2014
DOI: 10.1158/1535-7163.mct-13-0561
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Sorafenib Suppresses JNK-Dependent Apoptosis through Inhibition of ZAK

Abstract: Sorafenib is FDA-approved for the treatment of renal cell carcinoma and hepatocellular carcinoma and has been combined with numerous other targeted therapies and chemotherapies in the treatment of many cancers. Unfortunately, as with other RAF inhibitors, patients treated with sorafenib have a 5–10% rate of developing cutaneous squamous cell carcinoma/keratoacanthomas. Paradoxical activation of ERK in BRAF-wild-type cells has been implicated in RAF-inhibitor-induced cSCC. Here we report that sorafenib suppress… Show more

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Cited by 27 publications
(28 citation statements)
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“…Sorafenib, a multi kinase inhibitor (including C-Raf, B-Raf and VEGF) approved for the treatment of kidney and liver cancers also inhibits ZAK at an IC50 of 48.6 nM [27]. Adverse events of Sorafenib in patients undergoing chemotherapy have been ascribed to the ZAK targeted activity of the agent.…”
Section: Discussionmentioning
confidence: 99%
“…Sorafenib, a multi kinase inhibitor (including C-Raf, B-Raf and VEGF) approved for the treatment of kidney and liver cancers also inhibits ZAK at an IC50 of 48.6 nM [27]. Adverse events of Sorafenib in patients undergoing chemotherapy have been ascribed to the ZAK targeted activity of the agent.…”
Section: Discussionmentioning
confidence: 99%
“…However, small molecule inhibitor therapy aimed at specific protein targets within the MAPK/ERK pathway has resulted in the development of secondary malignancies. RAF inhibitors, as a class, may cause abnormal skin cell proliferation, leading to keratoacanthomas or squamous cell cancers in approximately 10% to 20% of patients . The development of these lesions is caused by paradoxical activation of the normal MAPK/ERK pathway in the genomically normal skin keratinocytes .…”
Section: Introductionmentioning
confidence: 99%
“…Since many of the cSCC occur on sun-exposed skin areas, UV light has been assumed to be the trigger of cSCC development. (20) Both the knockdown of ZAK and the administration of compounds with ZAK inhibitory activity prevented UV light from inducing apoptosis in cancer cells. (20),(21) Moreover, ZAK inhibition accelerated the UV light-driven development of cSCC in the hairless mouse model.…”
Section: Introductionmentioning
confidence: 99%
“…(20) Both the knockdown of ZAK and the administration of compounds with ZAK inhibitory activity prevented UV light from inducing apoptosis in cancer cells. (20),(21) Moreover, ZAK inhibition accelerated the UV light-driven development of cSCC in the hairless mouse model. (20),(21) A prominent alternative model to explain cSCC formation is the inhibitor-driven paradoxical B-RAF activation.…”
Section: Introductionmentioning
confidence: 99%
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