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Updated: May 10, 2026

A Robust Discovery Platform for the Identification of Novel Mediators of Melanoma Metastasis
Published on: March 8, 2022
Suppression of antifolate resistance by targeting the myosin Va trafficking pathway in melanoma
María Piedad Fernández-Pérez1, María F Montenegro, Magalí Sáez-Ayala
1Department of Biochemistry and Molecular Biology A, School of Biology, Regional Campus of International Excellence "Campus Mare Nostrum", University of Murcia, Murcia, Spain.
Abstract:
Human melanoma is a significant clinical problem. As most melanoma patients relapse with lethal drug-resistant disease, understanding and preventing mechanism(s) of resistance is one of the highest priorities to improve melanoma therapy. Melanosomal sequestration and the cellular exportation of cytotoxic drugs have been proposed to be important melanoma-specific mechanisms that contribute to multidrug resistance in melanoma. Concretely, we found that treatment of melanoma with methotrexate (MTX) altered melanogenesis and accelerated the exportation of melanosomes; however, the cellular and molecular processes by which MTX is trapped into melanosomes and exported out of cells have not been elucidated. In this study, we identified myosin Va (MyoVa) as a possible mediator of these cellular processes. The results demonstrated that melanoma treatment with MTX leads to Akt2-dependent MyoVa phosphorylation, which enhances its ability to interact with melanosomes and accelerates their exportation. To understand the mechanism(s) by which MTX activates Akt2, we examined the effects of this drug on the activity of protein phosphatase 2A, an Akt inhibitor activated by the methylation of its catalytic subunit. Taken together, this study identified a novel trafficking pathway in melanoma that promotes tumor resistance through Akt2/MyoVa activation. Because of these findings, we explored several MTX combination therapies to increase the susceptibility of melanoma to this drug. By avoiding MTX exportation, we observed that the E2F1 apoptotic pathway is functional in melanoma, and its induction activates p73 and apoptosis protease-activating factor 1 following a p53-autonomous proapoptotic signaling event.
Insights
Melanoma cells export drugs like methotrexate (MTX) via a novel pathway involving Akt2 and myosin Va, leading to drug resistance. Blocking this export reactivates cell death pathways, offering new therapeutic strategies for melanoma.
Area of Science:
- Oncology
- Cell Biology
- Pharmacology
Background:
- Human melanoma frequently develops drug resistance, leading to poor patient outcomes.
- Melanoma-specific mechanisms like melanosomal sequestration and drug exportation contribute to multidrug resistance.
- The precise cellular processes underlying methotrexate (MTX) sequestration and exportation in melanoma remain unclear.
Purpose of the Study:
- To elucidate the molecular mechanisms by which MTX is trapped in melanosomes and exported from melanoma cells.
- To identify key mediators involved in MTX-induced melanosome trafficking and drug resistance.
- To explore therapeutic strategies for overcoming MTX resistance in melanoma.
Main Methods:
- Investigated the role of myosin Va (MyoVa) in MTX transport and melanosome exportation.
- Examined the involvement of Akt2 signaling in MyoVa phosphorylation and melanosome trafficking.
- Assessed the impact of MTX on protein phosphatase 2A activity.
- Evaluated the efficacy of combination therapies aimed at blocking MTX exportation.
Main Results:
- MTX treatment induces Akt2-dependent phosphorylation of MyoVa, enhancing its interaction with melanosomes and accelerating their export.
- MTX affects melanosome trafficking and melanogenesis.
- Blocking MTX exportation reactivates the E2F1 apoptotic pathway, involving p73 and apoptosis protease-activating factor 1.
- The study identified a novel Akt2/MyoVa-mediated trafficking pathway contributing to melanoma drug resistance.
Conclusions:
- A novel Akt2/MyoVa pathway mediates melanosome trafficking and promotes MTX resistance in melanoma.
- Inhibition of this pathway restores sensitivity to MTX by enabling apoptosis.
- Targeting this pathway presents a promising strategy for combination therapies to improve melanoma treatment outcomes.
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