Gentilcoreetal.BMCCancer2013,13:17 http://www.biomedcentral.com/1471-2407/13/17 RESEARCH Open Access Effect of dabrafenib on melanoma cell lines V600D/R harbouring the BRAF mutations Giusy Gentilcore1, Gabriele Madonna1, Nicola Mozzillo1, Antoni Ribas2, Antonio Cossu3, Giuseppe Palmieri4 and Paolo A Ascierto1,5* Abstract Background: Conventional therapeutic agents are largely unsatisfactory into the treatment ofmalignant melanoma. Recently, an innovativeapproach based oninhibitors of themutated BRAF gene (which represents the most prevalent alteration inmelanoma patients) appears very promising from theclinical point of view. On this regard, a new compound, dabrafenib (GSK2118436), has been demonstrated to be effective inpatientscarrying the BRAFV600E/K mutations.We here tested dabrafenib for its capability to inhibit cell growthon primary melanoma cell lines, established from patients' tumour tissues and carrying the BRAFV600D/R mutations. Methods: Three melanoma cell lines were tested: M257 wild-type BRAF, LCP BRAFV600R and WM266 BRAFV600D. The MTT assays were performed using standardized approaches.To evaluate the inhibition of MAPKpathway and theconsequent inhibition ofcellular proliferation, thephosphorylation of ERKwas examined by Western Blot analysis performed ontotal protein extracts from cell lines after treatment with dabrafenib. Results: Our experiments demonstrated an effective action ofDabrafenib (GSK2118436)and theinhibition ofMAPK pathway inmelanoma cell lines carrying BRAFV600D/R mutations. Conclusion: These results could be helpful to enlarge thenumber of melanoma patients who maybenefitof a more effective targeted treatment. Keywords: BRAF inhibitor, Dabrafenib, Growth inhibition, Melanoma therapy Background ConstitutivelyactivatedERKthenstimulatescellprolifera- The mitogen-activated protein kinase (MAPK) pathway tion and survival, sustaining tumour maintenance and is a key regulator of cell cycle progression, commonly growth [2]. The remaining BRAF mutations are mostly activated in human tumours through somatic oncogenic represented by other V600 subtypes (V600K,V600D, and mutationsinRAS,RAF,andMEKgenes [1]. V600R), which account for about 8% of the pathogenetic In melanoma, the most commonly mutated compo- gene sequence variants [3]. In our experience, mutations nent of the MAPK pathway is the BRAF gene; among in BRAF gene occur in 43% of primary melanomas and others, the most prevalent BRAF mutation (nearly, 90% 48%ofmetastaticmelanomas[4]. of cases) is represented by a substitution of valine with A significant benefit in melanoma treatment has been glutamic acid at position 600 (V600E) [2]. This amino recently achieved with two selective inhibitors: vemura- acid change leads to oncogenic activation of BRAF, with fenib (PLX4032), which seems to particularly act on an increase of its kinase activity, and subsequent induc- BRAFV600E mutants (although it has been demonstrated tion of phosphorylation of the downstream ERK protein. toalsoinhibitproliferationofmelanomacelllinesexpres- sing other codon 600 BRAF mutations: V600D, V600K, and V600R) [5-7], and dabrafenib (GSK2118436), which *Correspondence:[email protected] 1DepartmentMelanoma,IstitutoNazionaleTumoriFondazionePascale, hasbeendemonstratedtomostlyinhibitthekinaseactivi- Naples,Italy tyinBRAFV600E/Kmutants[8,9]. 5UnitofMedicalOncologyandInnovativeTherapy,IstitutoNazionaleperlo Toinvestigatewhetherthislattercompoundmayexert StudioelaCuradeiTumori“FondazioneG.Pascale”,ViaMarianoSemmola, 80131,Naples,Italy inhibiting effects on a wider range of BRAF mutants Fulllistofauthorinformationisavailableattheendofthearticle ©2013Gentilcoreetal.;licenseeBioMedCentralLtd.ThisisanOpenAccessarticledistributedunderthetermsofthe CreativeCommonsAttributionLicense(http://creativecommons.org/licenses/by/2.0),whichpermitsunrestricteduse, distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited. Gentilcoreetal.BMCCancer2013,13:17 Page2of3 http://www.biomedcentral.com/1471-2407/13/17 (similarly to those previously reported with vemurafe- measured in duplicates every 24 hours for a period of nib/PLX4720 [5,7]), melanoma cell lines carrying the 7days,usingBurkercellcounts. two remaining most prevalent BRAF mutations (V600D andV600R)were here treatedwith dabrafeniband cellu- Results and discussion larproliferationwasthen assessed. Using a panel of melanoma cell lines derived from the establishment of excised primaryand metastatic tumours, Methods wehaveinvestigatedtheabilityofdabrafenibtobothexert To