Molecular Oncology Group, Cancer Research UK Manchester Institute, The University of Manchester, Alderley Park, UK.
Oncodrug Ltd, Alderly Park, Macclesfield, UK.
Nat Rev Cancer. 2023 Jun;23(6):372-390. doi: 10.1038/s41568-023-00565-7. Epub 2023 Apr 24.
Over the past decade, melanoma has led the field in new cancer treatments, with impressive gains in on-treatment survival but more modest improvements in overall survival. Melanoma presents heterogeneity and transcriptional plasticity that recapitulates distinct melanocyte developmental states and phenotypes, allowing it to adapt to and eventually escape even the most advanced treatments. Despite remarkable advances in our understanding of melanoma biology and genetics, the melanoma cell of origin is still fiercely debated because both melanocyte stem cells and mature melanocytes can be transformed. Animal models and high-throughput single-cell sequencing approaches have opened new opportunities to address this question. Here, we discuss the melanocytic journey from the neural crest, where they emerge as melanoblasts, to the fully mature pigmented melanocytes resident in several tissues. We describe a new understanding of melanocyte biology and the different melanocyte subpopulations and microenvironments they inhabit, and how this provides unique insights into melanoma initiation and progression. We highlight recent findings on melanoma heterogeneity and transcriptional plasticity and their implications for exciting new research areas and treatment opportunities. The lessons from melanocyte biology reveal how cells that are present to protect us from the damaging effects of ultraviolet radiation reach back to their origins to become a potentially deadly cancer.
在过去的十年中,黑色素瘤在癌症新疗法领域处于领先地位,在治疗期间的存活率方面取得了显著提高,但在总生存率方面的改善则较为温和。黑色素瘤表现出异质性和转录可塑性,再现了不同的黑素细胞发育状态和表型,使其能够适应甚至最终逃脱即使是最先进的治疗方法。尽管我们对黑色素瘤生物学和遗传学的理解取得了显著进展,但黑色素瘤的起源细胞仍存在激烈争议,因为黑素细胞干细胞和成熟的黑素细胞都可以被转化。动物模型和高通量单细胞测序方法为解决这个问题提供了新的机会。在这里,我们讨论了黑素细胞从神经嵴的起源,它们作为黑素母细胞出现,到驻留在几个组织中的完全成熟的色素性黑素细胞的旅程。我们描述了对黑素细胞生物学以及它们所居住的不同黑素细胞亚群和微环境的新理解,以及这如何为黑色素瘤的起始和进展提供独特的见解。我们强调了关于黑色素瘤异质性和转录可塑性的最新发现及其对令人兴奋的新研究领域和治疗机会的影响。从黑素细胞生物学中得到的教训揭示了,那些存在于我们体内以保护我们免受紫外线辐射伤害的细胞是如何回溯到它们的起源,从而成为一种潜在的致命癌症的。
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