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- Title
Molecular and cellular stratagem of brain metastases associated with melanoma.
- Authors
Buga, Ana-Maria; Docea, Anca Oana; Albu, Carmen; Malin, Ramona Denise; Branisteanu, Daciana Elena; Ianosi, Gabriel; Ianosi, Simona Laura; Iordache, Andrei; Calina, Daniela
- Abstract
Tumors of the central nervous system are the most prevalent complications of melanoma, especially in the late stage of disease. Melanoma, lung and breast cancer are the leading cause of secondary tumors in the brain, the majority of them having a poor outcome. Brain dissemination is developed in half of stage IV melanomas and these cases can increase up to 75%, having a major impact on the quality of life. This review will focus on recent findings that provide new ways to potentially prevent brain metastases in malignant melanoma. The key of these findings is based on the heterogeneity of the melanoma and of the brain metastases at genetic levels. This new era of technologies provides new tools in understanding the dissemination mechanisms of malignant cells. The cellular and molecular changes, the immune status of the patient and the blood-brain barrier permeability are key regulators of cancer cell dissemination. Understanding these mechanisms can render new hope in preventing brain metastases by focusing on melanoma and new pharmacologic approaches.
- Subjects
MELANOMA; BRAIN metastasis; BLOOD-brain barrier; CENTRAL nervous system tumors; METASTASIS; BRAIN tumors
- Publication
Oncology Letters, 2019, Vol 17, Issue 5, p4170
- ISSN
1792-1074
- Publication type
Article