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Updated: Jun 6, 2026

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Targeted therapy for melanoma: a primer
Michael A Davies1, Jeffrey E Gershenwald
1Department of Melanoma Medical Oncology, The University of Texas MD Anderson Cancer Center, 7455 Fannin, 1SCRB2.3019, Unit 0904, Houston, TX 77054, USA. mdavies@mdanderson.org
Abstract:
Melanoma is the most aggressive form of skin cancer. Unfortunately, despite recent improvements for some solid tumors, the prevalence and mortality of melanoma continue to increase. The identification of activating mutations in melanoma, combined with a growing appreciation of the different pattern of genetic changes in the anatomically defined melanoma subtypes, has become the focus of a concerted effort to translate these discoveries into personalized therapeutic approaches for this disease. This article reviews the known mutations, amplifications, and deletions in kinase signaling pathways that have been implicated in melanoma; the prevalence of these genetic events in clinicopathologically defined melanoma subtypes; and the results of clinical trials that use targeted therapy approaches to block aberrantly activated pathways resulting from these mutations. The challenges that must be overcome to achieve improved outcomes with targeted therapies in melanoma in the future are also discussed.
Insights
Melanoma, an aggressive skin cancer, shows increasing incidence and mortality. This review details genetic mutations and targeted therapies, offering insights into personalized treatment approaches for melanoma subtypes.
Area of Science:
- Oncology
- Genetics
- Dermatology
Background:
- Melanoma is the most aggressive skin cancer with rising prevalence and mortality.
- Recent advances in understanding melanoma genetics offer opportunities for personalized therapies.
- Identifying specific genetic alterations in melanoma subtypes is crucial for treatment development.
Purpose of the Study:
- To review known mutations, amplifications, and deletions in kinase signaling pathways in melanoma.
- To examine the prevalence of these genetic events across different melanoma subtypes.
- To discuss the outcomes of clinical trials using targeted therapies for melanoma.
Main Methods:
- Literature review of genetic mutations in melanoma.
- Analysis of genetic alterations in clinicopathologically defined melanoma subtypes.
- Review of clinical trial data for targeted melanoma therapies.
Main Results:
- Specific kinase signaling pathway mutations are prevalent in melanoma.
- Genetic alterations vary significantly among melanoma subtypes.
- Targeted therapies show promise but face challenges in clinical application.
Conclusions:
- Understanding melanoma genetics is key to developing personalized treatments.
- Targeted therapies offer a promising avenue for improving melanoma outcomes.
- Further research is needed to overcome challenges and enhance the efficacy of melanoma treatments.
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