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New Hope for Treating BRAF Mutant Gliomas

Combining SHP2 and BRAF inhibitors shows promise in fighting stubborn gliomas.

Abiola A. Ayanlaja, Michael Chang, Kriti Lalwani, Maria Ioannou, Jiawan Wang, Shreya Jagtap, Yanbo Yang, Robyn D. Gartrell, Christine A. Pratilas, Karisa C. Schreck

― 5 min read


Fighting Gliomas: SHP2 Fighting Gliomas: SHP2 and BRAF brain tumors. New combos show potential against tough
Table of Contents

Gliomas are a type of brain tumor that arise from glial cells. They are known for being particularly tricky to treat. Scientists and doctors have been working hard to categorize these tumors based on their unique characteristics, particularly their molecules. This classification helps in understanding the best treatment options for patients. One major challenge with gliomas is their ability to resist treatment, which can lead to problems for doctors and patients alike.

BRAF Mutant Gliomas

A specific type of glioma is the BRAF mutant glioma, which has a mutation in the BRAF gene. This mutation causes the cancer cells to send out signals that tell them to grow and divide. Fortunately, researchers have developed special medications called Targeted Therapies that can help fight these tumors. Some of these therapies are small molecule inhibitors that focus specifically on the BRAF mutation, and they have received approval from health authorities.

However, response to these targeted therapies can be a mixed bag. Many patients with BRAF mutant gliomas do see improvements, while others do not. This inconsistency may be due to additional mutations within the tumor or the complex nature of the tumor itself. Even for patients who do respond to treatment, their tumors can eventually start growing again after a while, creating a frustrating cycle.

The Concept of Resistance

Resistance to treatment can occur in two main ways: adaptive resistance and acquired resistance. Adaptive resistance happens when cancer cells find ways to bypass the effects of treatment through clever workarounds. Acquired resistance, on the other hand, occurs when cells develop new mutations that allow them to survive even when the targeted therapy is used.

In the quest to defeat these smart cancer cells, scientists have been investigating various strategies. Some researchers focus on combination therapies, which means using more than one treatment at the same time. These combinations aim to hit the cancer from different angles, making it harder for the tumor to adapt and survive.

The Role of SHP2 in Resistance

One critical player in the signaling battle between glioma cells and treatments is a protein called SHP2. SHP2 helps relay growth signals inside the cancer cell. Some studies suggest that this protein could play a significant role in the resistance mechanisms that gliomas exhibit against targeted therapies.

Researchers have been examining how inhibiting SHP2 might help prevent cancer cells from adapting to treatment. They believe that by blocking SHP2, they could cut off the signal that helps cancer cells grow, making it easier for other treatments to work effectively.

Investigating Resistance Mechanisms

In their research, scientists looked at samples from patients with BRAF mutant gliomas who were being treated. They discovered that even after treatment, some patients’ tumors still showed signs of active signaling pathways that promote growth. This finding indicated that the cancer cells were managing to maintain their growth signals despite being treated with targeted therapies.

In studies involving various glioma cell lines, they confirmed that reactivation of specific signaling pathways was a common response when the cells were treated with BRAF inhibitors. If the cancer cells can turn these signals back on, it becomes a game of cat and mouse, with the tumor constantly adapting to therapy.

Testing New Approaches

To combat this problem, researchers decided to test a combination strategy. They wanted to see if inhibiting SHP2 along with using BRAF inhibitors could keep those pesky signaling pathways in check longer. In their experiments, they compared the effects of single treatments versus the combination of SHP2 inhibitors and BRAF inhibitors.

What they found was exciting. The combination treatment appeared to suppress the ERK signaling pathway more effectively than either treatment alone. Not only did this approach seem to work better in lab environments, but it also showed promise in living models, where mice were subjected to the combined treatment.

In Vivo Studies

In the real-world setting with mice, the results were promising. When mice with implanted tumors were treated with both a BRAF inhibitor and the SHP2 inhibitor, researchers observed a notable decrease in tumor growth. The tumors seemed to shrink effectively, which is the kind of news any oncologist would love to hear. The approach proved to be not just effective but also well-tolerated by the animals.

