Recurrent somatic BRAF insertion (p.V504_R506dup): a tumor marker and a potential therapeutic target in pilocytic astrocytoma

Autor: Chantal Richer, Monia Marzouki, Sébastien Perreault, Daniel Sinnett, Fida Khater, Anne-Marie Roy, Pascal St-Onge, Jasmine Healy, Pauline Cassart, Sylvie Langlois, Mathieu Lajoie, Sonia Cellot, Nada Jabado, Nelson Piché
Rok vydání: 2018
Předmět:
Zdroj: Oncogene
ISSN: 1476-5594
0950-9232
Popis: Pilocytic astrocytoma (PA) is emerging as a tumor entity with dysregulated RAS/RAF/MEK/ERK signaling. In this study, we report the identification of a novel recurrent BRAF insertion (p.V504_R506dup) in five PA cases harboring exclusively this somatic tandem duplication. This recurrent alteration leads to an addition of three amino acids in the kinase domain of BRAF and has functional impact on activating MAPK phosphorylation. Importantly, we show that this mutation confers resistance to RAF inhibitors without changing effectiveness while downstream MEK inhibitors remain effective. Our results further emphasize the importance of BRAF alterations in PA and the need to characterize them in a given tumor as this can affect therapeutic strategies and their potential use as tumor marker in molecular diagnostics.
Databáze: OpenAIRE