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| Gene | BRAF |
| Variant | G469V |
| Impact List | missense |
| Protein Effect | gain of function |
| Gene Variant Descriptions | BRAF G469V is a hotspot mutation within the protein kinase domain of the Braf protein (UniProt.org). G469V results in increased Braf kinase activity and activation of downstream MEK and ERK in cell culture (PMID: 28947956, PMID: 26343582, PMID: 28783719), and in one of two cell lines, increased cell proliferation and cell viability compared to wild-type Braf (PMID: 29533785). |
| Associated Drug Resistance | |
| Category Variants Paths |
BRAF mutant BRAF act mut BRAF G469V BRAF mutant BRAF G469X BRAF G469V |
| Transcript | NM_004333.6 |
| gDNA | chr7:g.140781602C>A |
| cDNA | c.1406G>T |
| Protein | p.G469V |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| NM_001378467.1 | chr7:g.140781611C>A | c.1406G>T | p.G469V | RefSeq | GRCh38/hg38 |
| XM_047420769.1 | chr7:g.140781602C>A | c.1406G>T | p.G469V | RefSeq | GRCh38/hg38 |
| XM_005250045 | chr7:g.140781602C>A | c.1406G>T | p.G469V | RefSeq | GRCh38/hg38 |
| NM_001378470.1 | chr7:g.140778000C>A | c.1406G>T | p.G469V | RefSeq | GRCh38/hg38 |
| NM_004333.6 | chr7:g.140781602C>A | c.1406G>T | p.G469V | RefSeq | GRCh38/hg38 |
| NM_001378468.1 | chr7:g.140781602C>A | c.1406G>T | p.G469V | RefSeq | GRCh38/hg38 |
| NM_004333.5 | chr7:g.140781602C>A | c.1406G>T | p.G469V | RefSeq | GRCh38/hg38 |
| NM_001354609.2 | chr7:g.140781602C>A | c.1406G>T | p.G469V | RefSeq | GRCh38/hg38 |
| NM_004333 | chr7:g.140781602C>A | c.1406G>T | p.G469V | RefSeq | GRCh38/hg38 |
| NM_001354609.1 | chr7:g.140781602C>A | c.1406G>T | p.G469V | RefSeq | GRCh38/hg38 |
| NM_001378474.1 | chr7:g.140781602C>A | c.1406G>T | p.G469V | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| BRAF G469V NRAS Q61K | melanoma | sensitive | Encorafenib + Trametinib | Preclinical - Cell culture | Actionable | In a preclinical study, the addition of Braftovi (encorafenib) to treatment with Mekinist (trametinib) resulted in increased growth inhibition in a melanoma cell line harboring BRAF G469V and NRAS Q61K in culture (PMID: 29903896). | 29903896 |
| BRAF G469V NRAS Q61K | melanoma | sensitive | Binimetinib + Encorafenib | Preclinical - Cell culture | Actionable | In a preclinical study, the addition of Braftovi (encorafenib) to treatment with Mektovi (binimetinib) resulted in increased growth inhibition in a melanoma cell line harboring BRAF G469V and NRAS Q61K in culture (PMID: 29903896). | 29903896 |
| BRAF G469V NRAS Q61K | melanoma | predicted - resistant | Trametinib + Vemurafenib | Preclinical - Cell culture | Actionable | In a preclinical study, the addition of Zelboraf (vemurafenib) to treatment with Mekinist (trametinib) resulted in increased proliferation compared to Mekinist (trametinib) alone in a melanoma cell line harboring BRAF G469V and NRAS Q61K in culture (PMID: 29903896). | 29903896 |
| BRAF G469V NRAS Q61K | melanoma | sensitive | LY3009120 | Preclinical - Cell culture | Actionable | In a preclinical study, LY3009120 inhibited growth of a melanoma cell line harboring BRAF G469V and NRAS Q61K in culture (PMID: 29903896). | 29903896 |
| BRAF G469V NRAS Q61K | melanoma | no benefit | Dabrafenib | Preclinical - Cell culture | Actionable | In a preclinical study, Tafinlar (dabrafenib) treatment did not result in significant growth inhibition in a melanoma cell line harboring BRAF G469V and NRAS Q61K in culture (PMID: 29903896). | 29903896 |