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Updated: Apr 27, 2026

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
[Targeted therapies for melanoma]
1Zentrum für Dermato-Onkologie, Universitäts-Hautklinik, Eberhard-Karls-Universität Tübingen, Liebermeisterstr. 25, 72076, Tübingen, Deutschland, ulrike.leiter@med.uni-tuebingen.de.
Abstract:
Since the discovery of activating mutations in the BRAF oncogene and also stimulation of immune mediated antitumor response in melanoma, there has been remarkable progress in the development of targeted therapies for unresectable and metastatic melanoma. This article addresses the latest developments of BRAF/MEK/ERK pathway signaling. In addition, the development of drugs to attack alternative mutations in melanoma, such as NRAS and KIT is described. Strategies for the management of BRAF inhibitor resistance, such as with combination therapy, are outlined. Antitumor immune therapies with monoclonal antibodies such as ipilimumab which acts by promoting T-cell activation or antibody blockade of programmed death-1 (PD-1) led to a long term response in metastatic melanoma. Results of latest clinical studies including the toxicity profile are described. Due to selective kinase inhibitors and immune checkpoint blockade, the therapy of unresectable metastatic melanoma has greatly improved and long-term survival of patients with metastatic melanoma seems a real possibility.
Insights
Targeted therapies and immune checkpoint blockade have significantly advanced melanoma treatment. These approaches offer improved outcomes and long-term survival possibilities for patients with unresectable metastatic melanoma.
Area of Science:
- Oncology
- Immunology
- Genetics
Context:
- Melanoma treatment has advanced due to discoveries in BRAF oncogene mutations and immune responses.
- Targeted therapies and immunotherapies are revolutionizing care for unresectable and metastatic melanoma.
Purpose:
- To review the latest developments in BRAF/MEK/ERK pathway signaling and targeted therapies for melanoma.
- To describe emerging drugs for NRAS and KIT mutations and strategies for overcoming BRAF inhibitor resistance.
- To summarize clinical study results, including toxicity profiles, of novel melanoma treatments.
Summary:
- Recent progress includes targeted therapies for BRAF mutations and immune checkpoint inhibitors like ipilimumab and PD-1 blockade.
- Combination therapies are being explored to manage BRAF inhibitor resistance.
- Selective kinase inhibitors and immune checkpoint blockade show promise for improved patient survival.
Impact:
- Therapy for unresectable metastatic melanoma has greatly improved.
- Long-term survival for patients with metastatic melanoma is becoming a realistic possibility.
- Advances offer new hope and better prognoses for melanoma patients.
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