Oxidative Stress in Melanoma: Beneficial Antioxidant and Pro-Oxidant Therapeutic Strategies

Cutaneous melanoma ranks as the fifth most common cancer in the United States and represents one of the deadliest forms of skin cancer. While recent advances in systemic targeted therapies and immunotherapies have positively impacted melanoma survival, the survival rate of stage IV melanoma remains...

Full description

Bibliographic Details
Main Authors: Alyssa L. Becker, Arup K. Indra
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/11/3038
_version_ 1797597820602023936
author Alyssa L. Becker
Arup K. Indra
author_facet Alyssa L. Becker
Arup K. Indra
author_sort Alyssa L. Becker
collection DOAJ
description Cutaneous melanoma ranks as the fifth most common cancer in the United States and represents one of the deadliest forms of skin cancer. While recent advances in systemic targeted therapies and immunotherapies have positively impacted melanoma survival, the survival rate of stage IV melanoma remains at a meager 32%. Unfortunately, tumor resistance can impede the effectiveness of these treatments. Oxidative stress is a pivotal player in all stages of melanoma progression, with a somewhat paradoxical function that promotes tumor initiation but hinders vertical growth and metastasis in later disease. As melanoma progresses, it employs adaptive mechanisms to lessen oxidative stress in the tumor environment. Redox metabolic rewiring has been implicated in acquired resistance to BRAF/MEK inhibitors. A promising approach to enhance the response to therapy involves boosting intracellular ROS production using active biomolecules or targeting enzymes that regulate oxidative stress. The complex interplay between oxidative stress, redox homeostasis, and melanomagenesis can also be leveraged in a preventive context. The purpose of this review is to provide an overview of oxidative stress in melanoma, and how the antioxidant system may be manipulated in a therapeutic context for improved efficacy and survival.
first_indexed 2024-03-11T03:10:52Z
format Article
id doaj.art-be7979549470465683f7be1d33ede3ac
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-11T03:10:52Z
publishDate 2023-06-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-be7979549470465683f7be1d33ede3ac2023-11-18T07:39:54ZengMDPI AGCancers2072-66942023-06-011511303810.3390/cancers15113038Oxidative Stress in Melanoma: Beneficial Antioxidant and Pro-Oxidant Therapeutic StrategiesAlyssa L. Becker0Arup K. Indra1Department of Pharmaceutical Sciences, College of Pharmacy, Oregon State University (OSU), Corvallis, OR 97331, USADepartment of Pharmaceutical Sciences, College of Pharmacy, Oregon State University (OSU), Corvallis, OR 97331, USACutaneous melanoma ranks as the fifth most common cancer in the United States and represents one of the deadliest forms of skin cancer. While recent advances in systemic targeted therapies and immunotherapies have positively impacted melanoma survival, the survival rate of stage IV melanoma remains at a meager 32%. Unfortunately, tumor resistance can impede the effectiveness of these treatments. Oxidative stress is a pivotal player in all stages of melanoma progression, with a somewhat paradoxical function that promotes tumor initiation but hinders vertical growth and metastasis in later disease. As melanoma progresses, it employs adaptive mechanisms to lessen oxidative stress in the tumor environment. Redox metabolic rewiring has been implicated in acquired resistance to BRAF/MEK inhibitors. A promising approach to enhance the response to therapy involves boosting intracellular ROS production using active biomolecules or targeting enzymes that regulate oxidative stress. The complex interplay between oxidative stress, redox homeostasis, and melanomagenesis can also be leveraged in a preventive context. The purpose of this review is to provide an overview of oxidative stress in melanoma, and how the antioxidant system may be manipulated in a therapeutic context for improved efficacy and survival.https://www.mdpi.com/2072-6694/15/11/3038melanomaoxidative stressROSantioxidantsNRF2thioredoxin reductase
spellingShingle Alyssa L. Becker
Arup K. Indra
Oxidative Stress in Melanoma: Beneficial Antioxidant and Pro-Oxidant Therapeutic Strategies
Cancers
melanoma
oxidative stress
ROS
antioxidants
NRF2
thioredoxin reductase
title Oxidative Stress in Melanoma: Beneficial Antioxidant and Pro-Oxidant Therapeutic Strategies
title_full Oxidative Stress in Melanoma: Beneficial Antioxidant and Pro-Oxidant Therapeutic Strategies
title_fullStr Oxidative Stress in Melanoma: Beneficial Antioxidant and Pro-Oxidant Therapeutic Strategies
title_full_unstemmed Oxidative Stress in Melanoma: Beneficial Antioxidant and Pro-Oxidant Therapeutic Strategies
title_short Oxidative Stress in Melanoma: Beneficial Antioxidant and Pro-Oxidant Therapeutic Strategies
title_sort oxidative stress in melanoma beneficial antioxidant and pro oxidant therapeutic strategies
topic melanoma
oxidative stress
ROS
antioxidants
NRF2
thioredoxin reductase
url https://www.mdpi.com/2072-6694/15/11/3038
work_keys_str_mv AT alyssalbecker oxidativestressinmelanomabeneficialantioxidantandprooxidanttherapeuticstrategies
AT arupkindra oxidativestressinmelanomabeneficialantioxidantandprooxidanttherapeuticstrategies