Hypoxia and Extracellular Acidification as Drivers of Melanoma Progression and Drug Resistance

Hypoxia and elevated extracellular acidification are prevalent features of solid tumors and they are often shown to facilitate cancer progression and drug resistance. In this review, we have compiled recent and most relevant research pertaining to the role of hypoxia and acidification in melanoma gr...

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Main Authors: Ewelina Dratkiewicz, Aleksandra Simiczyjew, Justyna Mazurkiewicz, Marcin Ziętek, Rafał Matkowski, Dorota Nowak
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/10/4/862
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author Ewelina Dratkiewicz
Aleksandra Simiczyjew
Justyna Mazurkiewicz
Marcin Ziętek
Rafał Matkowski
Dorota Nowak
author_facet Ewelina Dratkiewicz
Aleksandra Simiczyjew
Justyna Mazurkiewicz
Marcin Ziętek
Rafał Matkowski
Dorota Nowak
author_sort Ewelina Dratkiewicz
collection DOAJ
description Hypoxia and elevated extracellular acidification are prevalent features of solid tumors and they are often shown to facilitate cancer progression and drug resistance. In this review, we have compiled recent and most relevant research pertaining to the role of hypoxia and acidification in melanoma growth, invasiveness, and response to therapy. Melanoma represents a highly aggressive and heterogeneous type of skin cancer. Currently employed treatments, including BRAF V600E inhibitors and immune therapy, often are not effective due to a rapidly developing drug resistance. A variety of intracellular mechanisms impeding the treatment were discovered. However, the tumor microenvironment encompassing stromal and immune cells, extracellular matrix, and physicochemical conditions such as oxygen level or acidity, may also influence the therapy effectiveness. Hypoxia and acidification are able to reprogram the metabolism of melanoma cells, enhance their survival and invasiveness, as well as promote the immunosuppressive environment. For this reason, these physicochemical features of the melanoma niche and signaling pathways related to them emerge as potential therapeutic targets.
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spelling doaj.art-4418a591db5a4b81be9297cbcc1b2efe2023-11-21T14:54:43ZengMDPI AGCells2073-44092021-04-0110486210.3390/cells10040862Hypoxia and Extracellular Acidification as Drivers of Melanoma Progression and Drug ResistanceEwelina Dratkiewicz0Aleksandra Simiczyjew1Justyna Mazurkiewicz2Marcin Ziętek3Rafał Matkowski4Dorota Nowak5Department of Cell Pathology, Faculty of Biotechnology, University of Wroclaw, Joliot-Curie 14a, 50-383 Wroclaw, PolandDepartment of Cell Pathology, Faculty of Biotechnology, University of Wroclaw, Joliot-Curie 14a, 50-383 Wroclaw, PolandDepartment of Cell Pathology, Faculty of Biotechnology, University of Wroclaw, Joliot-Curie 14a, 50-383 Wroclaw, PolandDepartment of Oncology and Division of Surgical Oncology, Wroclaw Medical University, Plac Hirszfelda 12, 53-413 Wroclaw, PolandDepartment of Oncology and Division of Surgical Oncology, Wroclaw Medical University, Plac Hirszfelda 12, 53-413 Wroclaw, PolandDepartment of Cell Pathology, Faculty of Biotechnology, University of Wroclaw, Joliot-Curie 14a, 50-383 Wroclaw, PolandHypoxia and elevated extracellular acidification are prevalent features of solid tumors and they are often shown to facilitate cancer progression and drug resistance. In this review, we have compiled recent and most relevant research pertaining to the role of hypoxia and acidification in melanoma growth, invasiveness, and response to therapy. Melanoma represents a highly aggressive and heterogeneous type of skin cancer. Currently employed treatments, including BRAF V600E inhibitors and immune therapy, often are not effective due to a rapidly developing drug resistance. A variety of intracellular mechanisms impeding the treatment were discovered. However, the tumor microenvironment encompassing stromal and immune cells, extracellular matrix, and physicochemical conditions such as oxygen level or acidity, may also influence the therapy effectiveness. Hypoxia and acidification are able to reprogram the metabolism of melanoma cells, enhance their survival and invasiveness, as well as promote the immunosuppressive environment. For this reason, these physicochemical features of the melanoma niche and signaling pathways related to them emerge as potential therapeutic targets.https://www.mdpi.com/2073-4409/10/4/862melanomahypoxiaacidificationdrug resistancetumor microenvironmentimmune escape
spellingShingle Ewelina Dratkiewicz
Aleksandra Simiczyjew
Justyna Mazurkiewicz
Marcin Ziętek
Rafał Matkowski
Dorota Nowak
Hypoxia and Extracellular Acidification as Drivers of Melanoma Progression and Drug Resistance
Cells
melanoma
hypoxia
acidification
drug resistance
tumor microenvironment
immune escape
title Hypoxia and Extracellular Acidification as Drivers of Melanoma Progression and Drug Resistance
title_full Hypoxia and Extracellular Acidification as Drivers of Melanoma Progression and Drug Resistance
title_fullStr Hypoxia and Extracellular Acidification as Drivers of Melanoma Progression and Drug Resistance
title_full_unstemmed Hypoxia and Extracellular Acidification as Drivers of Melanoma Progression and Drug Resistance
title_short Hypoxia and Extracellular Acidification as Drivers of Melanoma Progression and Drug Resistance
title_sort hypoxia and extracellular acidification as drivers of melanoma progression and drug resistance
topic melanoma
hypoxia
acidification
drug resistance
tumor microenvironment
immune escape
url https://www.mdpi.com/2073-4409/10/4/862
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AT justynamazurkiewicz hypoxiaandextracellularacidificationasdriversofmelanomaprogressionanddrugresistance
AT marcinzietek hypoxiaandextracellularacidificationasdriversofmelanomaprogressionanddrugresistance
AT rafałmatkowski hypoxiaandextracellularacidificationasdriversofmelanomaprogressionanddrugresistance
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