Cutaneous malignant melanoma and Parkinson disease: Common pathways?

Rivka Inzelberg1,2, Shira Flash3, Eitan Friedman4,5

  • 1Department of Neurology and Neurosurgery, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv.

Annals of Neurology
|October 21, 2016
PubMed

Insights

Parkinson disease (PD) and cutaneous malignant melanoma (CMM) share underlying genetic pathways. PD hallmark protein alpha-synuclein is found in CMM, suggesting a link between neurodegeneration and skin cancer.

Area of Science:

  • Neuroscience
  • Oncology
  • Genetics

Background:

  • Parkinson disease (PD) and cutaneous malignant melanoma (CMM) exhibit a high comorbidity.
  • The molecular mechanisms linking PD and CMM remain largely unknown.
  • 129Ser-phosphorylated alpha-synuclein, a key pathological marker in PD, is notably present in CMM but absent in healthy skin.

Purpose of the Study:

  • To explore the potential shared genetic pathways and molecular intersections between Parkinson disease and cutaneous malignant melanoma.
  • To review genetic links, including PARK genes and melanogenesis-related genes, that may contribute to the comorbidity of PD and CMM.

Main Methods:

  • Literature review of genetic associations between Parkinson disease and cutaneous malignant melanoma.
  • Analysis of shared cellular origins (neural crest) and functional capabilities (melanogenesis).
  • Examination of gene mutations (germline in PD, somatic in CMM) and protein involvement in both conditions.

Main Results:

  • Parkinson disease-associated genes (PARK genes) are implicated in both inherited PD and somatic mutations in CMM.
  • Alpha-synuclein, a hallmark of PD pathology, is expressed in CMM.
  • Genes associated with CMM risk also influence PD risk, indicating a potential genetic overlap.
  • Shared neural crest cell origin and melanogenesis capability in PD and CMM cells.

Conclusions:

  • Genetic intersections and shared pathways likely contribute to the high prevalence of CMM in Parkinson disease patients.
  • Further research into these shared pathways may reveal novel therapeutic targets for both neurodegenerative and oncological conditions.
  • Pigmentation gene variants may play a role in the susceptibility to both PD and CMM.

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