RAF inhibitors (3-5) nor been included in recent mathematical analyses of PA (40,45). This is notable, as both drug development and mathematical analyses pay considerable attention to conformations within the kinase domain (i.e.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Overall, our mathematical analysis suggests that the conformational regulation of RAF kinase activity combined with inhibitor dependent dimerization is a critical mechanism that drives PA. Although autoinhibition has been recognized as an important component of the entire PA phenomenon (15,21) it appears to have been underappreciated as a mechanism capable of driving PA; for example, it has neither been discussed as a motivation for the development of third generation RAF inhibitors (3-5) nor been included in recent mathematical analyses of PA (40,45). This is notable, as both drug development and mathematical analyses pay considerable attention to conformations within the kinase domain (i.e.…”
Section: Discussionmentioning
confidence: 99%
“…Other processes, like negative allostery (or negative cooperativity) for inhibitor binding (18), preferential binding to the different RAF proteins and/or mutant RAF (2), altered dimerization affinity for drug-bound RAF proteins (20,40,45), phosphorylation changes (28), scaffold proteins (29), allosteric trans-activation (24), and Ras nanoclusters (31) may all further tune the response to inhibitor, including in drug-specific manners.…”
Section: Discussionmentioning
confidence: 99%
“…Its molecular structure comprises three conserved regions: Conserved region (CR) l (located at aa , CR2 (located at aa 254-269) and CR3 (located at aa 335-627). CRl, located at the amino terminus, is rich in cysteine and contains a zinc finger-like structure, similar to the ligand-binding region of PKC (45). CR1 is the main site of activated Ras binding to Raf-1 protein kinase.…”
Section: Erk/mapk Structure and Functionsmentioning
confidence: 99%
“…This type of resistance can be broken by RAF inhibitors that prevent dimerization [56], or by a combination of two structurally different RAF inhibitors that target the two different conformations of RAF proteins in a dimer. For the latter approach, Kholodenko and colleagues developed a new mathematical model that considers the genetic mutational background, network context, thermodynamic parameters, and post-translational modifications and can accurately predict which type of inhibitors should be combined [57]. Table 1.…”
Section: Mechanisms Of Drug Resistance In the Erk Pathwaymentioning
confidence: 99%