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Updated: Oct 9, 2025

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Signal pathways of melanoma and targeted therapy
Weinan Guo1, Huina Wang1, Chunying Li2
1Department of Dermatology, Xijing Hospital, Fourth Military Medical University, No. 127 of West Changle Road, 710032, Xi'an, Shaanxi, China.
Abstract:
Melanoma is the most lethal skin cancer that originates from the malignant transformation of melanocytes. Although melanoma has long been regarded as a cancerous malignancy with few therapeutic options, increased biological understanding and unprecedented innovations in therapies targeting mutated driver genes and immune checkpoints have substantially improved the prognosis of patients. However, the low response rate and inevitable occurrence of resistance to currently available targeted therapies have posed the obstacle in the path of melanoma management to obtain further amelioration. Therefore, it is necessary to understand the mechanisms underlying melanoma pathogenesis more comprehensively, which might lead to more substantial progress in therapeutic approaches and expand clinical options for melanoma therapy. In this review, we firstly make a brief introduction to melanoma epidemiology, clinical subtypes, risk factors, and current therapies. Then, the signal pathways orchestrating melanoma pathogenesis, including genetic mutations, key transcriptional regulators, epigenetic dysregulations, metabolic reprogramming, crucial metastasis-related signals, tumor-promoting inflammatory pathways, and pro-angiogenic factors, have been systemically reviewed and discussed. Subsequently, we outline current progresses in therapies targeting mutated driver genes and immune checkpoints, as well as the mechanisms underlying the treatment resistance. Finally, the prospects and challenges in the development of melanoma therapy, especially immunotherapy and related ongoing clinical trials, are summarized and discussed.
Insights
Understanding melanoma pathogenesis is crucial for improving patient outcomes. This review details melanoma
Area of Science:
- Oncology
- Dermatology
- Cancer Biology
Background:
- Melanoma, the deadliest skin cancer, arises from melanocyte transformation.
- Advances in targeted therapies and immunotherapy have improved melanoma patient prognosis.
- Treatment resistance and low response rates necessitate a deeper understanding of melanoma pathogenesis.
Purpose of the Study:
- To provide a comprehensive review of melanoma epidemiology, clinical features, risk factors, and current therapeutic strategies.
- To systematically discuss the signaling pathways involved in melanoma pathogenesis, including genetic mutations, epigenetic changes, metabolic reprogramming, and inflammatory pathways.
- To outline recent therapeutic advancements targeting driver genes and immune checkpoints, alongside mechanisms of treatment resistance.
Main Methods:
- Literature review and synthesis of current research on melanoma biology and therapy.
- Systematic discussion of key molecular pathways implicated in melanoma development and progression.
- Analysis of current treatment modalities, resistance mechanisms, and future therapeutic prospects.
Main Results:
- Melanoma pathogenesis is orchestrated by complex signaling pathways involving genetic mutations, epigenetic dysregulation, metabolic reprogramming, and inflammatory processes.
- Targeted therapies and immunotherapies have shown promise but face challenges with response rates and acquired resistance.
- Understanding these intricate mechanisms is key to developing more effective melanoma treatments.
Conclusions:
- Further comprehensive understanding of melanoma pathogenesis is essential for advancing therapeutic approaches.
- Overcoming treatment resistance and improving response rates require continued research into molecular mechanisms.
- Future melanoma therapy development, particularly in immunotherapy, holds significant promise for improved patient outcomes.
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