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Targeting the microbiota-miRNA-protease axis: A new therapeutic avenue in melanoma
Elias N Katsoulieris1, Paraskevi Ioannou1, Nikolaos A Afratis1,2
1Laboratory of Biotechnology and Molecular Analysis, Department of Agricultural Development, Agri-food & Management of Natural Resources, National and Kapodistrian University of Athens, Evia, Greece.
Abstract:
Modulation of extracellular matrix (ECM) turnover is a critical prerequisite process underlying the onset of melanoma metastasis. ECM proteases are involved in the degradation of matrix components during ECM turnover, which is associated with melanoma cell growth, migration, invasion, extravasation, metastasis, and modulation of melanoma tumor immunogenicity. During these processes, fluctuations in ECM protease activities and concentrations occur in response to complex regulatory mechanisms acting at both the transcriptional and post-transcriptional levels of protease gene expression. In this review, we examine the major factors of epigenetic machinery, specifically protease-regulating microRNAs (miRNAs), with respect to their ability to directly target ECM protease transcripts and influence melanoma progression. Furthermore, given that dysregulation of the intestinal microbiota has been identified as an etiological factor in melanoma resistance to contemporary immunotherapies, this review examines evidence linking gut dysbiosis-induced changes in matrix metalloproteinase-targeting miRNA profiles to the progression of melanoma. In conclusion, we evaluate the therapeutic potential of approaches involving modifications of gut microbiota populations, alongside direct miRNA targeting of ECM proteases. The integration of these strategies may facilitate the development of innovative adjuvant therapies aimed at overcoming resistance to current inhibitor checkpoint immunotherapies.
Insights
This review explores how microRNAs (miRNAs) regulate extracellular matrix (ECM) proteases, impacting melanoma metastasis. It also examines the link between gut microbiota, miRNAs, and melanoma progression, suggesting novel therapeutic strategies.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Melanoma metastasis is critically dependent on the modulation of extracellular matrix (ECM) turnover.
- ECM proteases play a key role in ECM degradation, influencing melanoma cell growth, migration, invasion, and immune evasion.
- Complex transcriptional and post-transcriptional regulatory mechanisms control ECM protease activity during melanoma progression.
Purpose of the Study:
- To review the role of epigenetic machinery, specifically microRNAs (miRNAs), in targeting ECM protease transcripts.
- To examine the influence of gut dysbiosis on miRNA profiles and its link to melanoma progression and immunotherapy resistance.
- To evaluate the therapeutic potential of targeting ECM proteases and modulating gut microbiota for melanoma treatment.
Main Methods:
- Literature review focusing on epigenetic regulation of ECM proteases by miRNAs in melanoma.
- Analysis of studies linking gut microbiota dysbiosis to altered miRNA expression and melanoma progression.
- Evaluation of therapeutic strategies involving miRNA targeting and gut microbiota modulation.
Main Results:
- MicroRNAs directly target ECM protease transcripts, significantly influencing melanoma cell behavior and progression.
- Gut dysbiosis is associated with altered matrix metalloproteinase-targeting miRNA profiles, contributing to melanoma resistance to immunotherapy.
- Modulation of gut microbiota and direct miRNA targeting show promise as adjuvant therapies for melanoma.
Conclusions:
- Epigenetic regulation by miRNAs is a crucial factor in melanoma metastasis via ECM protease modulation.
- The gut microbiome influences melanoma progression and immunotherapy response through miRNA-mediated pathways.
- Combined strategies targeting gut microbiota and ECM proteases via miRNAs offer innovative therapeutic avenues for melanoma.
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