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Updated: May 21, 2026

Spatial and Temporal Control of Murine Melanoma Initiation from Mutant Melanocyte Stem Cells
Published on: June 7, 2019
MicroRNA and cutaneous melanoma: from discovery to prognosis and therapy
Miguel F Segura1, Holly S Greenwald, Doug Hanniford
1Department of Pathology, NYU Langone Medical Center, New York, NY, USA.
Abstract:
Melanoma incidence and associated mortality continue to increase worldwide. The lack of treatments with durable responses for stage IV melanoma may be due, at least in part, to an incomplete understanding of the molecular mechanisms that regulate tumor initiation and/or progression to metastasis. Recent evidence supports miRNA dysregulation in melanoma impacting several well-known pathways such as the PI3K/AKT or RAS/MAPK pathways, but also underexplored cellular processes like protein glycosylation and immune modulation. There is also increasing evidence that miRNA can improve patient prognostic classification over the classical staging system and provide new therapeutic opportunities. The integration of this recently acquired knowledge with known molecular alterations in protein coding genes characteristic of these tumors (i.e., BRAF and NRAS mutations, CDKN2A inactivation) is critical for a complete understanding of melanoma pathogenesis. Here, we compile the evidence of the functional roles of miRNAs in melanomagenesis and progression, and of their clinical utility as biomarkers, prognostic tools and potential therapeutic targets. Characterization of miRNA alterations in melanoma may provide new angles for therapeutic intervention, help to decipher mechanisms of drug resistance, and improve patient classification for disease surveillance and clinical benefit.
Insights
MicroRNAs (miRNAs) are increasingly recognized for their roles in melanoma development and progression. Understanding these small molecules offers new diagnostic and therapeutic strategies for this deadly skin cancer.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Melanoma incidence and mortality are rising globally, particularly for stage IV disease.
- Current treatments for advanced melanoma often lack durable responses, highlighting gaps in understanding tumor biology.
- MicroRNA (miRNA) dysregulation is implicated in melanoma, affecting key pathways and cellular processes.
Purpose of the Study:
- To review the functional roles of miRNAs in melanoma initiation, progression, and metastasis.
- To explore the clinical utility of miRNAs as biomarkers and prognostic tools.
- To discuss miRNAs as potential therapeutic targets for melanoma.
Main Methods:
- Comprehensive literature review of studies investigating miRNA involvement in melanoma.
- Analysis of evidence linking miRNA alterations to known melanoma driver mutations (e.g., BRAF, NRAS) and pathways.
- Synthesis of data on miRNA's impact on protein glycosylation, immune modulation, and drug resistance.
Main Results:
- miRNAs significantly influence melanoma pathogenesis, impacting pathways like PI3K/AKT and RAS/MAPK.
- miRNA profiles can enhance patient prognostic classification beyond traditional staging.
- miRNAs are involved in underexplored areas such as protein glycosylation and immune evasion in melanoma.
Conclusions:
- Characterizing miRNA alterations is crucial for a comprehensive understanding of melanoma.
- miRNAs present novel therapeutic avenues and can help decipher drug resistance mechanisms.
- miRNAs hold promise for improved patient stratification, surveillance, and treatment strategies in melanoma.
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