Novel therapy: Combined BRAF and MEK inhibitors for locally advanced BRAF V600L–Positive mucosal melanoma in hypopharynx

Locoregionally advanced mucosal melanoma, particularly when harboring the BRAF V600L mutation and situated in the hypopharynx, presents a therapeutic challenge due to limited treatment options and aggressive behavior. Traditional modalities often yield unsatisfactory outcomes, prompting the explorat...

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Main Author: Sivakamavalli Jeyachandran
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Oral Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772906024003777
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author Sivakamavalli Jeyachandran
author_facet Sivakamavalli Jeyachandran
author_sort Sivakamavalli Jeyachandran
collection DOAJ
description Locoregionally advanced mucosal melanoma, particularly when harboring the BRAF V600L mutation and situated in the hypopharynx, presents a therapeutic challenge due to limited treatment options and aggressive behavior. Traditional modalities often yield unsatisfactory outcomes, prompting the exploration of novel therapeutic approaches. A cutting-edge strategy involves the administration of combined BRAF and MEK inhibitors, targeting specific molecular pathways implicated in mucosal melanoma pathogenesis. BRAF inhibitors, such as vemurafenib and dabrafenib, block mutated BRAF activity, while MEK inhibitors, like trametinib and cobimetinib, target downstream components of the MAPK pathway. This synergistic combination overcomes resistance mechanisms and enhances treatment efficacy. Recent case studies and clinical trials have reported promising results, including improved response rates and prolonged progression-free survival in patients with locoregionally advanced, BRAF V600L–positive mucosal melanoma of the hypopharynx. These findings underscore the potential of combined BRAF and MEK inhibition as a novel therapeutic paradigm for this challenging disease subtype, warranting further investigation to optimize its integration into clinical practice.
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series Oral Oncology Reports
spelling doaj-art-08545a7b989f4fd49da4127eda8cfcb82025-01-09T06:16:39ZengElsevierOral Oncology Reports2772-90602024-06-0110100531Novel therapy: Combined BRAF and MEK inhibitors for locally advanced BRAF V600L–Positive mucosal melanoma in hypopharynxSivakamavalli Jeyachandran0Lab in Biotechnology and Biosignal Transduction, Department of Orthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, 77, Tamil Nadu, IndiaLocoregionally advanced mucosal melanoma, particularly when harboring the BRAF V600L mutation and situated in the hypopharynx, presents a therapeutic challenge due to limited treatment options and aggressive behavior. Traditional modalities often yield unsatisfactory outcomes, prompting the exploration of novel therapeutic approaches. A cutting-edge strategy involves the administration of combined BRAF and MEK inhibitors, targeting specific molecular pathways implicated in mucosal melanoma pathogenesis. BRAF inhibitors, such as vemurafenib and dabrafenib, block mutated BRAF activity, while MEK inhibitors, like trametinib and cobimetinib, target downstream components of the MAPK pathway. This synergistic combination overcomes resistance mechanisms and enhances treatment efficacy. Recent case studies and clinical trials have reported promising results, including improved response rates and prolonged progression-free survival in patients with locoregionally advanced, BRAF V600L–positive mucosal melanoma of the hypopharynx. These findings underscore the potential of combined BRAF and MEK inhibition as a novel therapeutic paradigm for this challenging disease subtype, warranting further investigation to optimize its integration into clinical practice.http://www.sciencedirect.com/science/article/pii/S2772906024003777BRAFMEKHypopharynxTherapeutics
spellingShingle Sivakamavalli Jeyachandran
Novel therapy: Combined BRAF and MEK inhibitors for locally advanced BRAF V600L–Positive mucosal melanoma in hypopharynx
Oral Oncology Reports
BRAF
MEK
Hypopharynx
Therapeutics
title Novel therapy: Combined BRAF and MEK inhibitors for locally advanced BRAF V600L–Positive mucosal melanoma in hypopharynx
title_full Novel therapy: Combined BRAF and MEK inhibitors for locally advanced BRAF V600L–Positive mucosal melanoma in hypopharynx
title_fullStr Novel therapy: Combined BRAF and MEK inhibitors for locally advanced BRAF V600L–Positive mucosal melanoma in hypopharynx
title_full_unstemmed Novel therapy: Combined BRAF and MEK inhibitors for locally advanced BRAF V600L–Positive mucosal melanoma in hypopharynx
title_short Novel therapy: Combined BRAF and MEK inhibitors for locally advanced BRAF V600L–Positive mucosal melanoma in hypopharynx
title_sort novel therapy combined braf and mek inhibitors for locally advanced braf v600l positive mucosal melanoma in hypopharynx
topic BRAF
MEK
Hypopharynx
Therapeutics
url http://www.sciencedirect.com/science/article/pii/S2772906024003777
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