Drug targeting of oncogenic pathways in melanoma

Hematol Oncol Clin North Am. 2009 Jun;23(3):599-618, x. doi: 10.1016/j.hoc.2009.03.004.

Abstract

Melanoma continues to be one of the most aggressive and morbid malignancies once metastatic. Overall survival for advanced unresectable melanoma has not changed over the past several decades. However, the presence of some long-term survivors of metastatic melanoma highlights the heterogeneity of this disease and the potential for improved outcomes. Current research is uncovering the molecular and genetic scaffolding of normal and aberrant cell function. The known oncogenic pathways in melanoma and the attempts to develop therapy for them are discussed. The targeting of certain cellular processes, downstream of the common genetic alterations, for which the issues of target and drug validation are somewhat distinct, are also highlighted.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Angiogenesis Inhibitors / pharmacology
  • Angiogenesis Inhibitors / therapeutic use
  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Agents / therapeutic use
  • Apoptosis / drug effects
  • Autophagy / drug effects
  • Cell Cycle / drug effects
  • Cell Cycle Proteins / antagonists & inhibitors
  • Cell Cycle Proteins / physiology
  • Cyclin-Dependent Kinases / antagonists & inhibitors
  • Cyclin-Dependent Kinases / physiology
  • Drug Delivery Systems*
  • Forecasting
  • Humans
  • Intracellular Signaling Peptides and Proteins / antagonists & inhibitors
  • Intracellular Signaling Peptides and Proteins / physiology
  • Melanoma / drug therapy*
  • Melanoma / metabolism
  • Microphthalmia-Associated Transcription Factor / antagonists & inhibitors
  • Microphthalmia-Associated Transcription Factor / physiology
  • Neoplasm Proteins / antagonists & inhibitors
  • Neoplasm Proteins / physiology
  • Oncogene Proteins / antagonists & inhibitors*
  • Oncogene Proteins / physiology
  • Signal Transduction / drug effects
  • Transcription Factors / antagonists & inhibitors
  • Transcription Factors / physiology

Substances

  • Angiogenesis Inhibitors
  • Antineoplastic Agents
  • Cell Cycle Proteins
  • Intracellular Signaling Peptides and Proteins
  • MITF protein, human
  • Microphthalmia-Associated Transcription Factor
  • Neoplasm Proteins
  • Oncogene Proteins
  • Transcription Factors
  • Cyclin-Dependent Kinases