Basal cell carcinoma (BCC) is the most common malignancy.,Exposure to sunlight is the most important risk factor.,Most, if not all, cases of BCC demonstrate overactive Hedgehog signaling.,A variety of treatment modalities exist and are selected based on recurrence risk, importance of tissue preservation, patient preference, and extent of disease.,The pathogenesis, epidemiology, clinical features, diagnosis, histopathology, and management of BCC will be discussed in this review.
Cross-feedback activation of MAPK and AKT pathways is implicated as a resistance mechanism for cancer therapeutic agents targeting either RAF/MEK or PI3K/AKT/mTOR.,It is thus important to have a better understanding of the molecular resistance mechanisms to improve patient survival benefit from these agents.,Here we show that BRAFV600E is a negative regulator of the AKT pathway.,Expression of BRAFV600E in NIH3T3 cells significantly suppresses MEK inhibitor (RG7167) or mTORC1 inhibitor (rapamycin) induced AKT phosphorylation (pAKT) and downstream signal activation.,Treatment-induced pAKT elevation is found in BRAF wild type melanoma cells but not in a subset of melanoma cell lines harboring BRAFV600E.,Knock-down of BRAFV600E in these melanoma cells elevates basal pAKT and downstream signals, whereas knock-down of CRAF, MEK1/2 or ERK1/2 or treatment with a BRAF inhibitor have no impact on pAKT.,Mechanistically, we show that BRAFV600E interacts with rictor complex (mTORC2) and regulates pAKT through mTORC2.,BRAFV600E is identified in mTORC2 after immunoprecipitation of rictor.,Knock-down of rictor abrogates BRAFV600E depletion induced pAKT.,Knock-down of BRAFV600E enhances cellular enzyme activity of mTORC2.,Aberrant activation of AKT pathway by PTEN loss appears to override the negative impact of BRAFV600E on pAKT.,Taken together, our findings suggest that in a subset of BRAFV600E melanoma cells, BRAFV600E negatively regulates AKT pathway in a rictor-dependent, MEK/ERK and BRAF kinase-independent manner.,Our study reveals a novel molecular mechanism underlying the regulation of feedback loops between the MAPK and AKT pathways.