BRAF (v-raf murine sarcoma viral oncogene homolog B1)
2020-05-01 Enric Domingo   AffiliationOncologia Molecular i Envelliment, Centre dInvestigacions en Bioqumica i Biologia Molecular (CIBBIM) Hospital Universitari Vall dHebron Passeig Vall dHebron 119-129 Barcelona 08035, Catalonia, Spain
Identity

Abstract
Review on BRAF, with data on DNA, on the protein encoded, and where the gene is implicated.
DNA/RNA
Description
Transcription
Pseudogene
Proteins
Note

Description
Expression
Localisation
Function
Homology
Mutations
Note



Germinal
Somatic
BRAF mutations can be classified into 3 subtypes depending on their effect on BRAF activity. Class 1 mutations function as an active monomer and are Ras-independent as they do not require any upstream signaling from Ras. Mutations in codon 600 like the main hotspot are examples of Class 1 mutations. Class 2 mutations are also Ras-independent but they act as dimers (eg K601E, K601N, K601T, L597Q, L597V, G469A, G469V, G469R, G464V). Class 3 are mutations that inactivate the kinase domain but strikingly result in higher MAPK signalling. This is because these are Ras-dependent mutations that also provide higher affinity to both Ras and RAF1 (CRAF), resulting in increased downstream signalling. Examples of Class 3 mutations are D287H, V459L, G466V, G466E, G466A, S467L, G469E, N581S, N581I, D594N, D594G, D594A, D594H, F595L, G596D.
Mutations in the Ras genes HRAS, KRAS or NRAS are not concomitant with BRAF mutations (Figure 4), strongly suggesting same pathway activation. The exception are Class 3 BRAF mutations, probably because they benefit from upstream pathway overactivation by Ras mutations.
BRAF-V600E is not present in other tumours like high-grade ovarian serous carcinoma, gastric cancer, esophageal cancer, endometrial cancer, uveal melanoma, biliary tract cancer or hepatocellular carcinoma.. Gene fusions retaining an intact kinase domain of BRAF have been found in different tumour types at frequencies below 3%.
Epigenetics
Implicated in
BRAF mutations in melanoma are associated with younger age at diagnosis, superficial spreading or nodular histology, anatomical regions without chronic sun damage and higher chances to metastasise to the brain.
Recently, it has been suggested that BRAF V600E colorectal cancers may be classified in two distinct subtypes based on their RNA expression patterns: BM1 (KRAS/AKT pathway activation, mTOR/4EBP deregulation, epithelial-mesenchymal transition) and BM2 (cell cycle deregulation).
Although mutations in the upstream genes KRAS and NRAS are good biomarkers for lack of response to EGFR inhibition, BRAF V600E mutation does not seem to provide such information. Conversely, atypical non-V600E BRAF mutations do seem to be associated with resistance to EGFR inhibition.
Unlike melanoma, BRAF inhibitors in colorectal cancer have not proved to be effective due to rapid feedback activation of the EGFR pathway by a wide range of different molecular alterations. However, the first results of the BEACON clinical trial suggest that combining encorafenib (BRAF inhibitor) and cetuximab (EGFR inhibitor) with or without binimetinib (MEK inhibitor) may improve response and survival than standard therapy in BRAF-V600E metastatic colorectal cancer patients.
Inhibition of BRAF by two multikinase inhibitors, sorafenib and levantinib, are established therapeutic options for papillary thyroid tumours refractory to radioiodine therapy. Single agent inhibition specific for BRAF V600E mutation by vemurafenib and dabrafenib is not used as the clinical benefit was not considered reasonable compared to the toxicity provided. These two agents improved progression free survival but did not have much effect on overall survival. Several clinical trials are underway testing different combinations of BRAF inhibition with other agents targeting pathways related with resistance.
