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Dual specificity mitogen-activated protein kinase kinase 1 and Dual specificity mitogen-activated protein kinase kinase 2 (MAP2K1 (for kinase 1), MAP2K2 (for kinase 2); commonly also MEK1 and MEK2)

Target
MAP2K1 (for kinase 1), MAP2K2 (for kinase 2); commonly also MEK1 and MEK2
Molecular classification
Enzyme, Kinase (specifically, serine/threonine and tyrosine protein kinase: dual specificity kinase), Signal transduction enzyme
01

Overview

Dual specificity mitogen-activated protein kinase kinase 1 (MAP2K1/MEK1) and kinase 2 (MAP2K2/MEK2) are closely related cytoplasmic kinases belonging to the MAP kinase kinase (MAPKK/MEK) family[1][2][5]. They play a central role in the MAPK/ERK signaling cascade, phosphorylating and activating ERK1 (MAPK3) and ERK2 (MAPK1) in response to upstream RAF activation. This pathway controls critical cellular processes such as proliferation, differentiation, survival, apoptosis, and cytoskeletal rearrangement[2][3][5][7][8]. MAP2K1/2 genes are essential during development and dysregulation (by mutation or overactivation) is implicated in various cancers and developmental syndromes[3][7]. MEK1/2 are major drug targets; MEK inhibitors are FDA-approved for certain cancers, though effectiveness can be limited by specific resistance mutations in MAP2K1[7].

Other names
MEK1MKK1MAPKK1PRKMK1MEK2MKK2MAPKK2PRKMK2CFC4MEKMAP kinase kinase
02

Mechanism of action

Inhibition of kinase activity, preventing phosphorylation and activation of downstream ERK1/2 (MAPK3/1), blocking cell proliferation and survival pathways. Induction of apoptosis in susceptible cells (notably cancer cells with MAPK pathway activation). Overcoming resistance mutations via tailored inhibitors (class-dependent activity, see Class 1/2/3 mutation distinction).

03

Biological functions

Signal transduction (MAPK/ERK pathway)Cell proliferationCell differentiationApoptosis (programmed cell death)Cell growth, adhesion, survival, and cytoskeletal rearrangement
04

Disease associations

Cancer (including melanoma, colorectal cancer, non–small cell lung cancer, Langerhans cell histiocytosis)Developmental disorders (e.g., cardiofaciocutaneous syndrome)Resistance to targeted therapies in cancerOther disorders with aberrant MAPK pathway signaling
05

Safety considerations

Skin rash, diarrhea, serous retinopathy (common with MEK inhibitors)Cardiotoxicity (including decreased ejection fraction)Resistance (genetic mutations in MAP2K1/2, or feedback activation via EGFR in colorectal cancer)Effects on embryonic and placental development with systemic inhibition
06

Interacting drugs

MEK inhibitors: trametinib, cobimetinib, binimetinib

1 more in the full profile.

07

Biomarkers

MAP2K1/2 gene mutations (companion diagnostics for MEK inhibitors)Phosphorylated ERK (p-ERK) as a global pathway activation markerRAF, KRAS/NRAS, BRAF mutation status (to select optimal targeted therapy)

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