Related Experiment Video
Updated: Aug 14, 2025

A Robust Discovery Platform for the Identification of Novel Mediators of Melanoma Metastasis
Published on: March 8, 2022
Metabolism heterogeneity in melanoma fuels deactivation of immunotherapy: Predict before protect
Xinyue Zhang1,2,3, Zongguang Tai1, Fengze Miao1
1Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, China.
Abstract:
Malignant melanoma is widely acknowledged as the most lethal skin malignancy. The metabolic reprogramming in melanoma leads to alterations in glycolysis and oxidative phosphorylation (OXPHOS), forming a hypoxic, glucose-deficient and acidic tumor microenvironment which inhibits the function of immune cells, resulting in a low response rate to immunotherapy. Therefore, improving the tumor microenvironment by regulating the metabolism can be used to improve the efficacy of immunotherapy. However, the tumor microenvironment (TME) and the metabolism of malignant melanoma are highly heterogeneous. Therefore, understanding and predicting how melanoma regulates metabolism is important to improve the local immune microenvironment of the tumor, and metabolism regulators are expected to increase treatment efficacy in combination with immunotherapy. This article reviews the energy metabolism in melanoma and its regulation and prediction, the integration of immunotherapy and metabolism regulators, and provides a comprehensive overview of future research focal points in this field and their potential application in clinical treatment.
Insights
Metabolic reprogramming in malignant melanoma creates a tumor microenvironment (TME) that hinders immunotherapy. Regulating melanoma metabolism can improve the TME and enhance immunotherapy efficacy.
Area of Science:
- Oncology
- Immunology
- Metabolic Research
Background:
- Malignant melanoma, a lethal skin cancer, exhibits metabolic reprogramming.
- Altered glycolysis and oxidative phosphorylation (OXPHOS) create a hypoxic, acidic tumor microenvironment (TME).
- This TME suppresses immune cell function, leading to poor immunotherapy response rates.
Purpose of the Study:
- To review energy metabolism in melanoma and its regulation.
- To explore the integration of immunotherapy with metabolism regulators.
- To identify future research directions for improving melanoma treatment.
Main Methods:
- Literature review of melanoma metabolism and immunotherapy.
- Analysis of metabolic reprogramming in the tumor microenvironment.
- Discussion of metabolism regulators and their potential clinical applications.
Main Results:
- Melanoma's metabolic heterogeneity poses challenges for treatment.
- Metabolic regulators show promise in combination with immunotherapy.
- Improving the TME through metabolic intervention is key to enhancing immunotherapy.
Conclusions:
- Understanding and predicting melanoma metabolism is crucial for improving local immune responses.
- Metabolism regulators are expected to increase treatment efficacy when combined with immunotherapy.
- Targeting tumor metabolism offers a promising strategy for enhancing melanoma immunotherapy outcomes.
Related Concept Videos
Tumor Immunotherapy
Adaptive Mechanisms in Cancer Cells
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Targeted Cancer Therapies
There are several types of targeted therapies against...
The Tumor Microenvironment
Treatment Resistant Cancers

