Target intelligence / Profile preview

Mitogen-activated protein kinase pathway (RAF-MEK-ERK) (MAPK pathway)

Target
MAPK pathway
Molecular classification
Kinase signaling pathway, Enzyme cascade, Intracellular signaling cascade
01

Overview

The RAF–MEK–ERK pathway, also known as the mitogen-activated protein kinase (MAPK) pathway, is a fundamental signal transduction cascade that conveys extracellular signals from cell surface receptors to the nucleus [1]. This pathway plays a central role in regulating essential cellular processes such as proliferation, differentiation, and survival [2]. In many human malignancies, the pathway is constitutively activated by mutations in upstream components like RAS or RAF, making it a primary driver of oncogenesis [3]. Consequently, the pathway is a major focus of oncology drug development, with several approved inhibitors targeting BRAF and MEK kinases [4]. While these targeted therapies have significantly improved outcomes in patients with BRAF-mutant cancers, their long-term efficacy is often limited by the emergence of complex resistance mechanisms and paradoxical pathway activation [2][5].

Other names
Ras-Raf-MEK-ERK pathwayMAPK/ERK pathwayERK signaling pathwayMAPK cascade
02

Mechanism of action

Small molecule inhibition of specific protein kinases (RAF, MEK, or ERK) within the cascade to block downstream signaling, thereby inhibiting tumor cell growth and inducing apoptosis [1][3].

03

Biological functions

Cell proliferationCell differentiationCell survivalApoptosis regulationSignal transductionGene expression regulation
04

Disease associations

CancerMelanomaNon-small cell lung cancerColorectal cancerThyroid cancerRASopathiesNoonan syndrome
05

Safety considerations

Paradoxical activation of the MAPK pathway leading to secondary cutaneous squamous cell carcinomas [4]Acneiform dermatitis and other skin toxicitiesCardiotoxicity (e.g., decreased left ventricular ejection fraction)Ocular toxicities (e.g., retinal vein occlusion)Development of acquired resistance through bypass signaling or secondary mutations [2]
06

Interacting drugs

Vemurafenib

7 more in the full profile.

07

Biomarkers

BRAF V600E mutationBRAF V600K mutationNRAS mutationKRAS mutationPhosphorylated ERK (p-ERK) levels

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