Drug (ID: DG01750) and It's Reported Resistant Information
Name
Alpelisib/Cetuximab/Encorafenib
Synonyms
Alpelisib/Cetuximab/Encorafenib
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Type(s) of Resistant Mechanism of This Drug
  UAPP: Unusual Activation of Pro-survival Pathway
Drug Resistance Data Categorized by Their Corresponding Diseases
ICD-02: Benign/in-situ/malignant neoplasm
Click to Show/Hide the Resistance Disease of This Class
Colorectal cancer [ICD-11: 2B91]
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Drug Sensitivity Data Categorized by Their Corresponding Mechanisms
  Unusual Activation of Pro-survival Pathway (UAPP) Click to Show/Hide
Key Molecule: Serine/threonine-protein kinase B-raf (BRAF) [1]
Sensitive Disease Colorectal cancer [ICD-11: 2B91.1]
Molecule Alteration Missense mutation
p.V600E (c.1799T>A)
Wild Type Structure Method: X-ray diffraction Resolution: 2.55  Å
PDB: 4E26
Mutant Type Structure Method: X-ray diffraction Resolution: 3.20  Å
PDB: 4G9R
   Download The Information of Sequence       Download The Structure File   
RMSD: 1.53
TM score: 0.95765
Amino acid change:
V600E
 : Wild Type Structure
 : Mutant Type Structure
  Mutation site(s) have been marked in red
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420
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M
M
D
D
R
R
G
G
S
S
H
H
H
H
H
H
H
H
H
H
430
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H
H
G
G
S
S
E
E
D
D
R
R
N
N
R
R
M
M
K
K
440
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T
T
L
L
G
G
R
R
R
R
D
D
S
S
S
S
D
D
D
D
450
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W
W
E
E
I
I
P
P
D
D
G
G
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I
I
T
T
V
V
460
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G
G
Q
Q
R
R
I
I
G
G
S
S
G
G
S
S
F
F
G
G
470
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T
T
V
V
Y
Y
K
K
G
G
K
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W
W
H
H
G
G
D
D
480
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V
V
A
A
V
V
K
K
M
M
L
L
N
N
V
V
T
T
A
A
490
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P
P
T
T
P
P
Q
Q
Q
Q
L
L
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A
A
F
F
K
K
500
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N
N
E
E
V
V
G
G
V
V
L
L
R
R
K
K
T
T
R
R
510
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H
H
V
V
N
N
I
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L
L
L
L
F
F
M
M
G
G
Y
Y
520
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S
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T
T
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P
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L
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A
A
I
I
V
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T
T
530
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Q
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W
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C
C
E
E
G
G
S
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L
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Y
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540
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H
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L
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550
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560
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T
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A
A
Q
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G
G
M
M
D
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Y
Y
L
L
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A
A
570
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K
K
S
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I
I
I
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L
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580
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N
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N
N
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I
F
F
L
L
H
H
E
E
D
D
L
L
T
T
590
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V
V
K
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I
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G
G
D
D
F
F
G
G
L
L
A
A
T
T
600
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V
E
K
K
S
S
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R
W
W
S
S
G
G
S
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H
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610
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F
F
E
E
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L
L
S
S
G
G
S
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I
I
L
L
W
W
620
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M
M
A
A
P
P
E
E
V
V
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M
M
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630
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K
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N
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P
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Y
Y
S
S
F
F
Q
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S
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D
D
V
V
640
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Y
Y
A
A
F
F
G
G
I
I
V
V
L
L
Y
Y
E
E
L
L
650
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M
M
T
T
G
G
Q
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L
L
P
P
Y
Y
S
S
N
N
I
I
660
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N
N
N
N
R
R
D
D
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I
I
I
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F
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M
M
V
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670
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G
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G
G
Y
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L
L
S
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P
P
D
D
L
L
S
S
680
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K
K
V
V
R
R
S
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N
N
C
C
P
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K
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A
A
M
M
690
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K
K
R
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L
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M
M
A
A
E
E
C
C
L
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700
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K
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E
E
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F
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710
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I
I
L
L
A
A
S
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I
I
E
E
L
L
L
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A
A
R
R
720
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S
S
L
L
P
P
K
K
I
I
H
H
R
R
Experimental Note Identified from the Human Clinical Data
Cell Pathway Regulation MAPK signaling pathway Inhibition hsa04010
In Vitro Model WiDR cells Colon Homo sapiens (Human) CVCL_2760
VACO432 cells Colon Homo sapiens (Human) CVCL_5402
HROC87 cells Colon Homo sapiens (Human) CVCL_S854
Experiment for
Molecule Alteration
SDS-PAGE assay; Western blot analysis; chemiluminescent detection assay
Experiment for
Drug Resistance
CellTiter-Glo luminescent assay; CellTox green assay
Mechanism Description Resistant cells escaped drug treatments through one or more mechanisms leading to biochemical reactivation of the MAPK signaling pathway.
References
Ref 1 Molecular Landscape of Acquired Resistance to Targeted Therapy Combinations in BRAF-Mutant Colorectal CancerCancer Res. 2016 Aug 1;76(15):4504-15. doi: 10.1158/0008-5472.CAN-16-0396. Epub 2016 Jun 16.

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