Molecular targeted therapy in melanoma: a way to reverse resistance to conventional drugs
Francesca Maira1, Alessia Catania, Saverio Candido
1Department of Biomedical Sciences, Section of General Pathology & Oncology, University of Catania, Italy.
Abstract:
Cutaneous melanoma is the most aggressive skin cancer. Beside surgery, it is treated with chemotherapy and immunotherapy. However, many patients relapse after adjuvant therapy. The recent identification of several key molecular pathways implicated in the pathogenesis of melanoma is spreading development of a number of new translational targeted therapies which could play an important role in overcoming or minimizing resistance to chemotherapeutic drugs and proapoptotic therapies. This review summarizes environmental factors and the most significant molecular events involved in melanoma pathogenesis, disclosing mechanisms responsible for drug resistance and pointing out the clinical view for emerging targeted therapies. Standard therapies and an update on the current clinical trials are also described.
Insights
Cutaneous melanoma, a dangerous skin cancer, often relapses after treatment. Emerging targeted therapies show promise in overcoming drug resistance and improving patient outcomes.
Area of Science:
- Oncology
- Dermatology
- Molecular Biology
Background:
- Cutaneous melanoma is the most aggressive form of skin cancer.
- Standard treatments include surgery, chemotherapy, and immunotherapy.
- Adjuvant therapy often leads to patient relapse.
Purpose of the Study:
- To review environmental factors and molecular events in melanoma pathogenesis.
- To disclose mechanisms of drug resistance in melanoma.
- To highlight emerging targeted therapies and clinical trials for melanoma.
Main Methods:
- Literature review of environmental factors and molecular pathways in melanoma.
- Analysis of mechanisms contributing to drug resistance.
- Summary of current clinical trials for targeted melanoma therapies.
Main Results:
- Key molecular pathways driving melanoma pathogenesis have been identified.
- Understanding these pathways is crucial for developing new treatments.
- Targeted therapies offer potential to overcome resistance to conventional treatments.
Conclusions:
- Emerging targeted therapies hold significant promise for managing melanoma.
- Further research into molecular mechanisms and clinical trials is essential.
- Personalized treatment strategies are key to improving melanoma patient survival.
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