Open research questions in Melanoma and MAPK Pathways
96 gap statements mined from Melanoma and MAPK Pathways papers in our 4.5M-paper local library, which holds 535 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Due to these diverse effects, it remains unclear whether NGFR agonists or antagonists would be more beneficial for melanoma treatment. In our previous work, we used the small molecule NGFR inhibitor THX-B and found that it reduced melanoma lymph node metastasis; however, its impact on distant metastasis has not been tested (Garcia-Silva et al, 2021).
NGFR induces melanoma invasion and immunotherapy resistance through myosin light chain 2 modulation · 2026 · DOIA 2025 systematic review and meta-analysis of clinical studies suggested a potential association between β-blocker use and improved disease-free survival, although evidence remains insufficient to support clinical recommendation for cancer treatment, including melanoma [75].
Antihypertensive Drugs as Potential Repositioning Options for Melanoma: A Map of Pre-Clinical Evidence · 2026 · DOITo our knowledge, electronegative ERG has not been established as a characteristic electrophysiologic feature of MEK inhibitor-associated retinopathy.
Electronegative ERG revealing melanoma-associated retinopathy in a patient with trametinib-associated retinopathy · 2026 · DOIThese insights position the SCAMP3-ERK1/2 axis as a relevant modulator of TNBC behavior and support further investigation of SCAMP3 in strategies to improve ERK1/2-targeted therapy, particularly in tumors where receptor-proximal signaling remains a dominant driver of ERK activity.
Secretory carrier membrane protein 3 modulates nuclear ERK1/2 signaling and drug response in triple-negative breast cancer · 2026 · DOIHowever, the molecular mechanisms underlying the dysregulation of apoptosis in pathological conditions associated with oxidative stress, including tumor growth, are still not fully understood.
Regulation and Implementation of Apoptosis in Melanoma Tumor Cells with BRAF, NRAS, and NF1 Gene Mutations · 2026 · DOIHowever, the specific contribution of HCQ to thera- peutic efficacy in the clinic remains incompletely characterized.
Mutant and Wild-type RAS Crosstalk and Stoichiometric Deficiencies are Determinants of Sensitivity to Targeted Therapies in KRASG12R Pancreatic Ductal Adenocarcinoma. · 2026 · DOIThe signaling basis for differential RAF activity across mutant KRAS-expressing lines remains unclear.
Whether these organoid systems can stably maintain long- term melanocyte-lineage populations, particularly cells with MeSC-like properties, remains unclear.
Recent Advances in Genetically Engineered Mouse Models of Melanoma: Insights into Tumor Initiation and Oncogenic Signaling Pathways · 2026 · DOIConfidence in these findings is further limited by the frequent high or unclear risk of bias among animal studies, incomplete methodological reporting, and the absence of a formal quality assessment for the in vitro evidence.
Antihypertensive Drugs as Potential Repositioning Options for Melanoma: A Map of Pre-Clinical Evidence · 2026 · DOIABSTRACT While adjuvant immunotherapy and BRAF/MEK inhibitors improve the outcomes for BRAF V600‐mutant stage III melanoma, comparisons of long‐term survival and safety of these therapeutic modalities are currently lacking in Chinese patients.
Optimal Adjuvant Therapy Selection for Chinese BRAF V600‐Mutant Stage III Melanoma: A Multicenter Efficacy Comparison of Targeted Agents, Immunotherapy, and Combinatorial Strategies · 2026 · DOIHowever, therapeutic success is often limited by the emergence of drug-resistant cancer cell populations within a few months.
In contrast to many other cancer types, with the exception of poly (ADP-ribose) polymerase inhibition in DNA repair defective cancers, clinically actionable molecular subtypes are lacking.
Decoding the Raf-Mek-Erk-Rsk pathway in prostate cancer: from molecular mechanisms to clinical opportunities · 2026 · DOIHerein, we describe the structure-guided development of IACS-56676, a selective and potent NRAS G12D inhibitor useful as a tool compound for further studies of NRAS biology.
Despite this, crucial questions about its activation have not been fully explored on the foundational, conformational level.
Abstract Anti‐PD‐1 immunotherapy and targeted therapy (TT) represent two major therapeutic modalities for BRAFV600‐mutant advanced melanoma, but the efficacy of combination therapy in Asian populations remains unknown.
Addition of anti‐PD‐1 immunotherapy to BRAF inhibitor‐based targeted therapy improves real‐world survival and delays brain metastases in patients with BRAFV600‐mutant advanced melanoma: a multicenter cohort study · 2025 · DOITranscriptional dysregulation has emerged as a critical driver of melanoma progression, yet the molecular mechanisms governing this process and their potential as therapeutic targets remain inadequately characterized.
However, the mechanisms underlying cell death in this context and how damaged tissue contributes to tumor progression remain unclear.
Involvement of p38 MAPK and MAPKAPK2 in promoting cell death and the inflammatory response to ischemic stress associated with necrotic glioblastoma · 2025 · DOIAccordingly, MAPKi/ERK5i co-inhibition was capable of triggering a sustained cell cycle arrest in NRAS-mutant melanoma cells, but the key mediator(s) of its vigorous anti-proliferative effect remain elusive.
