Target intelligence / Profile preview

B-Raf protein kinase and C-Raf protein kinase (BRAF and CRAF (also known as RAF1))

Target
BRAF and CRAF (also known as RAF1)
Molecular classification
Enzyme, Protein kinase, Serine/threonine-protein kinase, MAP kinase kinase kinase (MAP3K/RAF family)
01

Overview

B-Raf protein kinase (BRAF) and C-Raf protein kinase (CRAF, also known as RAF1) are members of the RAF family of serine/threonine-protein kinases that act as direct effectors of RAS GTPases within the RAS-RAF-MEK-ERK signaling pathway[2][3][4][5]. Upon activation by GTP-bound RAS, BRAF and CRAF undergo conformational changes, dimerize, and activate downstream MEK1/2 kinases, which further phosphorylate ERK1/2, ultimately regulating gene expression and controlling cell proliferation, differentiation, survival, and apoptosis[2][4]. Mutations, particularly the V600E substitution in BRAF, are well-established drivers in various human cancers, most notably melanoma, and germline mutations in BRAF or CRAF are causative for certain developmental syndromes known as RASopathies[2][3][4][5]. RAF inhibitors such as vemurafenib and dabrafenib are used clinically in cancers harboring BRAF V600 mutations, but therapeutic challenges such as paradoxical MAPK pathway activation and resistance mechanisms are significant considerations[6].

Other names
BRAFCRAFRAF1 (for CRAF)v-Raf murine sarcoma viral oncogene homolog B1 (BRAF)RAF proto-oncogene serine/threonine-protein kinase (both)Raf kinaseSerine/threonine-protein kinase B-Raf/C-Raf
02

Mechanism of action

Inhibition of kinase activity (prevents phosphorylation of downstream targets MEK1/2) Blockade of RAF dimerization (for some drugs) Disruption of RAS-RAF-MEK-ERK signaling pathway

03

Biological functions

Signal transductionRegulation of cell growth and differentiationCell proliferationApoptosisDevelopmental processesCell survival
04

Disease associations

Cancer (including melanoma, lung, colorectal, thyroid, and others)RASopathy developmental syndromesOther (involved in other proliferative diseases)
05

Safety considerations

Paradoxical activation of MAPK pathway (especially in wild-type BRAF or RAS-mutant tumors, leading to accelerated cancer growth with some inhibitors)Secondary malignancies (cutaneous squamous cell carcinoma)Drug resistance (relapse and resistance mutations)Cardiovascular toxicityDermatologic toxicities
06

Interacting drugs

Vemurafenib (BRAF-specific inhibitor)

5 more in the full profile.

07

Biomarkers

BRAF V600E mutation (predictive biomarker for BRAF inhibitors in melanoma and other cancers)pERK (phosphorylated ERK, downstream pathway activity)RAF1 expression (in some contexts)RAS mutation status (can influence inhibitor efficacy and resistance)

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