determine effects on proliferation, melanoma cell an antiproliferative activity on cultured melanoma cells linesweretreatedintriplicatewithincreasingconcentra- and block the ERK signalling induced by the mutated tions (3to100nM)ofdabrafenib for 72hrs. To evaluate BRAF. In our assay, the LCP melanoma cell line carried the occurrence of inhibitory effects on the ERK activa- theBRAFV600Rmutation,whereastheWM266melanoma tion, a Western Blot analysis was performed on total celllinepresentedtheBRAFV600D variant(Figure1A);the proteins extracted from cell lines after the 72-hrs treat- M257 melanoma cell line, with a wild-type BRAF, was ment with the BRAF inhibitor. In particular, the rate of usedascontrol. phosphorylated ERK was estimated on equal amounts Inourseries,dabrafenibshowedaremarkableinhibition of total protein for cell lysates; GAPDH was used as ofcellproliferationinbothmelanomacelllinescarryinga an internal control for total protein expression levels. mutated BRAF (regardless of the type of mutation, Cell doubling time was determined from cell numbers BRAFV600D or BRAFV600R), with lack of significant Figure1Effectsofdabrafenibinmelanomacelllines.A.BRAFmutationalstatusinourseriesofmelanomacelllines.B.Antiproliferative activityofincreasingconcentrationsofdabrafenibineachcellline,ascomparedwiththeuntreated(0)control.C.Inhibitoryeffectsofdabrafenib onERK phosphorylation,underthesameexperimentalconditions(drugconcentrationsandtimeoftreatment)asabove. 1-2 Gentilcoreetal.BMCCancer2013,13:17 Page3of3 http://www.biomedcentral.com/1471-2407/13/17 antiproliferative effects in control cells presenting a wild- 2. 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TrefzerUD,MinorD,RibasA,LebbeC,SiegfriedA,AryaN,GuckertM, Althoughcarriedoutonalimitedseriesofmelanomacell SchadendorfD,KeffordR,GrobJJ,HamidO,AmaravadiR,SimeoneE, lines, our study provided evidence that dabrafenib may TWilhelmT,KimK,GoodmanV,AsciertoPA:BREAK-2:aphaseIIAtrialof exert a wider inhibitory activity on oncogenic variants theselectiveBRAFkinaseinhibitorGSK2118436inpatientswithBRAF ofBRAF. mutation-positive(V600E/K)metastaticmelanoma.PigmentCellRes2011, 24:1020.abstractLBA1-1. 9. FalchookGS,LongGV,KurzrockR,KimKB,ArkenauTH,BrownMP, Abbreviation HamidO,InfanteJR,MillwardM,PavlickAC,O’DaySJ,BlackmanSC, MAPK:Mitogen-activatedproteinkinase. CurtisCM,LebowitzP,MaB,OuelletD,KeffordRF:Dabrafenibinpatients withmelanoma,untreatedbrainmetastases,andothersolidtumours: Competinginterests aphase1dose-escalationtrial.Lancet2012,379:1893–1901. DrPaoloA.AsciertoparticipatedtoAdvisoryBoardfromBristolMyers Squibb,MSD,RocheGenentech,GSK,andreceivedhonorariafromBrystol doi:10.1186/1471-2407-13-17 MyersSquibb,MSDandRoche-Genentech.Allremainingauthorsdeclarethe Citethisarticleas:Gentilcoreetal.:Effectofdabrafenibonmelanoma absenceofanyCompetingInterest. celllinesharbouringtheBRAFV600D/Rmutations.BMCCancer201313:17. Authors’contributions GGperformeddataacquisition,dataanalysis,preparationoftheillustration, anddraftedthemanuscript;GMcontributedindataanalysisanddraftofthe manuscript;NMcontributedininterpretationofthedata;ARcriticallyrevised themanuscript;ACcontributedindataanalysis;GPcollaboratedinthedraft ofthemanuscript;PAAconceivedandsupervisedthestudy,andrevisedthe manuscript.Allauthorsreadandapprovedthefinalversionofthe manuscript. Acknowledgments AuthorsthankGlaxoSmithandKlineforprovidingthedabrafenibforthis study.AspecialthankstotheFondazioneMelanomaOnlusforpartiallygrant thepresentwork. Authordetails 1DepartmentMelanoma,IstitutoNazionaleTumoriFondazionePascale, Naples,Italy.2DepartmentofMedicine,JonssonComprehensiveCancer Submit your next manuscript to BioMed Central Center,UCLA,LosAngeles,CA,USA.3DepartmentofPathology, and take full advantage of: Hospital-UniversityHealthUnit(AOU),Sassari,Italy.4InstituteofBiomolecular Chemistry,NationalResearchCouncil(ICB-CNR),Sassari,Italy.5UnitofMedical OncologyandInnovativeTherapy,IstitutoNazionaleperloStudioelaCura • Convenient online submission deiTumori“FondazioneG.Pascale”,ViaMarianoSemmola,80131,Naples, • Thorough peer review Italy. • No space constraints or color figure charges Received:25March2012Accepted:13November2012 • Immediate publication on acceptance Published:14January2013 • Inclusion in PubMed, CAS, Scopus and Google Scholar • Research which is freely available for redistribution References 1. NissanMH,SolitDB:The“SWOT”ofBRAFinhibitioninmelanoma: RAFinhibitors,MEKinhibitorsorboth?CurrOncolRep2011,13:479–487. 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