The role of ferroptosis in melanoma

Pigment Cell Melanoma Res. 2022 Jan;35(1):18-25. doi: 10.1111/pcmr.13009. Epub 2021 Aug 23.

Abstract

Melanoma is the deadliest form of skin cancer. Although treatment with targeted therapies and immune checkpoint inhibitors has dramatically improved survival in advanced melanoma, many patients do not benefit from these therapies or relapse after an initial period of response. Thus, future outcomes in these categories of melanoma patients will depend on the identification of novel therapeutic targets and methods to enhance existing targeted therapy and immunotherapy regimens. Ferroptosis is a newly identified form of iron-dependent regulated cell death that is morphologically, biochemically, and genetically distinct from apoptosis, autophagy, pyroptosis, and necroptosis. Dysregulation of ferroptosis has been linked to the development of several forms of cancer. This review examines ferroptosis in the context of melanoma. It presents an overview of ferroptosis biology, summarizes and interprets the current literature, and poses several outstanding questions and areas of future direction.

Keywords: cell death; ferroptosis; immunotherapy; iron; melanoma; skin neoplasms.

Publication types

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

MeSH terms

  • Animals
  • Cell Dedifferentiation
  • Drug Resistance, Neoplasm
  • Ferroptosis* / drug effects
  • Glutamic Acid / metabolism
  • Humans
  • Immune Checkpoint Inhibitors / therapeutic use
  • Iron / metabolism
  • Melanoma / drug therapy
  • Melanoma / metabolism
  • Melanoma / pathology*
  • Signal Transduction
  • Skin Neoplasms / drug therapy
  • Skin Neoplasms / metabolism
  • Skin Neoplasms / pathology*

Substances

  • Immune Checkpoint Inhibitors
  • Glutamic Acid
  • Iron