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Updated: Oct 13, 2025

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
ROS Pleiotropy in Melanoma and Local Therapy with Physical Modalities
Sanjeev Kumar Sagwal1, Sander Bekeschus1
1ZIK Plasmatis, Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, Germany.
Abstract:
Metabolic energy production naturally generates unwanted products such as reactive oxygen species (ROS), causing oxidative damage. Oxidative damage has been linked to several pathologies, including diabetes, premature aging, neurodegenerative diseases, and cancer. ROS were therefore originally anticipated as an imperative evil, a product of an imperfect system. More recently, however, the role of ROS in signaling and tumor treatment is increasingly acknowledged. This review addresses the main types, sources, and pathways of ROS in melanoma by linking their pleiotropic roles in antioxidant and oxidant regulation, hypoxia, metabolism, and cell death. In addition, the implications of ROS in various physical therapy modalities targeting melanoma, such as radiotherapy, electrochemotherapy, hyperthermia, photodynamic therapy, and medical gas plasma, are also discussed. By including ROS in the main picture of melanoma skin cancer and as an integral part of cancer therapies, a greater understanding of melanoma cell biology is presented, which ultimately may elucidate additional clues on targeting therapy resistance of this most deadly form of skin cancer.
Insights
Reactive oxygen species (ROS) are key to melanoma development and treatment. Understanding ROS roles in cell signaling and physical therapies offers new avenues for combating this deadly skin cancer.
Area of Science:
- Biochemistry
- Oncology
- Dermatology
Background:
- Metabolic processes generate reactive oxygen species (ROS), which cause oxidative damage linked to aging and diseases like cancer.
- ROS were once viewed as harmful byproducts but are now recognized for their roles in cell signaling and cancer therapy.
- Melanoma, a deadly skin cancer, is influenced by ROS, necessitating a deeper understanding of their complex roles.
Purpose of the Study:
- To review the types, sources, and pathways of ROS in melanoma.
- To explore the dual roles of ROS in antioxidant/oxidant regulation, hypoxia, metabolism, and cell death.
- To discuss the implications of ROS in physical therapy modalities for melanoma treatment.
Main Methods:
- Literature review of ROS in melanoma.
- Analysis of ROS involvement in cellular processes (antioxidant regulation, hypoxia, metabolism, cell death).
- Examination of ROS in physical therapies including radiotherapy, electrochemotherapy, hyperthermia, photodynamic therapy, and medical gas plasma.
Main Results:
- ROS play multifaceted roles in melanoma, influencing cell survival and death.
- ROS are integral to the efficacy of various physical therapy modalities used against melanoma.
- Understanding ROS mechanisms can illuminate strategies to overcome therapy resistance in melanoma.
Conclusions:
- ROS are critical players in melanoma biology and therapeutic responses.
- Targeting ROS pathways presents a promising strategy for enhancing melanoma treatment outcomes.
- Further research into ROS is essential for developing more effective therapies against melanoma and overcoming resistance.
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