Annotation Detail

Information
Associated Genes
NRAS
Associated Variants
NRAS MUTATION
NRAS MUTATION
Associated Disease
melanoma
Source Database
CIViC Evidence
Description
In six NRAS mutant melanoma cell lines, concomitant use of MEK inhibitor and PI3K/mTOR inhibitor resulted in greater decrease in cell viability than either alone, with the synergistic effect being marked in 4/6 cell lines. MEK inhibitor JTP-74057 and PI3K/mTOR inhibitor GSK2126458 together induced synergistic increase in apoptotic Annexin V+/PI+ cells in these cell lines. Tumor xenografts in nude mice were established with 5 of the 6 cell lines. Effects of single agent treatment with JTP-74057 or GSK2126458 ranged from minor inhibition to tumor stasis, while dual inhibitor treatment showed synergistic effects in each case, with marked tumor reductions in 2/5 cases and the authors report one compete response in a MaMel301 cell line xenograft mouse.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1429
Gene URL
https://civic.genome.wustl.edu/links/genes/36
Variant URL
https://civic.genome.wustl.edu/links/variants/208
Rating
4
Evidence Type
Predictive
Disease
Melanoma
Evidence Direction
Supports
Drug
Omipalisib,Trametinib
Evidence Level
D
Clinical Significance
Sensitivity/Response
Pubmed
23431193
Drugs
Drug NameSensitivitySupported
OmipalisibSensitivitytrue
TrametinibSensitivitytrue