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  • Oncogenic NRAS signaling di...
    Kwong, Lawrence N; Costello, James C; Liu, Huiyun; Jiang, Shan; Helms, Timothy L; Langsdorf, Aliete E; Jakubosky, David; Genovese, Giannicola; Muller, Florian L; Jeong, Joseph H; Bender, Ryan P; Chu, Gerald C; Flaherty, Keith T; Wargo, Jennifer A; Collins, James J; Chin, Lynda

    Nature medicine, 10/2012, Letnik: 18, Številka: 10
    Journal Article

    The discovery of potent inhibitors of the BRAF proto-oncogene has revolutionized therapy for melanoma harboring mutations in BRAF, yet NRAS-mutant melanoma remains without an effective therapy. Because direct pharmacological inhibition of the RAS proto-oncogene has thus far been unsuccessful, we explored systems biology approaches to identify synergistic drug combination(s) that can mimic RAS inhibition. Here, leveraging an inducible mouse model of NRAS-mutant melanoma, we show that pharmacological inhibition of mitogen-activated protein kinase kinase (MEK) activates apoptosis but not cell-cycle arrest, which is in contrast to complete genetic neuroblastoma RAS homolog (NRAS) extinction, which triggers both of these effects. Network modeling pinpointed cyclin-dependent kinase 4 (CDK4) as a key driver of this differential phenotype. Accordingly, combined pharmacological inhibition of MEK and CDK4 in vivo led to substantial synergy in therapeutic efficacy. We suggest a gradient model of oncogenic NRAS signaling in which the output is gated, resulting in the decoupling of discrete downstream biological phenotypes as a result of incomplete inhibition. Such a gated signaling model offers a new framework to identify nonobvious coextinction target(s) for combined pharmacological inhibition in NRAS-mutant melanomas.