| TISSUE TYPE | CELL LINE | BRAF MUT | TISSUE TYPE | CELL LINE | BRAF MUT |
| SKIN | WM2664 | V600E V600D | LUNG | NCIH650 | WT |
| SKIN | IGR1 | V600E V600K V600M | LUNG | NCIH661 | WT |
| LARGE INTESTINE | MDST8 | V600E V600K V600M | LUNG | CALU1 | WT |
| LARGE INTESTINE | HT55 | N581Y | LUNG | NCIH2405 | L485_P490delinsF P490Yfs*11 L485Yfs*14 |
| THYROID | TT2609C02 | WT |
Article Bibliography
| Pubmed ID | Last Year | Title | Authors |
|---|---|---|---|
| 25417114 | 2014 | Integrated genomic characterization of papillary thyroid carcinoma. | |
| 27354468 | 2017 | BRAF V600E Mutant Colorectal Cancer Subtypes Based on Gene Expression. | Barras D et al |
| 12697856 | 2003 | BRAF mutation in papillary thyroid carcinoma. | Cohen Y et al |
| 31540406 | 2019 | BRAF Inhibitors in Thyroid Cancer: Clinical Impact, Mechanisms of Resistance and Future Perspectives. | Crispo F et al |
| 12068308 | 2002 | Mutations of the BRAF gene in human cancer. | Davies H et al |
| 30042065 | 2018 | Mutation burden and other molecular markers of prognosis in colorectal cancer treated with curative intent: results from the QUASAR 2 clinical trial and an Australian community-based series. | Domingo E et al |
| 14695993 | 2004 | Activated BRAF targets proximal colon tumors with mismatch repair deficiency and MLH1 inactivation. | Domingo E et al |
| 15342696 | 2004 | BRAF screening as a low-cost effective strategy for simplifying HNPCC genetic testing. | Domingo E et al |
| 15782118 | 2005 | BRAF-V600E is not involved in the colorectal tumorigenesis of HNPCC in patients with functional MLH1 and MSH2 genes. | Domingo E et al |
| 23165447 | 2013 | Use of multivariate analysis to suggest a new molecular classification of colorectal cancer. | Domingo E et al |
| 23550210 | 2013 | Integrative analysis of complex cancer genomics and clinical profiles using the cBioPortal. | Gao J et al |
| 31068700 | 2019 | Next-generation characterization of the Cancer Cell Line Encyclopedia. | Ghandi M et al |
| 28486044 | 2017 | (Non-V600) BRAF Mutations Define a Clinically Distinct Molecular Subtype of Metastatic Colorectal Cancer. | Jones JC et al |
| 31566309 | 2019 | Encorafenib, Binimetinib, and Cetuximab in BRAF V600E-Mutated Colorectal Cancer. | Kopetz S et al |
| 21343559 | 2011 | Prognostic and clinicopathologic associations of oncogenic BRAF in metastatic melanoma. | Long GV et al |
| 12781369 | 2003 | Raf proteins and cancer: B-Raf is identified as a mutational target. | Mercer KE et al |
| 32010589 | 2019 | Targeting BRAF mutations in non-small cell lung cancer. | O'Leary CG et al |
| 16953233 | 2007 | KRAS and BRAF oncogenic mutations in MSS colorectal carcinoma progression. | Oliveira C et al |
| 19383313 | 2008 | Human cutaneous melanoma; a review of NRAS and BRAF mutation frequencies in relation to histogenetic subclass and body site. | Platz A et al |
| 12447372 | 2003 | High frequency of BRAF mutations in nevi. | Pollock PM et al |
| 26314551 | 2016 | The distribution of BRAF gene fusions in solid tumors and response to targeted therapy. | Ross JS et al |
| 19206169 | 2009 | Germline BRAF mutations in Noonan, LEOPARD, and cardiofaciocutaneous syndromes: molecular diversity and associated phenotypic spectrum. | Sarkozy A et al |
| 27993800 | 2017 | Investigating the poor outcomes of BRAF-mutant advanced colorectal cancer: analysis from 2530 patients in randomised clinical trials. | Seligmann JF et al |
| 23741067 | 2013 | Somatic profiling of the epidermal growth factor receptor pathway in tumors from patients with advanced colorectal cancer treated with chemotherapy ± cetuximab. | Smith CG et al |
| 31353365 | 2019 | Exploring the best treatment options for BRAF-mutant metastatic colon cancer. | Taieb J et al |
| 20802181 | 2010 | BRAF mutation is rare in advanced-stage low-grade ovarian serous carcinomas. | Wong KK et al |
| 28783719 | 2017 | Tumours with class 3 BRAF mutants are sensitive to the inhibition of activated RAS. | Yao Z et al |
| 31426419 | 2019 | Targeting Oncogenic BRAF: Past, Present, and Future. | Zaman A et al |
Other Information
Locus ID:
NCBI: 673
MIM: 164757
HGNC: 1097
Ensembl: ENSG00000157764
Variants:
dbSNP: 673
ClinVar: 673
TCGA: ENSG00000157764
COSMIC: BRAF
RNA/Proteins
Expression (GTEx)
Pathways
Protein levels (Protein atlas)
PharmGKB
| Entity ID | Name | Type | Evidence | Association | PK | PD | PMIDs |
|---|---|---|---|---|---|---|---|
