Uncontrolled Activation of the RAF/MAP/ERK Pathway
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Uncontrolled Activation of the RAF/MEK/ERK Pathway

The mechanisms by which uncontrolled activation or aberrant signalling along the RAF/MEK/ERK pathway may promote more aggressive HCC include6

  • Cell immortalization/avoidance of apoptosis — upregulation of proangiogenic factors
  • Growth factor–independent proliferation and insensitivity to growth-inhibitory signals
  • Invasion and metastases (through stimulation of cellular motility and extracellular matrix remodeling)
  • Inactivation of tumour suppressor genes
  • Treatment resistance

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