Evidence map›Paper›PMID 34576054›Full record

ReviewInternational journal of molecular sciences2021

Immunomodulatory Properties of BRAF and MEK Inhibitors Used for Melanoma Therapy-Paradoxical ERK Activation and Beyond.

Thomas Jung, Maximilian Haist, Michael Kuske, Stephan Grabbe, Matthias Bros

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Tumor Microenvironment in Melanoma-Characteristic and Clinical Implications.International journal of molecular sciences · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Treatment management forJournal for immunotherapy of cancer · 2023
    Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. PD-L1Frontiers in immunology · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Thomas JungMedical Center, Department of Dermatology, University Mainz, Langenbeckstraße 1, 55131 Mainz, Germany.
Maximilian HaistMedical Center, Department of Dermatology, University Mainz, Langenbeckstraße 1, 55131 Mainz, Germany.ORCID 0000-0002-6720-7570
Michael KuskeMedical Center, Department of Dermatology, University Mainz, Langenbeckstraße 1, 55131 Mainz, Germany.ORCID 0000-0002-2598-9885
Stephan GrabbeMedical Center, Department of Dermatology, University Mainz, Langenbeckstraße 1, 55131 Mainz, Germany.ORCID 0000-0002-6863-8719
Matthias BrosMedical Center, Department of Dermatology, University Mainz, Langenbeckstraße 1, 55131 Mainz, Germany.
Johannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The advent of mitogen-activated protein kinase (MAPK) inhibitors that directly inhibit tumor growth and of immune checkpoint inhibitors (ICI) that boost effector T cell responses have strongly improved the treatment of metastatic melanoma. In about half of all melanoma patients, tumor growth is driven by gain-of-function mutations of BRAF (v-rat fibrosarcoma (Raf) murine sarcoma viral oncogene homolog B), which results in constitutive ERK activation. Patients with a BRAF mutation are regularly treated with a combination of BRAF and MEK (MAPK/ERK kinase) inhibitors. Next to the antiproliferative effects of BRAF/MEKi, accumulating preclinical evidence suggests that BRAF/MEKi exert immunomodulatory functions such as paradoxical ERK activation as well as additional effects in non-tumor cells. In this review, we present the current knowledge on the immunomodulatory functions of BRAF/MEKi as well as the non-intended effects of ICI and discuss the potential synergistic effects of ICI and MAPK inhibitors in melanoma treatment.

Indexed as

AnimalsHumansImmunomodulationMAP Kinase Kinase KinasesMAP Kinase Signaling SystemMelanomaMiceMutationProtein Kinase InhibitorsProto-Oncogene Proteins B-rafBRAF protein, humanMAP Kinase Kinase KinasesProtein Kinase InhibitorsProto-Oncogene Proteins B-rafBRAFCTLA-4immune checkpoint inhibitorsimmunological effectsinflammasomeMEKmetastatic melanomaparadoxical ERK activationPD-1PD-L1targeted therapytumor microenvironment

Identifiers

PMID34576054
PMCPMC8469254
OpenAlexW3200436128

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.