MEK5/ERK5 inhibition sensitizes NRAS-mutant melanoma to MAPK-targeted therapy by preventing Cyclin D/CDK4-mediated G1/S progression · 2025 · DOIAlthough transcriptional and epigenetic mechanisms driving these transitions have been extensively studied, the role of post-translational regulation, particularly the ubiquitin-proteasome system, remains poorly understood.
Ubiquitin E3 ligase KPC1 governs mesenchymal metastatic melanoma reprogramming via proteasomal degradation of ZEB1 · 2025 · DOINecroptosis is an inflammatory form of regulated cell death implicated in a range of human pathologies, whose execution depends on the poorly understood pseudokinase mixed lineage kinase domain-like (MLKL).
Despite remarkable advancements in therapies targeted against mutant KRAS, NRAS-specific pharmacologics are lacking.
Abstract Background Resistance mechanisms to combination therapy with dabrafenib plus trametinib remain poorly understood in patients with BRAF V600E -mutant advanced non-small-cell lung cancer (NSCLC).
Resistance to BRAF inhibition explored through single circulating tumour cell molecular profiling in BRAF-mutant non-small-cell lung cancer · 2024 · DOIOur hypothesis posits that Bim is a direct target of miR-92b-3p, an understudied microRNA, prompting an investigation into its role in regulating apoptosis in SMCs.
MiR-92b-3p modulates apoptosis in smooth muscle cells through BCL2L11 regulation, unravelling novel therapeutic strategies for unstable plaques · 2024 · DOIRAF kinases interpret signals from the three major RAS isoforms to initiate MAPK pathway activation, yet the molecular logic that governs isoform-specific RAS recruitment and the early events that relieve RAF autoinhibition are not yet fully understood.
Divergent CRD-Dependent Mechanisms Govern RAS Isoform-Selective Recruitment of CRAF and ARAF · 2026 · DOIFurther study of FGFR1 as a therapeutic target for intrinsic BRAFi resistance. Investigation of the mechanisms by which FGFR1 drives intrinsic BRAFi resistance.
Most-cited papers in Melanoma and MAPK Pathways
- Mutations of the BRAF gene in human cancer · Nature · 2002 · 8,679 citations
- Improved Survival with Vemurafenib in Melanoma with BRAF V600E Mutation · New England Journal of Medicine · 2011 · 6,591 citations
- Nivolumab in Previously Untreated Melanoma without BRAF Mutation · New England Journal of Medicine · 2014 · 4,816 citations
- Ipilimumab plus Dacarbazine for Previously Untreated Metastatic Melanoma · New England Journal of Medicine · 2011 · 3,753 citations
- Five-Year Survival with Combined Nivolumab and Ipilimumab in Advanced Melanoma · New England Journal of Medicine · 2019 · 3,333 citations
- Overall Survival with Combined Nivolumab and Ipilimumab in Advanced Melanoma · New England Journal of Medicine · 2017 · 3,269 citations
- Inhibition of Mutated, Activated BRAF in Metastatic Melanoma · New England Journal of Medicine · 2010 · 3,033 citations
- Mutations Associated with Acquired Resistance to PD-1 Blockade in Melanoma · New England Journal of Medicine · 2016 · 2,945 citations
- Melanoma-intrinsic β-catenin signalling prevents anti-tumour immunity · Nature · 2015 · 2,612 citations
- Dabrafenib in BRAF-mutated metastatic melanoma: a multicentre, open-label, phase 3 randomised controlled trial · The Lancet · 2012 · 2,539 citations
Most recent work
- Melanoma: Pathogenesis and Targeted Therapy · MedComm · 2026
- Drug Therapy for Melanoma: Current Updates and Future Prospects · Cancers · 2026
- The GENEVA platform models tumor mosaicism to reveal variations of responses to KRAS inhibitors and identify improved drug combinations · Nature Cancer · 2026
- Dissecting the MAPK signaling landscape in malignant melanoma: from BRAF and NRAS mutations to precision combination therapies · Frontiers in Cell and Developmental Biology · 2026
- Phase I Study of Mosperafenib, a Novel Paradox Breaker B-Raf Proto-Oncogene Serine/Threonine Kinase (BRAF) Inhibitor, in Patients With BRAF V600–Mutant Solid Tumors · Journal of Clinical Oncology · 2026
- The MEK–RAF molecular glue IK-595 has potent antitumor activity across RAS/MAPK pathway-altered cancers · Nature Cancer · 2026
- Peptide-Based ROR1-Targeting PET Ligands for Melanoma Tumor Imaging: Design and Preclinical Evaluation · Journal of Medicinal Chemistry · 2026
- Targeting MEK in cancer and beyond: mechanistic insights and therapeutic opportunities · The Lancet · 2026
- AI-driven de novo design of BRAF inhibitors with enhanced binding affinity and optimized drug-likeness · PeerJ · 2026
- Exploratory Analysis of Biomarkers and Treatment Outcomes from the COLUMBUS Study in BRAF V600E/K–Mutant Advanced or Metastatic Melanoma · Clinical Cancer Research · 2026
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