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Updated: Jun 27, 2025

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Current State of Melanoma Therapy and Next Steps: Battling Therapeutic Resistance
Anna Fateeva1,2, Kevinn Eddy1,2, Suzie Chen1,2,3,4
1Susan Lehman Cullman Laboratory for Cancer Research, Rutgers University, Piscataway, NJ 08854, USA.
Abstract:
Melanoma is the most aggressive and deadly form of skin cancer due to its high propensity to metastasize to distant organs. Significant progress has been made in the last few decades in melanoma therapeutics, most notably in targeted therapy and immunotherapy. These approaches have greatly improved treatment response outcomes; however, they remain limited in their abilities to hinder disease progression due, in part, to the onset of acquired resistance. In parallel, intrinsic resistance to therapy remains an issue to be resolved. In this review, we summarize currently available therapeutic options for melanoma treatment and focus on possible mechanisms that drive therapeutic resistance. A better understanding of therapy resistance will provide improved rational strategies to overcome these obstacles.
Insights
Melanoma treatments like targeted therapy and immunotherapy show promise but face resistance. Understanding resistance mechanisms is key to improving melanoma treatment strategies.
Area of Science:
- Oncology
- Dermatology
- Cancer Therapeutics
Background:
- Melanoma is an aggressive skin cancer with high metastatic potential.
- Advances in targeted therapy and immunotherapy have improved melanoma treatment outcomes.
- Therapeutic resistance, both acquired and intrinsic, limits treatment efficacy.
Purpose of the Study:
- To review current melanoma therapeutic options.
- To explore mechanisms driving therapeutic resistance in melanoma.
- To inform the development of strategies to overcome resistance.
Main Methods:
- Literature review of melanoma therapeutics.
- Analysis of mechanisms underlying treatment resistance.
- Synthesis of current knowledge on melanoma therapy resistance.
Main Results:
- Current melanoma therapies include targeted agents and immunotherapies.
- Mechanisms of resistance involve genetic mutations, epigenetic alterations, and tumor microenvironment factors.
- Both acquired and intrinsic resistance significantly impede treatment success.
Conclusions:
- Overcoming therapeutic resistance is crucial for improving melanoma patient survival.
- Further research into resistance mechanisms will guide the development of more effective treatments.
- A deeper understanding of resistance is essential for designing next-generation melanoma therapies.
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