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Mitogen-activated protein kinase kinase 1; Mitogen-activated protein kinase kinase 2 (MEK1 (for MAP2K1); MEK2 (for MAP2K2))

Target
MEK1 (for MAP2K1); MEK2 (for MAP2K2)
Molecular classification
Enzyme, Protein kinase (specifically dual-specificity kinase), Signal transducer (member of the STE7 protein kinase family)
01

Overview

Mitogen-activated protein kinase kinase 1 (MEK1) and mitogen-activated protein kinase kinase 2 (MEK2) are **dual-specificity kinases** central to the MAPK/ERK pathway, responsible for phosphorylating and activating ERK1/2 and thus driving *cell proliferation, differentiation, apoptosis,* and *transcriptional regulation*. Their dysregulation is implicated in cancer development, progression, and resistance to therapy, making them highly validated targets for selective inhibition by small molecule drugs. Both MEK1 and MEK2 are activated by upstream RAF kinases and in turn activate the ERK subfamily, integrating diverse extracellular signals into precise cellular responses. Selective MEK inhibitors are used clinically, most notably in BRAF-mutated melanoma and increasingly in other solid tumors and hematologic cancers, with ongoing research into additional indications and combination regimens[2][4][5][6][7].

Other names
MAP2K1 (MEK1)MAP2K2 (MEK2)MEKMAPKKdual-specificity mitogen-activated protein kinase kinase
02

Mechanism of action

Inhibition of MEK1/2: Prevent phosphorylation and activation of downstream MAPKs (especially ERK1/2), blocking cell proliferation and inducing apoptosis in cancer cells. Allosteric inhibition: Some drugs bind sites distinct from the ATP-binding pocket, modulating kinase activity. MEK degradation: Certain novel compounds act as MEK degraders rather than pure inhibitors.

03

Biological functions

Signal transductionCell proliferationCell differentiationApoptosisTranscription regulationCell survival
04

Disease associations

Cancer (including melanoma and various solid tumors)InflammationNeurodegenerative diseaseCardiovascular disease (emerging evidence)Infection (less frequently, as signaling intermediates)
05

Safety considerations

Class effects: Rash, diarrhea, fatigue (on-target toxicity due to pathway function in normal tissues)Cardiotoxicity (hypertension, reduced ejection fraction)Ocular toxicity (retinal vein occlusion specifically with some MEK inhibitors)Secondary malignancies (rare, but described)Resistance due to adaptive signaling or mutations in MAPK pathway components
06

Interacting drugs

Trametinib

5 more in the full profile.

07

Biomarkers

BRAF mutation status (particularly BRAF V600E in melanoma and colorectal cancer)RAS mutation statusPhospho-ERK levels (used to gauge pathway activity and inhibitor efficacy)

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