Estrès metabòlic com a via per al tractament del melanoma mutat en NRAS
- Autores: Kimberley McGrail Fernández
- Directores de la Tesis: Juan Ángel Recio Conde (dir. tes.)
- Lectura: En la Universitat Autònoma de Barcelona ( España ) en 2021
- Idioma: español
- Tribunal Calificador de la Tesis: Joan Seoane Suarez (presid.), Cristina Muñoz-Pinedo (secret.), María Soledad Soengas González (voc.)
- Programa de doctorado: Programa de Doctorado en Bioquímica, Biología Molecular y Biomedicina por la Universidad Autónoma de Barcelona
- Materias:
- Enlaces
- Tesis en acceso abierto en: TDX
- Resumen
BRAF and NRAS are the most commonly found mutated genes in cutaneous melanoma. Alterations in these genes result in the constitutive activation of the RAS-ERK1/2 pathway, contributing to tumor development and progression. Beside both genes are consecutive located in the same signaling cascade, BRAF and NRAS mutated tumors are considered two different entities at clinical and molecular levels, resulting in distinct signaling patterns and different biological behavior. Furthermore, while there is a first line of treatment using targeted therapy against BRAF mutant melanomas, NRAS mutant tumors remain without specific line of treatment, showing low response rates and high toxicity to the currently applied therapies. Thus, the understanding of the molecular differences between BRAF and NRAS mutant tumors is essential to improve therapeutic opportunities for the treatment of patients carrying NRAS mutations.
Previous results in our group, together with additional investigations, have highlighted the presence of different metabolic settings subjected to BRAFV600E oncogene regulation. However, little is known about the role of NRAS mutations in metabolic rewiring. Deciphering metabolic settings in NRAS mutant melanomas could provide new avenues for the establishment of specific therapeutic approaches against these, until now, untargetable tumors.
In this study, we have investigated the molecular implications of glucose starvation in NRASQ61 and BRAFV600E mutant cells in order to establish whether the presence of NRAS-dependent metabolic settings can be exploited for the development of targeted therapies against NRAS mutant melanomas. Overall, in this study we have demonstrated the presence of NRASQ61 oncogene-dependent metabolic settings. NRASQ61 mutant cells show a differential response to metabolic stress when compared to BRAFV600E mutant cells, which results in the hyperactivation of the RAS-ERK1/2 pathway and the sensitization to the multikinase inhibitor Sorafenib. PFKFB2, PFKFB3 and PFK-1 are key players in the regulation of this process. We also propose a novel approach for the specific targeting of NRASQ61 mutant melanomas based on the combination of 2-deoxy-D-glucose (2DG) and Sorafenib. We conclude that NRAS and BRAF mutant tumors are different entities at different levels, not only at molecular and clinical levels but also at metabolic level and this fact provides a new therapeutic window for the targeting of NRAS mutant tumors.
