2023
DOI: 10.3390/cancers15061832
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Molecular Alterations in Cutaneous Squamous Cell Carcinoma in Immunocompetent and Immunosuppressed Hosts—A Systematic Review

Abstract: The characterization of cutaneous squamous cell carcinoma (cSCC) at the molecular level is lacking in the current literature due to the high mutational burden of this disease. Immunosuppressed patients afflicted with cSCC experience considerable morbidity and mortality. In this article, we review the molecular profile of cSCC among the immunosuppressed and immunocompetent populations at the genetic, epigenetic, transcriptomic, and proteometabolomic levels, as well as describing key differences in the tumor imm… Show more

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Cited by 5 publications
(5 citation statements)
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References 110 publications
(157 reference statements)
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“…36,44,45 Given distinct differences in the molecular alterations and TME characteristics of tumours of immunocompromised compared to immunocompetent patients, comprehensive screening of both cohorts is critical. 46,47 Further, none are derived from a female; while males are more predominately affected by metastatic cSCC, there is increasing suggestion of a sex-related influence on disease progression requiring greater preclinical representation. 48,49 These limitations are compounded by the time to establish these cell lines by clonal outgrowth, followed by a minimum of four but usually beyond 10 passages.…”
Section: Improving Model S Of Me Ta S Tati C C Sccmentioning
confidence: 99%
See 1 more Smart Citation
“…36,44,45 Given distinct differences in the molecular alterations and TME characteristics of tumours of immunocompromised compared to immunocompetent patients, comprehensive screening of both cohorts is critical. 46,47 Further, none are derived from a female; while males are more predominately affected by metastatic cSCC, there is increasing suggestion of a sex-related influence on disease progression requiring greater preclinical representation. 48,49 These limitations are compounded by the time to establish these cell lines by clonal outgrowth, followed by a minimum of four but usually beyond 10 passages.…”
Section: Improving Model S Of Me Ta S Tati C C Sccmentioning
confidence: 99%
“…Only one cell line, MET4, is taken from an immunocompromised patients' tumour, undermining the clinical trend of a high disease burden and distinct immunological‐associated mutational signature in this cohort 36,44,45 . Given distinct differences in the molecular alterations and TME characteristics of tumours of immunocompromised compared to immunocompetent patients, comprehensive screening of both cohorts is critical 46,47 . Further, none are derived from a female; while males are more predominately affected by metastatic cSCC, there is increasing suggestion of a sex‐related influence on disease progression requiring greater preclinical representation 48,49 .…”
Section: Improving Models Of Metastatic Csccmentioning
confidence: 99%
“…Epigenetic changes may occur as well [ 19 , 20 ]. However, complete understanding of molecular changes in cSCC has not been achieved yet [ 21 ].…”
Section: Introductionmentioning
confidence: 99%
“…Several molecular pathways are implicated in the development of cSCC, including mutations in the P53 gene, alterations in suppressor genes such as CDKN2A and NOTCH, oncogenes such as RAS, and activation of the NF-kB, MAPK, and PI3K/AKT/mTOR pathways. In addition to genetic mutations, epigenetic changes can also play a role in this process [15][16][17][18][19].…”
Section: Introductionmentioning
confidence: 99%