| PA165946873 | vemurafenib | Chemical | LabelAnnotation, Pathway, VipGene | associated | |||
| PA166114911 | dabrafenib | Chemical | LabelAnnotation, VariantAnnotation, VipGene | associated | PD | ||
| PA166115364 | trametinib | Chemical | LabelAnnotation | associated | |||
| PA166124615 | pembrolizumab | Chemical | LabelAnnotation | associated | |||
| PA166129522 | nivolumab | Chemical | LabelAnnotation | associated | |||
| PA166157522 | rs113488022 | Variant | LabelAnnotation, VipGene | associated | 22535154, 23116250, 12068308 | ||
| PA166160044 | cobimetinib | Chemical | LabelAnnotation | associated | |||
| PA166179867 | binimetinib | Chemical | LabelAnnotation | associated | |||
| PA166179872 | encorafenib | Chemical | LabelAnnotation | associated | |||
| PA212 | KCNH2 | Gene | MultilinkAnnotation | associated | 26431495 | ||
| PA29444 | HRAS | Gene | Pathway | associated | 28362716 | ||
| PA30196 | KRAS | Gene | MultilinkAnnotation, Pathway | associated | 14513361, 28362716 | ||
| PA30584 | MAP2K1 | Gene | Pathway | associated | 28362716 | ||
| PA30587 | MAP2K2 | Gene | Pathway | associated | 28362716 | ||
| PA30932 | MRAS | Gene | Pathway | associated | |||
| PA31768 | NRAS | Gene | Pathway | associated | 28362716 | ||
| PA34861 | RRAS | Gene | Pathway | associated | |||
| PA444903 | Melanoma | Disease | MultilinkAnnotation | associated | 12068308, 12957284 | ||
| PA445062 | Neoplasms | Disease | VipGene | associated | |||
| PA446108 | Colorectal Neoplasms | Disease | MultilinkAnnotation | associated | 12198537 | ||
| PA7000 | sorafenib | Chemical | Pathway | associated | 28362716 |
References
| Pubmed ID | Year | Title | Citations |
|---|---|---|---|
| 37583001 | 2024 | Loss of SATB2 and CDX2 expression is associated with DNA mismatch repair protein deficiency and BRAF mutation in colorectal cancer. | 0 |
| 37771077 | 2024 | Role of gene sequencing in classifying struma ovarii: BRAF p.G469A mutation and TERT promoter alterations favour malignant struma ovarii. | 3 |
| 37940765 | 2024 | The value of Korean, American, and Chinese ultrasound risk stratification systems combined with BRAF(V600E) mutation for detecting papillary thyroid carcinoma in cytologically indeterminate thyroid nodules. | 0 |
| 37943120 | 2024 | Status epilepticus in BRAF-related cardio-facio-cutaneous syndrome: Focus on neuroimaging clues to physiopathology. | 1 |
| 37967234 | 2024 | Effect and Interactions of BRAF on Lymph Node Metastasis in Papillary Thyroid Carcinoma With Hashimoto Thyroiditis. | 0 |
| 38040818 | 2024 | Opposing roles by KRAS and BRAF mutation on immune cell infiltration in colorectal cancer - possible implications for immunotherapy. | 3 |
| 38113409 | 2024 | Genetic trio of BRAF and TERT alterations and rs2853669TT in papillary thyroid cancer aggressiveness. | 2 |
| 38128404 | 2024 | Skeletal involvement in Erdheim-Chester disease: Multimodality imaging features and association with the BRAF(V600E) mutation. | 1 |
| 38191609 | 2024 | Dynamic nature of BRAF or KRAS p.G12C mutations in second-line therapy for advanced colorectal cancer patients: do early and late effects exist? | 1 |
| 38219188 | 2024 | Prognostic Value of BRAF Mutation in Glioblastoma. | 0 |
| 38246222 | 2024 | Ex vivo modeling of acquired drug resistance in BRAF - mutated pancreatic cancer organoids uncovers individual therapeutic vulnerabilities. | 0 |
| 38269481 | 2024 | Transcriptional features of low-grade neuroepithelial tumors with the BRAF V600E mutation associated with epileptogenicity. | 0 |
| 38290660 | 2024 | Exploring the role of sporadic BRAF and KRAS mutations during colorectal cancer pathogenesis: A spotlight on the contribution of the endosome-lysosome system. | 2 |
| 38362771 | 2024 | Is there a prognostic difference among stage I lung adenocarcinoma patients with different BRAF-mutation status? | 1 |
| 38366204 | 2024 | Differentiating BRAF V600E- and RAS-like alterations in encapsulated follicular patterned tumors through histologic features: a validation study. | 0 |
Citation
Enric Domingo
BRAF (v-raf murine sarcoma viral oncogene homolog B1)
Atlas Genet Cytogenet Oncol Haematol. 2020-05-01
Online version: http://atlasgeneticsoncology.org/gene/828/braf-(v-raf-murine-sarcoma-viral-oncogene-homolog-b1)
Historical Card
2004-09-01 BRAF (v-raf murine sarcoma viral oncogene homolog B1) by Enric Domingo,Simo Schwartz Jr  Affiliation
