Abstract

Cutaneous melanoma (CMM) is a skin tumor with a high degree of malignancy. BRAF resistance imposes great difficulty to the treatment of CMM, and partially contributes to the poor prognosis of CMM. YAP is involved in the growth and drug resistance of a variety of tumors, and mechanical signals may affect the activation of YAP1. As a novel ultrasound treatment technology, ultrasound-mediated microbubble destruction (UMMD) has been reported to have a killing effect on isolated CMM cells. In this study, the tumor tissue samples were collected from 64 CMM patients. We found that YAP1 mRNA expression was irrelevant to the clinicopathological characteristics and prognostic survival of the CMM patients. The drug-resistant cell line was constructed and subcutaneously implanted into nude mice, which were further separately treated with UMMD, ultrasound (US), and microbubbles (MB). The result showed that UMMD significantly inhibited the growth of tumor tissues. Ribosome imprinting sequencing (Ribo-seq) is a genetic technology for studying protein translation at genetic level. Ribo-seq, RNA-seq, and RT-qPCR were applied to detect YAP1 expression in CMM mouse tumor tissues. Ribo-seq data revealed that UMMD greatly up-regulated the expression of YAP1, interestingly, the up-regulated YAP1 was found to be negatively correlated with the weight of tumor tissues, while no significant change in YAP1 expression was detected by RNA-seq or RT-qPCR assay. These results indicated that UMMD could inhibit the tumor growth of drug-resistant CMM by affecting the translation efficiency of YAP1, providing a strong basis for the clinical treatment of UMMD in CMM.

Highlights

  • Cutaneous melanoma (CMM) is a skin tumor with a high degree of malignancy and rising incidence [1, 2], with a larger tumor volume positively correlating with an increased prognostic risk of patients [3]

  • Clinicopathological Characteristics of CMM Patients Was Irrelevant to YAP1 mRNA Expression

  • By comparing the relationship between mRNA expression of YAP1 and clinical pathological characteristics of the patients, we observed that YAP1 mRNA expression was irrelevant to the age, gender, lesion site, or cell subtype, etc. of CMM patients (p>0.05) (Table 3)

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Summary

Introduction

Cutaneous melanoma (CMM) is a skin tumor with a high degree of malignancy and rising incidence [1, 2], with a larger tumor volume positively correlating with an increased prognostic risk of patients [3]. The discovery of missense mutation of the BRAF gene is one of the most influential developments in the study of CMM, as inn more than half of CMM cases, the valine at position 600 of the BRAF protein is replaced by glutamic acid (BRAFV600E) [4, 5]. Studies found that BRAFV600E mutation is related to a higher chance of developing tumor metastasis and lower survival rate of CMM patients [5, 6]. As a potent kinase inhibitor selectively targeting BRAFV600E mutation in tumor cells, Verofini (PLX 4032) has a therapeutic effect on patients with metastatic melanoma with BRAFV600E mutations and could improve the overall survival of CMM patients [7]. PLX 4032 is prone to develop drug resistance within 6-8 months of treatment, greatly imposing the difficulty of clinical treatment of CMM patients [8]

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