Oncogenetics of melanoma: basis for molecular diagnostics and therapy

J Dtsch Dermatol Ges. 2011 Jul;9(7):510-6. doi: 10.1111/j.1610-0387.2011.07603.x. Epub 2011 Jan 19.
[Article in English, German]

Abstract

Our understanding of oncogenetics and of the molecular mechanisms involved in melanoma development and signaling has dramatically changed in recent years. Today, melanomas are also classified based on molecular alterations. Emerging molecular therapies are targeted against specific mutations in melanoma. An example of targeted therapies is the successful treatment of KIT-mutant melanoma with the kinase inhibitor imatinib. Highly selective BRAF-inhibitors are likewise under clinical development and show encouraging clinical responses. An increasing number of targeted drugs will emerge in the coming years, based on molecular diagnostics and classification. The present article reviews signaling pathways in melanocytes and alterations in melanoma that are a prerequisite to understanding modern cancer therapies in melanoma.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / administration & dosage
  • Benzamides
  • Cell Transformation, Neoplastic / genetics*
  • Cell Transformation, Neoplastic / pathology
  • DNA Mutational Analysis
  • Drugs, Investigational / administration & dosage
  • Humans
  • Imatinib Mesylate
  • Melanoma / diagnosis*
  • Melanoma / drug therapy
  • Melanoma / genetics*
  • Melanoma / pathology
  • Molecular Targeted Therapy*
  • Piperazines / administration & dosage
  • Proto-Oncogene Proteins B-raf / antagonists & inhibitors
  • Proto-Oncogene Proteins c-kit / antagonists & inhibitors
  • Proto-Oncogene Proteins c-kit / genetics
  • Pyrimidines / administration & dosage
  • Signal Transduction / genetics
  • Skin Neoplasms / diagnosis*
  • Skin Neoplasms / drug therapy
  • Skin Neoplasms / genetics*
  • Skin Neoplasms / pathology

Substances

  • Antineoplastic Agents
  • Benzamides
  • Drugs, Investigational
  • Piperazines
  • Pyrimidines
  • Imatinib Mesylate
  • Proto-Oncogene Proteins c-kit
  • BRAF protein, human
  • Proto-Oncogene Proteins B-raf