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 Tumour cell survival signalling by the ERK1/2 pathway Balmanno K; Cook SJCell Death Differ  2009[Mar]; 16 (3): 368-77Several advances in recent years have focused increasing attention on the role of  the RAF-MEK-ERK1/2 pathway in promoting cell survival. The demonstration that  BRAF is a human oncogene mutated at high frequency in melanoma, thyroid and colon  cancer has provided a pathophysiological context, whilst the description of  potent and highly selective inhibitors of BRAF or MEK has allowed a more informed  and rational intervention in both normal and tumour cells. In addition, separate  studies have uncovered new mechanisms by which the ERK1/2 pathway can control the  activity or abundance of members of the BCL-2 protein family to promote cell  survival. It is now apparent that various oncogenes co-opt ERK1/2 signalling to  de-regulate these BCL-2 proteins and this contributes to, and even underpins,  survival signalling in some tumours. New oncogene-targeted therapies allow direct  or indirect inhibition of ERK1/2 signalling and can cause quite striking tumour  cell death. In other cases, inhibition of the ERK1/2 pathway may be more  effective in combination with other conventional and novel therapeutics. Here, we  review recent advances in our understanding of how the ERK1/2 pathway regulates  BCL-2 proteins to promote survival, how this is de-regulated in tumour cells and  the opportunities this might afford with the use of new targeted therapies.|*Cell Survival[MESH]|*Neoplasms/metabolism/pathology[MESH]|Apoptosis Regulatory Proteins/metabolism[MESH]|Bcl-2-Like Protein 11[MESH]|ErbB Receptors/metabolism[MESH]|Extracellular Signal-Regulated MAP Kinases/*metabolism[MESH]|Fusion Proteins, bcr-abl/genetics/metabolism[MESH]|Humans[MESH]|MAP Kinase Signaling System/*physiology[MESH]|Membrane Proteins/metabolism[MESH]|Oncogenes[MESH]|Proto-Oncogene Proteins B-raf/genetics/metabolism[MESH]|Proto-Oncogene Proteins c-bcl-2/metabolism[MESH]|Proto-Oncogene Proteins/metabolism[MESH]|RNA Stability[MESH]|Transcription, Genetic[MESH]|bcl-Associated Death Protein/metabolism[MESH]|ras Proteins/genetics/metabolism[MESH]
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