Department of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy.
Department of Medical and Surgical Sciences and Advanced Technology 'G.F. Ingrassia', University of Catania, 95125 Catania, Italy.
Int J Oncol. 2018 Apr;52(4):1071-1080. doi: 10.3892/ijo.2018.4287. Epub 2018 Feb 27.
In less than 10 years, melanoma treatment has been revolutionized with the approval of tyrosine kinase inhibitors and immune checkpoint inhibitors, which have been shown to have a significant impact on the prognosis of patients with melanoma. The early steps of this transformation have taken place in research laboratories. The mitogen‑activated protein kinase (MAPK) pathway, phosphoinositol‑3‑kinase (PI3K) pathway promote the development of melanoma through numerous genomic alterations on different components of these pathways. Moreover, melanoma cells deeply interact with the tumor microenvironment and the immune system. This knowledge has led to the identification of novel therapeutic targets and treatment strategies. In this review, the epidemiological features of cutaneous melanoma along with the biological mechanisms involved in its development and progression are summarized. The current state‑of‑the‑art of advanced stage melanoma treatment strategies and the currently available evidence of the use of predictive and prognostic biomarkers are also discussed.
在不到 10 年的时间里,随着酪氨酸激酶抑制剂和免疫检查点抑制剂的批准,黑色素瘤的治疗发生了革命性的变化,这些药物已被证明对黑色素瘤患者的预后有重大影响。这种转变的早期步骤发生在研究实验室中。丝裂原激活蛋白激酶(MAPK)途径、磷酸肌醇 3-激酶(PI3K)途径通过这些途径的不同成分的许多基因组改变促进黑色素瘤的发展。此外,黑色素瘤细胞与肿瘤微环境和免疫系统深度相互作用。这些知识导致了新的治疗靶点和治疗策略的确定。在这篇综述中,总结了皮肤黑色素瘤的流行病学特征以及其发生和进展中涉及的生物学机制。还讨论了晚期黑色素瘤治疗策略的最新进展以及目前使用预测和预后生物标志物的现有证据。