If untreated at early stages, melanoma becomes a highly aggressive cancer with rapid metastasis to distant sites. Although cell biologic analyses have uncovered a multitude of signaling pathways involved in melanoma genesis and progression -including the MAPK, PI3K, and FAK pathwaysefficacious therapies that target these cellular components have remained elusive. Genome-wide technologies such as microarray chips and array comparative genomic hybridization have generated genetic information that can identify cellular mechanisms critical for the induction and maintainence of the malignant phenotype. Thus, such data can guide the choice of a biologically relevant drug. However, these techniques have also identified melanoma as a genetically and biologically highly heterogeneous disease that likely requires individually tailored therapies based on the patient¹s individual genetic and biologic alterations. In addition, these techniques have generated a large body of data on candidate melanoma genes that await extensive functional validation to separate so called "driver" from "passenger" events. In this review, we cover several advances in melanoma therapeutics and their current limitations as well as emerging genomic, proteomic, and epigenetic strategies for the identification of critical cellular dependencies that may be tractable to therapeutic targeting. Keywords melanoma; growth factors; oncogenes; therapy; melanoma genome
THE DISEASEMelanoma arises from melanocytes, specialized pigmented cells that reside in the skin, at the choroidal layer of the eye, the gastrointestinal and genitourethral mucosal surfaces and the meninges. Melanocytes produce melanins, the pigments responsible for skin and hair color. InCorresponding author for proof and reprints: Stephan N. Wagner, MD, Division of Immunology, Allergy and Infectious Diseases, Department of Dermatology, Medical University of Vienna, Währinger Gürtel 18-20, A-1090 Vienna, AUSTRIA, ++43-1-40400-7915, ++43-1-40400-7574 (fax), stephan.wagner@meduniwien.ac.at (e-mail). Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
NIH Public Access Author ManuscriptAdv Dermatol. Author manuscript; available in PMC 2008 December 17.
Published in final edited form as:Adv Dermatol. 2007 ; 23: 99-129. doi:10.1016/j.yadr.2007.07.015.
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript the skin, melanocytes reside between keratinocytes in the basal layer of the epidermis and in the hair follicles and produce melanin to a variety of direct and indirect stimuli such as ultraviolet (UV) radiation. Thereby, melanocytes...