eLife (Nov 2013)

BRAF inhibitors suppress apoptosis through off-target inhibition of JNK signaling

  • Harina Vin,
  • Sandra S Ojeda,
  • Grace Ching,
  • Marco L Leung,
  • Vida Chitsazzadeh,
  • David W Dwyer,
  • Charles H Adelmann,
  • Monica Restrepo,
  • Kristen N Richards,
  • Larissa R Stewart,
  • Lili Du,
  • Scarlett B Ferguson,
  • Deepavali Chakravarti,
  • Karin Ehrenreiter,
  • Manuela Baccarini,
  • Rosamaria Ruggieri,
  • Jonathan L Curry,
  • Kevin B Kim,
  • Ana M Ciurea,
  • Madeleine Duvic,
  • Victor G Prieto,
  • Stephen E Ullrich,
  • Kevin N Dalby,
  • Elsa R Flores,
  • Kenneth Y Tsai

DOI
https://doi.org/10.7554/eLife.00969
Journal volume & issue
Vol. 2

Abstract

Read online

Vemurafenib and dabrafenib selectively inhibit the v-Raf murine sarcoma viral oncogene homolog B1 (BRAF) kinase, resulting in high response rates and increased survival in melanoma. Approximately 22% of individuals treated with vemurafenib develop cutaneous squamous cell carcinoma (cSCC) during therapy. The prevailing explanation for this is drug-induced paradoxical ERK activation, resulting in hyperproliferation. Here we show an unexpected and novel effect of vemurafenib/PLX4720 in suppressing apoptosis through the inhibition of multiple off-target kinases upstream of c-Jun N-terminal kinase (JNK), principally ZAK. JNK signaling is suppressed in multiple contexts, including in cSCC of vemurafenib-treated patients, as well as in mice. Expression of a mutant ZAK that cannot be inhibited reverses the suppression of JNK activation and apoptosis. Our results implicate suppression of JNK-dependent apoptosis as a significant, independent mechanism that cooperates with paradoxical ERK activation to induce cSCC, suggesting broad implications for understanding toxicities associated with BRAF inhibitors and for their use in combination therapies.

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