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Current status of skin cancers with a focus on immunology and immunotherapy
Mahsa Khayyati Kohnehshahri1,2, Aila Sarkesh3, Leila Mohamed Khosroshahi4
1Department of Microbiology, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran.
Abstract:
Skin cancer is one of the most widespread cancers, with a significant global health effect. UV-induced DNA damage in skin cells triggers them to grow and proliferate out of control, resulting in cancer development. Two common types of skin cancer include melanoma skin cancer (MSC) and non-melanoma skin cancer (NMSC). Melanoma is the most lethal form of skin cancer, and NMSC includes basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and other forms. The incidence of skin cancer is increasing in part owing to a demographic shift toward an aging population, which is more prone to NMSC, imposing a considerable financial strain on public health services. The introduction of immunostimulatory approaches for cancer cell eradication has led to significant improvements in skin cancer treatment. Over the last three decades, monoclonal antibodies have been used as powerful human therapeutics besides scientific tools, and along with the development of monoclonal antibody production and design procedures from chimeric to humanized and then fully human monoclonal antibodies more than 6 monoclonal antibodies have been approved by the food and drug administration (FDA) and have been successful in skin cancer treatment. In this review, we will discuss the epidemiology, immunology, and therapeutic approaches of different types of skin cancer.
Insights
Skin cancer, including melanoma and non-melanoma types, is increasing globally. Immunotherapy with monoclonal antibodies offers effective treatment strategies for various skin cancers.
Area of Science:
- Oncology
- Immunology
- Dermatology
Background:
- Skin cancer, a prevalent malignancy, arises from UV-induced DNA damage.
- Melanoma skin cancer (MSC) is the deadliest form, while non-melanoma skin cancer (NMSC) includes basal cell carcinoma (BCC) and squamous cell carcinoma (SCC).
- Rising incidence, linked to an aging population, strains public health resources.
Purpose of the Study:
- To review the epidemiology of skin cancer.
- To explore the immunological aspects of skin cancer development and treatment.
- To discuss current and emerging therapeutic approaches for skin cancer.
Main Methods:
- Literature review of epidemiological data on skin cancer incidence.
- Analysis of immunological mechanisms underlying skin cancer.
- Examination of therapeutic strategies, focusing on monoclonal antibodies.
Main Results:
- Skin cancer incidence is increasing, particularly NMSC in aging populations.
- Monoclonal antibodies have emerged as significant therapeutics in skin cancer treatment.
- Over six monoclonal antibodies are FDA-approved and demonstrate success in treating skin cancers.
Conclusions:
- Understanding skin cancer epidemiology and immunology is crucial for effective management.
- Immunotherapy, especially using monoclonal antibodies, represents a major advancement in skin cancer treatment.
- Continued research into therapeutic approaches is vital for combating the growing burden of skin cancer.
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