Abstract
Hyperactivation of the Mitogen Activated Protein Kinase (MAPK) pathway is prevalent in melanoma, principally due to mutations in the BRAF and NRAS genes. MAPK inhibitors are effective only short-term, and recurrence occurs due to functional redundancies or intertwined pathways. The remodeling of Ca2+ signaling is also common in melanoma cells, partly through the increased expression of T-type channels (TTCCs). Here we summarize current knowledge about the prognostic value and molecular targeting of TTCCs. Furthermore, we discuss recent evidence pointing to TTCCs as molecular switches for melanoma chemoresistance, which set the grounds for novel combined therapies against the advanced disease.
Keywords:
Chemotherapeutic resistance; MAPK; Macroautophagy; Melanoma; PTEN mutants; RAF/RAS mutants; T-type channels.
Copyright © 2020 Elsevier B.V. All rights reserved.
Publication types
-
Research Support, Non-U.S. Gov't
-
Review
MeSH terms
-
Antineoplastic Agents / pharmacology
-
Antineoplastic Agents / therapeutic use*
-
Calcium Channel Blockers / pharmacology
-
Calcium Channel Blockers / therapeutic use
-
Calcium Channels, T-Type / metabolism*
-
Cell Line, Tumor
-
Disease Progression
-
Drug Resistance, Neoplasm / drug effects
-
Drug Resistance, Neoplasm / genetics
-
GTP Phosphohydrolases / antagonists & inhibitors
-
GTP Phosphohydrolases / genetics
-
Humans
-
Kaplan-Meier Estimate
-
MAP Kinase Signaling System / drug effects*
-
MAP Kinase Signaling System / genetics
-
Melanoma / drug therapy*
-
Melanoma / genetics
-
Melanoma / mortality
-
Melanoma / pathology
-
Membrane Proteins / antagonists & inhibitors
-
Membrane Proteins / genetics
-
Mutation
-
Prognosis
-
Protein Kinase Inhibitors / pharmacology
-
Protein Kinase Inhibitors / therapeutic use
-
Proto-Oncogene Proteins B-raf / antagonists & inhibitors
-
Proto-Oncogene Proteins B-raf / genetics
-
Skin Neoplasms / drug therapy*
-
Skin Neoplasms / genetics
-
Skin Neoplasms / mortality
-
Skin Neoplasms / pathology
-
Treatment Outcome
Substances
-
Antineoplastic Agents
-
Calcium Channel Blockers
-
Calcium Channels, T-Type
-
Membrane Proteins
-
Protein Kinase Inhibitors
-
BRAF protein, human
-
Proto-Oncogene Proteins B-raf
-
GTP Phosphohydrolases
-
NRAS protein, human