It is a particularly aggressive type of skin cancer affecting the cells that produce skin pigment.
Just this year in the United States, more than 90,000 individuals will be diagnosed with melanoma.
Although leaps and bounds have been made in the treatment of cancer in general, particularly in immunotherapies, there is still a lot of ground left to cover.
To close these gaps, it is vital to understand how different cancers survive and progress. Once we have a stronger understanding of the cellular mechanisms behind cancer cells' ability to thrive, we will have a better chance of interrupting them.
In this vein, researchers at the University of Zürich in Switzerland have recently been investigating the role of cilia in melanoma.
What are cilia?
Cilia are long, slender, hair-like projections found on nearly all of our cells. They are involved in a range of tasks, including cell proliferation, receiving sensory information, and communication between cells.
Although there are a number of diseases related to cilia — called ciliopathies — little is known about their role in cancer.
So, how did the researchers stumble across the potential involvement of cilia in melanoma? Initially, Prof. Lukas Sommer and his colleagues were looking at epigenetic factors that might be important in the progression of the disease. Their investigation was published recently in the journal Cancer Cell.
The genetic factors behind melanoma have been explored in some detail, but epigenetic changes are much less known. Although genetic causes are based on mutations in DNA, epigenetic causes are not; rather, they alter how efficiently a portion of DNA is translated into protein. The code stays the same, but the way it is read is altered.
In particular, the researchers were interested in a protein called EZH2, an enzyme that represses transcription. It is found much more commonly in melanoma cells than in healthy tissue.
So, the team started by studying all of the genes that EZH2 regulates, and what it found was intriguing.
"We were very surprised to find many genes that are jointly responsible for the formation of cilia."
Prof. Lukas Sommer
Cilia and melanoma
Specifically, EZH2 was shown to suppress the formation of cilia, meaning that melanoma cells carry significantly reduced numbers of these projections. Conversely, when the team reduced levels of EZH2, cilia growth increased.
Using human cells and a mouse model, the scientists were able to show that a lack of cilia activates a pro-cancer cascade known as the Wnt signaling pathway. Once in motion, this pathway leads, ultimately, to melanoma.
Interestingly, other types of cancer cell have also been shown to carry reduced numbers of cilia.
According to Prof. Sommer, "The epigenetic regulation of cilia formation that we've now discovered in melanoma is, therefore, likely also relevant for the formation of other types of cancers, such as breast or brain tumors."
The authors hope that, in the future, drugs that reduce the activity of EZH2 might be useful in the treatment of melanoma; it has the potential to be a powerful additional intervention alongside immunotherapies.