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Updated: Jun 1, 2025

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Role of the androgen receptor in melanoma aggressiveness
Marzia Di Donato1, Costanza Maria Cristiani2, Mariaelena Capone3
1Department of Precision Medicine, University of Campania 'L. Vanvitelli'- Via L. De Crecchio 7, 80138, Naples, Italy.
Abstract:
Malignant melanoma represents the fifth most common cancer in the world and its incidence is rising. Novel therapies targeting receptor tyrosine kinases, kinases and immune checkpoints have been employed with a significant improvement of the overall survival and long-term disease containment. Nevertheless, the disease often progresses and becomes resistant to the therapies. As such, the discovery of new targets and drugs for advanced melanoma still remains a difficult task. Gender disparities, with a female advantage in melanoma incidence and outcome, have been reported. Although emerging studies support the pro-tumorigenic role of androgen/androgen receptor axis in melanoma, the molecular bases of such evidence are still under intense investigation. We now report that ligand activation of the androgen receptor drives melanoma invasiveness and its escape from natural killer-mediated cytotoxic effect. By combining different experimental approaches, we observe that melanoma escape is mediated by the androgen-triggered shedding of the surface molecule MICA. Specific blockade of ADAM10 or androgen receptor impairs the androgen-induced MICA shedding and melanoma immune-escape. Further, the increase in MICA serum levels correlates with a poor outcome in melanoma patients treated with the anti-PD-1 monoclonal antibody, pembrolizumab. At last, melanoma cells depleted of the androgen receptor become more responsive to the most commonly used immunocheckpoint inhibitors, suggesting that the receptor dampens the immunotherapy efficacy. Taken together, our findings identify the androgen receptor as a diagnostic guidance in melanoma and support the repositioning of AR blockers in clinical management of patients.
Insights
Androgen receptor activation promotes melanoma invasiveness and immune evasion by triggering MICA shedding. Blocking the androgen receptor or ADAM10 enhances natural killer cell activity and improves immunotherapy response in melanoma patients.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Malignant melanoma incidence is rising globally, with increasing resistance to novel therapies.
- Gender disparities exist in melanoma, and the androgen receptor's role is under investigation.
- Advanced melanoma requires new therapeutic targets and drugs for improved patient outcomes.
Purpose of the Study:
- To investigate the role of the androgen receptor (AR) in melanoma progression and immune evasion.
- To identify molecular mechanisms underlying AR-mediated melanoma invasiveness and resistance to natural killer (NK) cell cytotoxicity.
- To explore the potential of targeting the AR axis for melanoma treatment and improving immunotherapy efficacy.
Main Methods:
- Utilized experimental approaches to study melanoma cell invasiveness and MICA shedding.
- Investigated the effect of androgen receptor activation and blockade on melanoma immune escape.
- Analyzed MICA serum levels in melanoma patients treated with pembrolizumab (anti-PD-1).
- Assessed the responsiveness of AR-depleted melanoma cells to immunocheckpoint inhibitors.
Main Results:
- Ligand activation of the androgen receptor promotes melanoma invasiveness and escape from NK cell-mediated killing.
- Androgen receptor signaling triggers the shedding of MICA, a surface molecule, facilitating immune escape.
- Blocking ADAM10 or the androgen receptor inhibits androgen-induced MICA shedding and melanoma immune escape.
- Elevated MICA serum levels correlate with poor outcomes in patients treated with pembrolizumab.
- Melanoma cells lacking androgen receptor show enhanced sensitivity to immunocheckpoint inhibitors.
Conclusions:
- The androgen receptor plays a critical role in driving melanoma invasiveness and immune evasion.
- Androgen receptor signaling, through MICA shedding, contributes to resistance against natural killer cell surveillance.
- Targeting the androgen receptor axis, including MICA shedding via ADAM10, offers a potential therapeutic strategy.
- Androgen receptor status may serve as a diagnostic marker, and AR blockers could be repositioned for melanoma treatment, potentially enhancing immunotherapy efficacy.
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