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Updated: Jul 13, 2026

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
MDA-9/Syntenin as a therapeutic cancer metastasis target: current molecular and preclinical understanding
Swadesh K Das1,2,3, Paul B Fisher1,2,3
1VCU Institute of Molecular Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
Introduction:
Metastasis is a principal cause of patient morbidity and death from solid cancers with current therapies being inadequate.
Areas Covered:
Detailed genomic analyses document mutational differences between the initial tumor and metastatic clones, posing a challenge to current targeted therapies, which focus predominantly on the phenotype of primary tumors. Considering the diverse signaling cascades and numerous compensatory pathways in metastasis, designing broad-spectrum anti-metastatic therapies remains challenging. Although significant anti-cancer activity is evident in specific patients with advanced cancers and metastases treated with single or combination immunotherapies, there are limitations, i.e. toxicity, immune inhibitory 'cold' tumors and the tumor microenvironment (TME), and intra- and intertumoral heterogeneity. Accordingly, multidisciplinary strategies are required to attack metastases and the TME to obtain optimal therapeutic responses.
Expert Opinion:
To create potent anti-metastatic agents, defining critical genes/proteins and drugs controlling discrete steps in the metastatic cascade are mandatory. Melanoma differentiation-associated gene-9 (MDA-9), Syndecan Binding Protein (SDCBP) or Syntenin (MDA-9/Syntenin) is robustly expressed and serves essential roles in cancer disease progression through protein-protein interactions with additional metastasis-associated molecules and pathways. The importance of MDA-9/Syntenin in the metastatic process is now established and first-in-class inhibitory molecules look promising with some moving toward clinical evaluation.
Insights
Metastasis, a major cause of cancer death, requires new therapies. Targeting melanoma differentiation-associated gene-9 (MDA-9/Syntenin) shows promise for developing potent anti-metastatic agents.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Metastasis Research
Background:
- Metastasis is a primary driver of cancer morbidity and mortality, with current therapies often inadequate.
- Genomic heterogeneity between primary tumors and metastases complicates targeted therapy development.
- Existing immunotherapies face challenges including toxicity, immune resistance, and tumor microenvironment (TME) factors.
Purpose of the Study:
- To identify critical molecular targets for developing effective anti-metastatic agents.
- To investigate the role of melanoma differentiation-associated gene-9 (MDA-9/Syntenin) in cancer metastasis.
- To explore the potential of targeting MDA-9/Syntenin for novel anti-cancer therapies.
Main Methods:
- Genomic analysis of primary and metastatic tumor clones.
- Investigation of signaling pathways involved in the metastatic cascade.
- Evaluation of MDA-9/Syntenin expression and function in cancer progression.
Main Results:
- Melanoma differentiation-associated gene-9 (MDA-9/Syntenin) is highly expressed and crucial for cancer progression.
- MDA-9/Syntenin interacts with other metastasis-associated molecules and pathways.
- First-in-class inhibitors targeting MDA-9/Syntenin are emerging and show therapeutic potential.
Conclusions:
- Targeting MDA-9/Syntenin represents a promising strategy for developing novel anti-metastatic therapies.
- Understanding the molecular mechanisms of MDA-9/Syntenin is key to overcoming therapeutic challenges in metastatic cancer.
- Further development of MDA-9/Syntenin inhibitors could lead to improved treatment outcomes for patients with advanced cancers.
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