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RAF protein kinases (B-Raf, C-Raf, A-Raf) (RAF)

Target
RAF
Molecular classification
Enzyme, Protein kinase, Serine/threonine kinase, MAP kinase kinase kinase (MAP3K or MAPKKK)
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Overview

The RAF protein kinases (B-Raf, C-Raf, and A-Raf) are serine/threonine kinases that act as downstream effectors of RAS GTPases, initiating the MAPK/ERK signaling cascade crucial for regulating cell growth, survival, and differentiation. These kinases share a common structural organization, including an N-terminal regulatory region with a RAS-binding domain (RBD) and a cysteine-rich domain (CRD), and a C-terminal catalytic kinase domain. Activation involves RAS-mediated recruitment to the cell membrane and subsequent conformational changes leading to MEK phosphorylation and downstream ERK activation. Oncogenic mutations, particularly in BRAF (most famously V600E), drive constitutive pathway activation in many cancers. RAF proteins are validated drug targets, with multiple inhibitors in clinical use, but therapeutic resistance and paradoxical pathway activation remain significant clinical challenges.

Other names
BRAFB-Raf kinaseRAF1c-RafARAFA-Raf kinaseRAF protein kinasesRAF kinases
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Mechanism of action

Drugs targeting RAF proteins primarily inhibit their kinase activity, thereby blocking the phosphorylation of downstream MEK and ERK proteins in the RAS/MAPK signaling pathway. Some mechanisms also involve disrupting RAF dimerization or activation, thus regulating the overall MAPK pathway output.

03

Biological functions

Signal transductionCell proliferationRegulation of cell survival and apoptosisDifferentiation
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Disease associations

Cancer (notably melanoma, thyroid cancer, and others)Developmental disorders (RASopathies)Other diseases involving aberrant MAPK signaling
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Safety considerations

Paradoxical activation of MAPK pathway in cells with wild-type RAF, leading to secondary cancers (e.g., with first-generation BRAF inhibitors)Resistance due to RAF dimerization or pathway reactivationCutaneous adverse events (rash, squamous cell carcinomas with some BRAF inhibitors)Cardiac and hepatic toxicities
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Interacting drugs

Vemurafenib

4 more in the full profile.

07

Biomarkers

BRAF V600E mutation statusRAF expression/phosphorylation statusMAPK pathway activation signatures in tissue

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