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Updated: Dec 29, 2025

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Published on: October 7, 2025
The miRNAs Role in Melanoma and in Its Resistance to Therapy
Francesca Varrone1, Emilia Caputo2
1IRBM S.p.A., Via Pontina Km 30,600, I-00071 Pomezia, Italy.
Abstract:
Melanoma is the less common but the most malignant skin cancer. Since the survival rate of melanoma metastasis is about 10-15%, many different studies have been carried out in order to find a more effective treatment. Although the development of target-based therapies and immunotherapeutic strategies has improved chances for patient survival, melanoma treatment still remains a big challenge for oncologists. Here, we collect recent data about the emerging role of melanoma-associated microRNAs (miRNAs) currently available treatments, and their involvement in drug resistance. We also reviewed miRNAs as prognostic factors, because of their chemical stability and resistance to RNase activity, in melanoma progression. Moreover, despite miRNAs being considered small conserved regulators with the limitation of target specificity, we outline the dual role of melanoma-associated miRNAs, as oncogenic and/or tumor suppressive factors, compared to other tumors.
Insights
Melanoma microRNAs (miRNAs) show dual roles as oncogenic or tumor suppressive factors. Understanding these melanoma-associated miRNAs is crucial for developing novel treatments and overcoming drug resistance in this malignant skin cancer.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Melanoma is an aggressive skin cancer with poor survival rates for metastatic disease.
- Current treatments, including targeted therapies and immunotherapies, offer improved survival but challenges remain.
- Melanoma-associated microRNAs (miRNAs) are emerging as critical players in melanoma progression and treatment response.
Purpose of the Study:
- To review the current data on melanoma-associated miRNAs.
- To explore the role of miRNAs in melanoma drug resistance.
- To discuss the potential of miRNAs as prognostic factors and therapeutic targets.
Main Methods:
- Literature review of recent studies on melanoma-associated miRNAs.
- Analysis of miRNA involvement in melanoma progression and drug resistance.
- Evaluation of miRNA stability and prognostic potential.
Main Results:
- Melanoma-associated miRNAs exhibit a dual role, acting as either oncogenic or tumor suppressive factors.
- miRNAs are implicated in the development of drug resistance in melanoma.
- The stability and conserved nature of miRNAs make them promising prognostic indicators.
Conclusions:
- Melanoma-associated miRNAs represent a significant area for novel therapeutic strategies.
- Targeting miRNAs could offer new avenues to overcome drug resistance and improve melanoma patient outcomes.
- Further research into the specific functions and targets of these miRNAs is warranted.
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