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Vemurafenib prevents proliferation of certain cancer cells that are resistant to treatment with either Cetuximab or...

Vemurafenib prevents proliferation of certain cancer cells that are resistant to treatment with either Cetuximab or Herceptin. Which of the following "genetic signatures" obtained from sequencing ctDNA would indicate that you could effectively treat an individual with Vemurafenib? (The absence of a superscript next to the indicated gene means it's a wild type allele)

A. KRASD + B-RAF

B. KRAS + B-RAFV600E

C. KRASD + B-RAFV600E

D. KRASD + p61B-RAFV600E

E. (a) & (b)

F. (a) & (c)

G. (a) & (d)

H. (b) & (c)

I. (b) & (d)

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Answer #1

THE ANSWER TO THE QUESTION IS : B (KRAS + B-RAFV600E)

Vemurafenib is the main drug of choice in case of patients with BRAF V600E mutation that leading to unresectable or metastatic melanoma. Infact this drug should not be used for diseaes with wild type BRAF melanoma.

BRAF is a well describes oncogene, which is mutated in 15% of almost all types of cancers mainly melanoma, PTC(papillary thyroid carcinoma) and hairy cell leukemia. Of all, V600E is the most common. Studies show that 3% of all tumors consist of B RAF alteration along with alteration in KRAS (wild type) which suggest vemurafenib treatment.

other options are not valid as others are subtypes of KRAS and not wild type, keeping in mind BRAF is not in its wild type and specifically conforms to V600E.

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