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Updated: Sep 13, 2025

Spatial and Temporal Control of Murine Melanoma Initiation from Mutant Melanocyte Stem Cells
Published on: June 7, 2019
PTRF Confers Melanoma-Acquired Drug Resistance Through the Upregulation of EGFR
Miao Wang1, Ying Cao1, Chengcheng Ren1
1Zhejiang Key Laboratory of Medical Epigenetics, Zhejiang Key Laboratory of Aging and Cancer Biology, Hangzhou Normal University School of Basic Medical Sciences, Hangzhou, China.
Abstract:
Melanoma is the most serious type of skin cancer. About half of all melanomas have activating BRAF mutations. Targeted therapy for malignant melanoma with BRAF inhibitor (BRAFi) or its combination with MEK inhibitor (MEKi) improves the clinical outcomes of patients, but resistance develops invariably. The underlying mechanisms remain incompletely understood. Here, we show that caveolae number is increased in both BRAFi and BRAFi + MEKi-resistant melanoma cells, and the expression of the critical caveolae component PTRF is significantly upregulated in drug-resistant melanoma cell lines and tumour tissues. Knockdown of PTRF in drug-resistant cells reduces proliferation with increased apoptosis, whereas ectopic expression of PTRF confers resistance on parental cells to BRAFi or BRAFi + MEKi. On the contrary, the knockdown of PTRF in parental cells reduces their ability to acquire drug resistance induced by BRAFi treatment. Interestingly, we find that the expression of EGFR is increased along with PTRF and caveolin-1 in drug-resistant cells and in PTRF transduced parental cells, whereas knockdown of PTRF results in down-regulation of EGFR expression and attenuates drug resistance of parental cells induced by PTRF expression. Together, these results suggest that PTRF contributes to therapy resistance through upregulating EGFR in melanoma cells.
Insights
PTRF upregulation increases caveolae in melanoma, driving resistance to BRAF and MEK inhibitors. Targeting PTRF may overcome drug resistance by downregulating EGFR and restoring sensitivity.
Area of Science:
- Oncology
- Molecular Biology
- Dermatology
Background:
- Melanoma is a serious skin cancer often driven by BRAF mutations.
- Targeted therapies like BRAF inhibitors (BRAFi) and MEK inhibitors (MEKi) are effective but face inevitable resistance.
- Mechanisms of acquired resistance to melanoma targeted therapies are not fully understood.
Purpose of the Study:
- To investigate the role of PTRF and caveolae in melanoma drug resistance.
- To elucidate the molecular mechanisms by which PTRF contributes to resistance against BRAFi and MEKi therapies.
Main Methods:
- Analysis of PTRF and caveolae in drug-resistant melanoma cell lines and patient tissues.
- Gene knockdown and ectopic expression of PTRF in melanoma cells.
- Assessment of cell proliferation, apoptosis, and drug sensitivity.
- Evaluation of EGFR expression in relation to PTRF and drug resistance.
Main Results:
- Increased caveolae number and PTRF expression in drug-resistant melanoma cells and tissues.
- PTRF knockdown reduced proliferation and increased apoptosis in resistant cells.
- Ectopic PTRF expression conferred BRAFi/MEKi resistance to parental cells.
- PTRF upregulation correlated with increased EGFR expression, a key driver of resistance.
Conclusions:
- PTRF is a critical mediator of resistance to BRAFi and MEKi therapies in melanoma.
- PTRF promotes drug resistance, at least partly, by upregulating EGFR expression.
- Targeting PTRF may represent a novel therapeutic strategy to overcome melanoma targeted therapy resistance.
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