Conjunctival Melanoma Targeted Therapy: MAPK and PI3K/mTOR Pathways Inhibition

Autor: Ezziat Sakina, Leonidas Zografos, Gürkan Kaya, Rosanna Pescini Gobert, Alexandre Moulin, Donata Rimoldi, Ikram El Zaoui, Serge Leyvraz, Carlo Rivolta, Michael Nicolas, Nicola Bedoni, Maya Bucher, Ann Schalenbourg, Nicolo Riggi
Rok vydání: 2019
Předmět:
Male
0301 basic medicine
Neuroblastoma RAS viral oncogene homolog
MAPK/ERK pathway
Melanoma/drug therapy/enzymology/pathology
Protein Kinase Inhibitors/therapeutic use
Fluorescent Antibody Technique
Pyrimidinones/therapeutic use
Phosphatidylinositol 3-Kinases
0302 clinical medicine
Tumor Cells
Cultured

80 and over
Molecular Targeted Therapy
Pyridones/therapeutic use
Fluorescent Antibody Technique
Indirect

skin and connective tissue diseases
Vemurafenib
Melanoma
Quinolines/therapeutic use
Indazoles/therapeutic use
Aged
80 and over

ddc:616
Trametinib
Sulfonamides
TOR Serine-Threonine Kinases/antagonists & inhibitors
Cultured
Blotting
TOR Serine-Threonine Kinases
Imidazoles
Middle Aged
Tumor Cells
030220 oncology & carcinogenesis
Quinolines
Female
Mitogen-Activated Protein Kinases
Western
medicine.drug
Proto-Oncogene Proteins B-raf
Adult
Benzimidazoles/therapeutic use
Indirect
Indazoles
Pyridones
Blotting
Western

Antineoplastic Agents
Conjunctival Neoplasms
Imidazoles/therapeutic use
Pyrimidinones
Phosphatidylinositol 3-Kinases/drug effects
03 medical and health sciences
Proto-Oncogene Proteins B-raf/genetics
medicine
Humans
Protein Kinase Inhibitors
neoplasms
PI3K/AKT/mTOR pathway
Aged
business.industry
Antineoplastic Agents/therapeutic use
Conjunctival Neoplasms/drug therapy/enzymology/pathology
Mitogen-Activated Protein Kinases/antagonists & inhibitors
Sulfonamides/therapeutic use
medicine.disease
030104 developmental biology
Cancer research
Selumetinib
Benzimidazoles
business
Conjunctival Melanoma
Zdroj: Investigative ophthalmology & visual science, vol. 60, no. 7, pp. 2764-2772
Investigative Ophthalmology & Visual Science, Vol. 60, No 7 (2019) pp. 2764-2772
ISSN: 1552-5783
0146-0404
DOI: 10.1167/iovs.18-26508
Popis: To analyze the activity of mitogen-activated protein kinase (MAPK) and phosphoinositide 3-kinases/mechanistic target of rapamycin (PI3K/mTOR) pathways in benign and malignant conjunctival melanocytic proliferations and explore whether specific inhibitors can suppress growth of conjunctival melanoma (CJM) cells.; The presence of a BRAF V600E mutation and activation of ERK, MEK, S6, and AKT were assessed with immunohistochemistry in 35 conjunctival nevi and 31 melanomas. Three CJM cell lines were used: CRMM1, carrying the BRAF V600E mutation; CRMM2, harboring the NRAS Q61L mutation; and T1527A, with a BRAF G466E mutation. WST-1 assays were performed with a BRAF inhibitor (vemurafenib), two MEK inhibitors (trametinib, selumetinib), a PI3K inhibitor (pictilisib), and a dual PI3K/mTOR inhibitor (dactolisib). The phosphorylation of ERK, MEK, and S6 were tested with western blots and apoptosis with cleaved caspase-3 immunostaining.; A BRAF V600E mutation was detected in 42.6% of nevi and in 35.5% of CJM. MEK and ERK activation were higher in CJM, occurring in 62.9% and 45.7% of the nevi and 90.3% and 96.8% of the CJM, respectively. There was also a significant increase in S6 activation in CJM (90.3%) compared with the nevi (20%). CRMM1 was sensitive to trametinib and the PI3K inhibitors but only marginally to vemurafenib. CRMM2 was moderately sensitive to pictilisib, whereas T1527A was resistant to all drugs tested.; The MAPK pathway activity in CJM is increased, not only as a consequence of the BRAF V600E mutation. Targeted therapy may be useful for patients with CJM, especially those with activating BRAF mutations, whereas NRAS-mutated melanomas are relatively resistant.
Databáze: OpenAIRE