NRAS mutant melanoma: biological behavior and future strategies for therapeutic management.

Abstract:

:The recent years have seen a significant shift in the expectations for the therapeutic management of disseminated melanoma. The clinical success of BRAF targeted therapy suggests that long-term disease control may one day be a reality for genetically defined subgroups of melanoma patients. Despite this progress, few advances have been made in developing targeted therapeutic strategies for the 50% of patients whose melanomas are BRAF wild-type. The most well-characterized subgroup of BRAF wild-type tumors is the 15-20% of all melanomas that harbor activating NRAS (Neuroblastoma Rat Sarcoma Virus) mutations. Emerging preclinical and clinical evidence suggests that NRAS mutant melanomas have patterns of signal transduction and biological behavior that is distinct from BRAF mutant melanomas. This overview will discuss the unique clinical and prognostic behavior of NRAS mutant melanoma and will summarize the emerging data on how NRAS-driven signaling networks can be translated into novel therapeutic strategies.

journal_name

Oncogene

journal_title

Oncogene

authors

Fedorenko IV,Gibney GT,Smalley KS

doi

10.1038/onc.2012.453

subject

Has Abstract

pub_date

2013-06-20 00:00:00

pages

3009-18

issue

25

eissn

0950-9232

issn

1476-5594

pii

onc2012453

journal_volume

32

pub_type

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