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Updated: Apr 1, 2026

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Emerging targets for combination therapy in melanomas
Renata de Freitas Saito1, Tharcísio Citrângulo Tortelli1, Mayara D'Auria Jacomassi1
1Center for Translational Research in Oncology (LIM24), Dept. of Radiology and Oncology, Faculdade de Medicina da Universidade de São Paulo and Instituto do Câncer do Estado de São Paulo, Brazil.
Abstract:
Cutaneous melanomas are often difficult to treat when diagnosed in advanced stages. Melanoma cells adapt to survive in extreme environmental conditions and are among the tumors with larger genomic instability. Here we discuss some intrinsic and extrinsic mechanisms of resistance of melanoma cells to both conventional and target therapies, such as autophagy, adaptation to endoplasmic reticulum stress, metabolic reprogramming, mechanisms of tumor repopulation and the role of extracellular vesicles in this later phenomenon. These biological processes are potentially targetable and thus provide a platform for research and discovery of new drugs for combination therapy to manage melanoma patient treatment.
Insights
Melanoma cells develop resistance to therapies through mechanisms like autophagy and metabolic changes. Targeting these processes offers new avenues for combination therapies against advanced melanoma.
Area of Science:
- Oncology
- Cancer Biology
Background:
- Advanced cutaneous melanomas present significant treatment challenges.
- Melanoma exhibits high genomic instability and adaptability to harsh conditions.
Purpose of the Study:
- To review intrinsic and extrinsic resistance mechanisms in melanoma cells.
- To explore potential therapeutic targets for combination therapies.
Main Methods:
- Literature review of cellular resistance mechanisms in melanoma.
- Analysis of biological processes contributing to treatment failure.
Main Results:
- Identified key resistance mechanisms: autophagy, endoplasmic reticulum stress adaptation, metabolic reprogramming, and tumor repopulation.
- Highlighted the role of extracellular vesicles in melanoma repopulation.
Conclusions:
- These resistance mechanisms are potentially targetable.
- Provides a basis for developing novel combination therapies for melanoma treatment.
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