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AXL is a novel ERK5/KLF4 target in MEK inhibitor-treated melanoma - PubMed

6 hours ago
  • #AXL Signaling
  • #Melanoma
  • #Therapy Resistance
  • The RAS/RAF/MEK/ERK1/2 MAPK pathway is a key treatment target in advanced BRAF-mutated melanoma, often using BRAF and MEK inhibitors, but therapy resistance limits its effectiveness.
  • NRAS-mutant melanomas lack targetable BRAF oncogenes and show poor response to MEK inhibitors, with compensatory activation of the MEK5/ERK5 pathway potentially driving resistance.
  • In NRAS-mutant melanoma, MEK inhibitor exposure induces compensatory ERK5 activation and upregulates KLF2 and KLF4, but these factors were found dispensable for proliferative and anti-apoptotic effects in resistance.
  • AXL, a receptor tyrosine kinase linked to metastasis and phenotypic switching, was identified as a critical ERK5/KLF4 target induced during MEK inhibitor resistance.
  • Loss of KLF4 or depletion of AXL reduced melanoma cell migration and invasion, indicating KLF4's role in regulating invasiveness and the ERK5/KLF4/AXL axis in driving resistance and metastatic potential.
  • Targeting the ERK5/KLF4/AXL signaling axis may improve MAPK-directed therapies and potentially enhance immune therapies in NRAS-mutant melanoma.