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| Gene | BRAF |
| Variant | F595L |
| Impact List | missense |
| Protein Effect | loss of function |
| Gene Variant Descriptions | BRAF F595L lies within the protein kinase domain of the Braf protein (UniProt.org). F595L results in reduced Braf kinase activity (PMID: 28783719, PMID: 15035987), but works cooperatively with oncogenic Ras to activate MEK/ERK signaling, and is transforming in cell culture (PMID: 15035987, PMID: 26582644, PMID: 29533785). |
| Associated Drug Resistance | |
| Category Variants Paths |
BRAF mutant BRAF F595X BRAF F595L BRAF mutant BRAF inact mut BRAF F595L |
| Transcript | NM_004333.6 |
| gDNA | chr7:g.140753352A>G |
| cDNA | c.1783T>C |
| Protein | p.F595L |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| NM_001354609.1 | chr7:g.140753352A>G | c.1783T>C | p.F595L | RefSeq | GRCh38/hg38 |
| NM_004333.5 | chr7:g.140753352A>G | c.1783T>C | p.F595L | RefSeq | GRCh38/hg38 |
| NM_001378468.1 | chr7:g.140753352A>G | c.1783T>C | p.F595L | RefSeq | GRCh38/hg38 |
| NM_001354609.2 | chr7:g.140753352A>G | c.1783T>C | p.F595L | RefSeq | GRCh38/hg38 |
| NM_004333 | chr7:g.140753352A>G | c.1783T>C | p.F595L | RefSeq | GRCh38/hg38 |
| NM_001378474.1 | chr7:g.140753352A>G | c.1783T>C | p.F595L | RefSeq | GRCh38/hg38 |
| XM_005250045 | chr7:g.140753352A>G | c.1783T>C | p.F595L | RefSeq | GRCh38/hg38 |
| NM_004333.6 | chr7:g.140753352A>G | c.1783T>C | p.F595L | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| BRAF F595L | Advanced Solid Tumor | resistant | Vemurafenib | Preclinical - Cell culture | Actionable | In a preclinical study, treatment with Zelboraf (vemurafenib) did not reduce activation of Mek and Erk by BRAF F595L in transformed cells in culture (PMID: 26582644). | 26582644 |
| BRAF F595L | colorectal cancer | not predictive | Fluorouracil + Leucovorin + Oxaliplatin + Panitumumab | Case Reports/Case Series | Actionable | In a clinical study, the combination of Vectibix (panitumumab) with FOLFOX as a first-line therapy resulted in a partial response with progression-free survival of 10.2 months in a patient with metastatic colorectal cancer harboring BRAF F595L (PMID: 31515458). | 31515458 |
| BRAF F595L | intrahepatic cholangiocarcinoma | predicted - sensitive | Cetuximab + Trametinib | Case Reports/Case Series | Actionable | In a clinical case study, treatment with the combination of Erbitux (cetuximab) and Mekinist (trametinib) followed by Erbitux (cetuximab) monotherapy resulted in an objective response at a follow-up of 6 months in a patient with intrahepatic cholangiocarcinoma harboring BRAF F595L along with an IDH2 R172W (PMID: 39516363). | 39516363 |