Autophagy- An emerging target for melanoma therapy
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Updated: Mar 15, 2026

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Published on: January 31, 2025
Abibatou Ndoye1, Ashani T Weeraratna2
1Melanoma Research Center, Wistar Institute, Philadelphia, PA, USA; University of the Sciences in Philadelphia, Philadelphia, PA, USA.
Abstract:
Melanoma accounts for only 5% of all cancers but is the leading cause of skin cancer death due to its high metastatic potential. Patients with metastatic melanoma have a 10-year survival rate of less than 10%. While the clinical landscape for melanoma is evolving rapidly, lack of response to therapies, as well as resistance to therapy remain critical obstacles for treatment of this disease. In recent years, a myriad of therapy resistance mechanisms have been unravelled, one of which is autophagy, the focus of this review. In advanced stages of malignancy, melanoma cells hijack the autophagy machinery in order to alleviate drug-induced and metabolic stress in the tumor microenvironment, thereby promoting resistance to multiple therapies, tumor cell survival, and progression. Autophagy is an essential cellular process that maintains cellular homeostasis through the recycling of intracellular constituents. Early studies on the role of autophagy in cancer generated controversy as to whether autophagy was pro- or anti-tumorigenic. Currently, there is a consensus that autophagy is tumor-suppressive in the early stages of cancer and tumor-promoting in established tumors. This review aims to highlight current understandings on the role of autophagy in melanoma malignancy, and specifically therapy resistance; as well as to evaluate recent strategies for therapeutic autophagy modulation.
Insights
Melanoma cells use autophagy to resist cancer therapies, promoting survival and progression. Targeting this process offers new strategies for treating advanced melanoma and improving patient outcomes.
Area of Science:
- Oncology
- Cellular Biology
- Molecular Medicine
Background:
- Melanoma is a deadly skin cancer with high metastatic potential and poor survival rates for advanced cases.
- Therapy resistance is a major challenge in melanoma treatment, limiting clinical efficacy.
- Autophagy, a cellular recycling process, plays a complex role in cancer, acting as tumor-suppressive early on and tumor-promoting in established malignancies.
Purpose of the Study:
- To review the current understanding of autophagy's role in melanoma malignancy, particularly in the context of therapy resistance.
- To explore how melanoma cells exploit autophagy to survive and progress despite treatment.
- To evaluate emerging therapeutic strategies targeting autophagy modulation for melanoma treatment.
Main Methods:
- Literature review of studies on autophagy in melanoma.
- Analysis of mechanisms by which melanoma cells utilize autophagy for stress adaptation.
- Evaluation of preclinical and clinical data on autophagy-modulating therapies.
Main Results:
- Melanoma cells activate autophagy to cope with drug-induced and metabolic stress, conferring resistance to various therapies.
- Autophagy promotes melanoma cell survival, progression, and metastasis in advanced stages.
- Targeting autophagy presents a promising avenue for overcoming therapy resistance in melanoma.
Conclusions:
- Autophagy is a key mechanism enabling melanoma cells to resist treatment and drive disease progression.
- Modulating autophagy holds significant therapeutic potential for improving outcomes in metastatic melanoma.
- Further research into autophagy pathways is crucial for developing effective anti-melanoma strategies.
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