How to make a melanoma: what do we know of the primary clonal events?

Pigment Cell Melanoma Res. 2008 Feb;21(1):27-38. doi: 10.1111/j.1755-148X.2007.00433.x.

Abstract

Rapid advances have been made in our knowledge of the commonest genetic and epigenetic alterations found in human sporadic melanomas. Valuable recent contributions came from analyses of gene copy number by comparative genome hybridization, and from large-scale gene expression profiling. All of the commonest affected genes encode regulatory components. Loci with established importance in melanoma, like CDKN2A, BRAF and PTEN, have been joined by some less familiar genes including transcription factor sequences TBX2 and STK11 (LKB). This knowledge is reviewed in relation to the cellular signaling pathways affected by these molecules, their biological outcomes, and the implications as to what changes are required overall to generate a melanoma. The data support a model in which genesis of melanoma requires changes that (1) initiate clonal expansion, (2) overcome cell senescence, and (3) reduce apoptosis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Apoptosis / genetics
  • Cell Cycle Proteins / genetics
  • Cell Cycle Proteins / metabolism
  • Cell Movement / genetics
  • Cell Proliferation
  • Cell Transdifferentiation / genetics
  • Cell Transformation, Neoplastic / genetics*
  • Cell Transformation, Neoplastic / metabolism
  • Cell Transformation, Neoplastic / pathology
  • Cellular Senescence / genetics
  • Epithelial Cells / metabolism
  • Gene Expression Regulation, Neoplastic*
  • Humans
  • Melanoma / enzymology
  • Melanoma / genetics*
  • Melanoma / metabolism
  • Melanoma / pathology
  • Mesoderm / metabolism
  • Signal Transduction / genetics*
  • Transcription Factors / genetics
  • Transcription Factors / metabolism

Substances

  • Cell Cycle Proteins
  • Transcription Factors