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Updated: Jun 12, 2026

Unveiling Therapeutic Opportunities with Melanoma Patient-derived Organoid Models
Published on: September 6, 2024
Targeting GRP78 to enhance melanoma cell death
Shaun Martin1, David S Hill, James C Paton
1Northern Institute of Cancer Research and Newcastle Cancer Centre, Newcastle University, Newcastle upon Tyne, UK.
Abstract:
Targeting endoplasmic reticulum stress-induced apoptosis may offer an alternative therapeutic strategy for metastatic melanoma. Fenretinide and bortezomib induce apoptosis of melanoma cells but their efficacy may be hindered by the unfolded protein response, which promotes survival by ameliorating endoplasmic reticulum stress. The aim of this study was to test the hypothesis that inhibition of GRP78, a vital unfolded protein response mediator, increases cell death in combination with endoplasmic reticulum stress-inducing agents. Down-regulation of GRP78 by small-interfering RNA increased fenretinide- or bortezomib-induced apoptosis. Treatment of cells with a GRP78-specific subtilase toxin produced a synergistic enhancement with fenretinide or bortezomib. These data suggest that combining endoplasmic reticulum stress-inducing agents with strategies to down-regulate GRP78, or other components of the unfolded protein response, may represent a novel therapeutic approach for metastatic melanoma.
Insights
Targeting endoplasmic reticulum stress with GRP78 inhibition enhances melanoma cell death. Combining GRP78 down-regulation with agents like fenretinide or bortezomib offers a novel therapeutic strategy for metastatic melanoma.
Area of Science:
- Oncology
- Cell Biology
- Molecular Medicine
Background:
- Metastatic melanoma treatment remains challenging.
- Endoplasmic reticulum (ER) stress-induced apoptosis is a potential therapeutic target.
- The unfolded protein response (UPR) can promote melanoma cell survival by mitigating ER stress.
Purpose of the Study:
- To investigate if inhibiting GRP78, a key UPR mediator, enhances apoptosis in melanoma cells when combined with ER stress-inducing agents.
- To evaluate the efficacy of combining GRP78 down-regulation with fenretinide or bortezomib.
Main Methods:
- Small-interfering RNA (siRNA) was used to down-regulate GRP78 expression.
- Melanoma cells were treated with fenretinide or bortezomib, with and without GRP78 inhibition.
- A GRP78-specific subtilase toxin was employed to inhibit GRP78 function.
Main Results:
- siRNA-mediated GRP78 down-regulation significantly increased fenretinide- or bortezomib-induced apoptosis.
- Treatment with a GRP78-specific subtilase toxin synergistically enhanced the apoptotic effects of fenretinide and bortezomib.
- These findings demonstrate that targeting GRP78 potentiates ER stress-induced cell death.
Conclusions:
- Inhibiting GRP78, a crucial UPR component, sensitizes melanoma cells to ER stress-inducing apoptosis.
- Combination strategies involving ER stress inducers and GRP78 down-regulation present a promising novel therapeutic approach for metastatic melanoma.
- Targeting the UPR pathway offers a new avenue for overcoming therapeutic resistance in melanoma.
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