Zelboraf (vemurafenib) - Roche
mycophenolate mofetil - Generic mfg.
Mekinist (trametinib) - Novartis, BeOne Medicines
GTP biosynthesis is a therapeutic vulnerability in Rac1-mutant melanoma. (PubMed, bioRxiv) - Oct 2, 2026 - "Moreover, IMPDH inhibition synergized with the BRAF inhibitor vemurafenib and the MEK inhibitor trametinib in Rac1 P29S melanoma cells...In syngeneic mouse models, the FDA-approved IMPDH inhibitor mycophenolate mofetil sensitized Rac1 P29S -expressing melanoma tumors to trametinib, including tumors made refractory by prior trametinib exposure. We further identified a feed-forward circuit in which Rac1 sustains IMPDH2 expression levels through JNK and c-Jun/AP1 signaling, potentially coupling the GTPase to its own nucleotide supply. These findings establish GTP biosynthesis as a targetable vulnerability in Rac1 P29S melanoma and support IMPDH inhibition as a rational partner for MAPK-targeted therapy." 
IO biomarker • Journal • Cutaneous Melanoma • Melanoma • Oncology • Solid Tumor • IMPDH2 • RAC1
http://www.ncbi.nlm.nih.gov/pubmed/42818226
 
Arsha Sreekumar; Catherine C Hedrick; David W Wolff; Isha Patel; Jie Li; Samson Eugin Simon; Tiannan Wang; Varsha Tandra; Zaria Yearby
 
Oct 2, 2026
 
Prev Next