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Updated: Jun 23, 2026

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Melanoma: molecular pathogenesis and emerging target therapies (Review)
Alessia E Russo1, Elena Torrisi, Ylenia Bevelacqua
1Department of Biomedical Sciences, University of Catania, I-95124 Catania, Italy.
Abstract:
Malignant melanoma is an aggressive tumor of the skin with a poor prognosis for patients with advanced disease. It is resistant to current therapeutic approaches. In melanoma, both the Ras/Raf/MEK/ERK (MAPK) and the PI3K/AKT (AKT) signalling pathways are constitutively activated through multiple mechanisms. Mutations of BRAF have been proposed to contribute to melanoma development. Increased activity of the MAPK pathway prevents apoptosis and induces cell cycle progression. PTEN deletion results in Akt activation. Akt activation can result in the phosphorylation and inactivation of Raf. This decrease in downstream MEK and ERK activation may lead to loss of differentiation or senescence. This review summarizes the most relevant studies focused on the signalling pathways involved in melanomagenesis. New therapeutic strategies are also reported.
Insights
Malignant melanoma, a resistant skin cancer, involves activated Ras/Raf/MEK/ERK (MAPK) and PI3K/AKT (AKT) pathways. Understanding these signaling pathways is crucial for developing new melanoma treatments.
Area of Science:
- Oncology
- Dermatology
- Molecular Biology
Background:
- Malignant melanoma is an aggressive skin cancer with a poor prognosis in advanced stages.
- Current therapeutic strategies show limited efficacy against melanoma.
- Constitutive activation of Ras/Raf/MEK/ERK (MAPK) and PI3K/AKT (AKT) signaling pathways is common in melanoma.
Purpose of the Study:
- To review key studies on signaling pathways implicated in melanoma development.
- To explore novel therapeutic strategies for melanoma based on pathway dysregulation.
Main Methods:
- Literature review of relevant studies on melanoma signaling pathways.
- Analysis of the roles of MAPK and AKT pathways in melanomagenesis.
- Identification of therapeutic targets within these pathways.
Main Results:
- BRAF mutations contribute to melanoma development and MAPK pathway activation.
- MAPK pathway activation promotes cell cycle progression and inhibits apoptosis.
- PTEN deletion leads to AKT activation, which can paradoxically decrease downstream MAPK signaling.
Conclusions:
- Dysregulation of MAPK and AKT pathways is central to melanoma pathogenesis.
- Targeting these signaling pathways offers promising avenues for novel melanoma therapies.
- Further research into these pathways may lead to improved treatment outcomes for melanoma patients.
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