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2008/9 Catalogue
Library Recommendation
Summary
May 2007, Vol. 7, No. 5, Pages 715-724 , DOI 10.1586/14737140.7.5.715
(doi:10.1586/14737140.7.5.715)

Review
Novel inhibitors in the treatment of metastatic melanoma
Kevin Kalinsky and Frank G Haluska
Author for correspondence



Metastatic melanoma continues to be a difficult disease to treat. Recent efforts have focused on developing novel, target-directed therapeutic agents. In this review, we discuss the RAS–RAF–MAP kinase and the RAS–PI3K–AKT pathway in detail, as up to 80% of cutaneous melanomas exhibit a BRAF mutation. The preclinical and clinical data regarding BRAF inhibition is reviewed. Other potential targets in these pathways are also discussed. Preclinical data have recently emerged, suggesting that the following subsets of patients have a lower frequency of BRAF mutations: acral, mucosal and cutaneous melanomas with chronic sun-induced damage. These lesions have a higher frequency of KIT mutations. However, cutaneous melanomas without chronic sun damage have a higher frequency of BRAF mutations and are not noted to have KIT mutations. It is possible that the appropriate subset of patients may respond differently to available targeted therapies and clinical trials are in development to assess the utility of KIT inhibition in these patients.

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Cited by

Luigi Strizzi, Lynne-Marie Postovit, Naira V Margaryan, Alina Lipavsky, Jules Gadiot, Christian Blank, Richard EB Seftor, Elisabeth A Seftor, Mary JC Hendrix. (2009) Nodal as a biomarker for melanoma progression and a new therapeutic target for clinical intervention. Expert Review of Dermatology 4:1, 67-78
Online publication date: 1-Feb-2009.
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Luigi Pasini, Margherita Y Turco, Lucilla Luzi, Ewa Aladowicz, Ernesta Fagiani, Luisa Lanfrancone. (2009) Melanoma: targeting signaling pathways and RaLP. Expert Opinion on Therapeutic Targets 13:1, 93-104
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A. V. Danilov, O. V. Danilova, B. T. Huber. (2009) Cell cycle control and adhesion signaling pathways in the development of metastatic melanoma. Cancer and Metastasis Reviews 27:4, 707-714
Online publication date: 1-Jan-2009.
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Marc Moncrieff, Kerwin Shannon, Angela Hong, Peter Hersey, John Thompson. (2008) Dramatic reduction of chronic lymphoedema of the lower limb with sorafenib therapy. Melanoma Research 18:2, 161-162
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Authors:
Kevin Kalinsky
Frank G Haluska
Keywords:
acral
BAY 43-9006
BRAF
imatinib
KIT
MAP kinase
melanoma
mucosal
PTEN
RAS
solar elastosis


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