2022
DOI: 10.1158/1078-0432.ccr-22-1052
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Regulation of TORC1 by MAPK Signaling Determines Sensitivity and Acquired Resistance to Trametinib in Pediatric BRAFV600E Brain Tumor Models

Abstract: Purpose: We investigated why three patient derived xenograft (PDX) childhood BRAFV600E-mutant brain tumor models are highly sensitive to trametinib. Mechanisms of acquired resistance selected in situ, and approaches to prevent resistance were also examined, which may translate to both LGG molecular subtypes. Experimental Design: Sensitivity to trametinib (MEKi) alone or in combination with rapamycin (TORC1 inhibitor), was evaluated in pediatric PDX models. The effect of combined treatment of trametinib with ra… Show more

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Cited by 3 publications
(3 citation statements)
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“…They found that the decoupling of TORC1 signaling, originally a downstream pathway of MEK, led to resistance to trametinib; moreover, the combination of a TORC1 inhibitor and trametinib postponed the development of trametinib resistance. 188 …”
Section: Pdx Model In Targeted Therapy Researchmentioning
confidence: 99%
“…They found that the decoupling of TORC1 signaling, originally a downstream pathway of MEK, led to resistance to trametinib; moreover, the combination of a TORC1 inhibitor and trametinib postponed the development of trametinib resistance. 188 …”
Section: Pdx Model In Targeted Therapy Researchmentioning
confidence: 99%
“…The PDX-to-cell line approach was used to generate a heterozygous BRAF V600E -mutated cell line BT-40 ( 63 ). BT-40 cells exhibited sensitivity to MAPK inhibitors selumetinib and trametinib ( 64 , 105 ). A MAPK inhibitor library screen against BT-40 expressing a luciferase-based MAPK reporter assay revealed distinct sensitivities to single inhibitors, including next-generation RAF inhibitors, and synergistic effects of different inhibitor classes ( 106 ).…”
Section: In Vitro Modeling and Drug Strategiesmentioning
confidence: 99%
“…BRAF missense mutations have been identified in these PDX by molecular profiling, but due to the relative scarcity of BRAF V600E altered CNS tumors amongst brain tumor patients, PDX for these tumors are rare. A PDX biobank specifically focused on BRAF V600E -mutated gliomas is currently lacking due to the scarcity of patient material, and the difficulty in retrieving complete patients’ clinical data, pathologies, gene expression profiles, and drug responsiveness ( 64 ). However, there is great potential for this to be an authoritative resource for developing new treatments and personalized medicine approaches.…”
Section: In Vivo Modelingmentioning
confidence: 99%