CD33 drives cutaneous melanoma: mendelian randomization confirms causality, multi-omics and in vitro experiments

Longyuan Hu1,2, Yapeng Wang2,3, Limin Liu4

  • 1Medical Experimental Research Center, Guilin Hospital of the Second Xiangya Hospital, Central South University, Guilin, Guangxi, China.

Abstract

Insights

This study identifies CD33 as a key factor in cutaneous melanoma (CM) development. Targeting CD33 may inhibit M2 macrophage polarization, offering a potential new therapeutic strategy for melanoma.

Area of Science:

  • Immunology
  • Genetics
  • Oncology

Background:

  • Cutaneous melanoma (CM) incidence and mortality are rising globally.
  • Current targeted and immune therapies offer limited durable responses, highlighting the need for new therapeutic targets.
  • High rates of immune resistance and recurrence in CM necessitate novel treatment strategies.

Purpose of the Study:

  • To identify potential drug targets for cutaneous melanoma (CM).
  • To explore the role of CD33 in CM development and progression.
  • To investigate the relationship between CD33, immune cell traits, and melanoma.

Main Methods:

  • Mendelian randomization (MR), summary-data-based MR (SMR), and colocalization analyses were performed using large-scale genetic and immune cell trait data.
  • Bulk and single-cell transcriptomic data from multiple databases were analyzed to understand CM mechanisms.
  • In vitro experiments were conducted to validate the functional role of CD33 in melanoma cells and macrophages.

Main Results:

  • Eight immune cell traits, including CD33 mean fluorescence intensity (MFI), were positively associated with both skin and in situ melanoma.
  • MR and colocalization analyses supported a causal relationship between CD33, immune cell traits, and CM.
  • CD33 expression in the tumor microenvironment correlated with M2 macrophage differentiation; downregulating CD33 inhibited M2 polarization and melanoma cell proliferation/migration.

Conclusions:

  • CD33 promotes cutaneous melanoma (CM) development by enhancing M2 macrophage polarization.
  • The findings suggest CD33 as a potential therapeutic target for CM.
  • Integrated multi-omics and experimental validation provide strong evidence for CD33's role in CM pathogenesis.

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