Cooperation of BRAF F595L and mutant HRAS in histiocytic sarcoma provides new insights into oncogenic BRAF signaling

M. Kordes, M. Röring, C. Heining, S. Braun, B. Hutter, D. Richter, C. Geörg, C. Scholl, S. Gröschel, W. Roth, A. Rosenwald, E. Geissinger, C. Von Kalle, D. Jger, B. Brors, W. Weichert, C. Grüllich, H. Glimm, T. Brummer, S. Fröhling

Research output: Contribution to journalArticlepeer-review

52 Scopus citations

Abstract

Activating BRAF mutations, in particular V600E/K, drive many cancers and are considered mutually exclusive with mutant RAS, whereas inactivating BRAF mutations in the D 594 F 595 G 596 motif cooperate with RAS via paradoxical MEK/ERK activation. Due to the increasing use of comprehensive tumor genomic profiling, many non-V600 BRAF mutations are being detected whose functional consequences and therapeutic actionability are often unknown. We investigated an atypical BRAF mutation, F595L, which was identified along with mutant HRAS in histiocytic sarcoma and also occurs in epithelial cancers, melanoma and neuroblastoma, and determined its interaction with mutant RAS. Unlike other DFG motif mutants, BRAF F595L is a gain-of-function variant with intermediate activity that does not act paradoxically, but nevertheless cooperates with mutant RAS to promote oncogenic signaling, which is efficiently blocked by pan-RAF and MEK inhibitors. Mutation data from patients and cell lines show that BRAF F595L, as well as other intermediate-activity BRAF mutations, frequently coincide with mutant RAS in various cancers. These data define a distinct class of activating BRAF mutations, extend the spectrum of patients with systemic histiocytoses and other malignancies who are candidates for therapeutic blockade of the RAF-MEK-ERK pathway and underscore the value of comprehensive genomic testing for uncovering the vulnerabilities of individual tumors.

Original languageEnglish
Pages (from-to)937-946
Number of pages10
JournalLeukemia
Volume30
Issue number4
DOIs
StatePublished - 1 Apr 2016
Externally publishedYes

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