The next question was whether this combination therapy could really help patients in the long run. Could it improve survival rates for those battling aggressive gliomas? To find out, the researchers started a series of studies focused on monitoring the effects over time.

Preclinical Success

Initial findings were encouraging. The combination treatment outperformed standard therapies in preclinical models for gliomas. It seemed to offer a new lifeline for those affected by these challenging tumors. This kind of research is vital because it provides hope for the development of future treatments that could extend life and improve quality of life for patients with gliomas.

While these findings present a positive step forward, researchers know that there is still much work to do. The road from lab to clinic is long and filled with regulatory hurdles, but the promise of a more effective treatment for gliomas is worth the journey.

Conclusion: The Future of Glioma Treatment

In summary, gliomas are not just run-of-the-mill tumors; they put up quite the fight against treatment. However, ongoing research into the mechanisms of resistance and new therapeutic strategies shows promise. The combination of SHP2 inhibitors with BRAF inhibitors may provide a robust approach to treating BRAF mutant gliomas.

As scientists continue to learn more about the ins and outs of these tumors, the hope is to find ways to outsmart them, giving patients better outcomes and perhaps a few more years to enjoy life. After all, a little humor in the face of a stubborn tumor might just be the key to a great day at the lab!

Original Source

Title: Combined inhibition of SHP2 overcomes adaptive resistance to type 1 BRAF inhibitors in BRAF V600E-driven high-grade glioma

Abstract: BRAF-mutant gliomas can be therapeutically targeted with BRAF mutant-selective inhibitors, yet responses are often transient due to short-term adaptive or long-term treatment-emergent resistance. We hypothesized that vertical inhibition of multiple signaling nodes could improve the durability of BRAF inhibition and prevent or overcome adaptive resistance. Using human tissue samples, we identified frequent RAS pathway reactivation in gliomas resistant to BRAF inhibitors, suggesting a common escape mechanism. Using patient-derived cell lines, we observed that upregulation of RAS activity was an adaptive response to BRAFi and that knockdown of SHP2, a central regulator of RAS activity, resulted in enhanced sensitivity to BRAF or MEK inhibition. Moreover, combined small molecule inhibition with SHP2 and BRAF or MEK inhibitors increased the depth and durability of ERK pathway inhibition, as well as prevented paradoxical upregulation of RAS activity. RNA sequencing analysis revealed deeper suppression of ERK transcriptional output with combined therapy, along with decreased reactivation of EGFR. Combined SHP2/BRAF small molecule inhibitors prevented growth and induced cell death in some cell line models. In cell lines with treatment-emergent resistance, moreover, combined SHP2 and BRAF inhibition overcame resistance to BRAF inhibitor monotherapy. In vivo orthotopic and patient-derived xenograft models confirmed enhanced tumor growth inhibition with combined therapy. Together, our findings demonstrate the critical role of RAS/ERK signaling reactivation in driving resistance to BRAF inhibition in glioma, and demonstrate the potential utility for adding SHP2 inhibitors to overcome resistance in BRAF V600E mutant glioma. SignificanceThe addition of a SHP2i to BRAFi in BRAF-V600E glioma cells prevents tumor growth and can overcome resistance to BRAFi in preclinical models in vitro and in vivo.

Authors: Abiola A. Ayanlaja, Michael Chang, Kriti Lalwani, Maria Ioannou, Jiawan Wang, Shreya Jagtap, Yanbo Yang, Robyn D. Gartrell, Christine A. Pratilas, Karisa C. Schreck

Last Update: Dec 22, 2024

Language: English

Source URL: https://www.biorxiv.org/content/10.1101/2024.12.21.629454

Source PDF: https://www.biorxiv.org/content/10.1101/2024.12.21.629454.full.pdf

Licence: https://creativecommons.org/licenses/by/4.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to biorxiv for use of its open access interoperability.

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