Melanoma is the deadliest form of skin cancer. BRAF and NRAS genetic mutations are known to occur in a very large proportion of melanomas. But although scientists have identified the oncogenic mutations that trigger melanoma cells and their proliferation, the mechanism that causes normal cells to transform into cancerous melanoma cells and cause their spread has not been well defined.
The Yale team identified a microRNA called miR-146a that accelerates in activity in the presence of these oncogenes by activating a cancer promoting signaling pathway called Notch.
The authors suggest that Notch and another signaling pathway called MAP kinase, which is activated by these same oncogenes, represent a valuable drug development target. "Our study has identified a new genetic vulnerability in melanoma, and it is likely that simultaneous inhibition of MAP Kinase pathway and NOTCH signaling pathway will emerge as a better therapeutic option to treat melanoma patients," said senior author Narendra Wajapeyee, assistant professor of pathology at Yale School of Medicine and a member of Yale Cancer Center.
Other authors are Matteo Forloni and Yuying Dong of Yale; Shaillay Dogra of the Agency for Science Technology and Research, Singapore; Darryl Conte, Jianhong Ou, Lihua Zhu, and April Deng of the University of Massachusetts; Meera Mahalingam of Boston University; and Michael Green of the University of Massachusetts and the Howard Hughes Medical Institute.
The study was supported by supported by grants from the Melanoma Research Alliance, Melanoma Research Foundation, Howard Hughes Medical Institute and the National Institutes of Health (R01GM033977),
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