PMID- 35359389 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230311 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 12 DP - 2022 TI - Melanoma, Melanin, and Melanogenesis: The Yin and Yang Relationship. PG - 842496 LID - 10.3389/fonc.2022.842496 [doi] LID - 842496 AB - Melanin pigment plays a critical role in the protection against the harmful effects of ultraviolet radiation and other environmental stressors. It is produced by the enzymatic transformation of L-tyrosine to dopaquinone and subsequent chemical and biochemical reactions resulting in the formation of various 5,6-dihydroxyindole-2-carboxylic acid (DHICA) and 5,6-dihydroxyindole (DHI) oligomers-main constituents of eumelanin, and benzothiazine and benzothiazole units of pheomelanin. The biosynthesis of melanin is regulated by sun exposure and by many hormonal factors at the tissue, cellular, and subcellular levels. While the presence of melanin protects against the development of skin cancers including cutaneous melanoma, its presence may be necessary for the malignant transformation of melanocytes. This shows a complex role of melanogenesis in melanoma development defined by chemical properties of melanin and the nature of generating pathways such as eu- and pheomelanogenesis. While eumelanin is believed to provide radioprotection and photoprotection by acting as an efficient antioxidant and sunscreen, pheomelanin, being less photostable, can generate mutagenic environment after exposure to the short-wavelength UVR. Melanogenesis by itself and its highly reactive intermediates show cytotoxic, genotoxic, and mutagenic activities, and it can stimulate glycolysis and hypoxia-inducible factor 1-alpha (HIF-1alpha) activation, which, combined with their immunosuppressive effects, can lead to melanoma progression and resistance to immunotherapy. On the other hand, melanogenesis-related proteins can be a target for immunotherapy. Interestingly, clinicopathological analyses on advanced melanomas have shown a negative correlation between tumor pigmentation and diseases outcome as defined by overall survival and disease-free time. This indicates a "Yin and Yang" role for melanin and active melanogenesis in melanoma development, progression, and therapy. Furthermore, based on the clinical, experimental data and diverse effects of melanogenesis, we propose that inhibition of melanogenesis in advanced melanotic melanoma represents a realistic adjuvant strategy to enhance immuno-, radio-, and chemotherapy. CI - Copyright (c) 2022 Slominski, Sarna, Plonka, Raman, Brozyna and Slominski. FAU - Slominski, Radomir M AU - Slominski RM AD - Graduate Biomedical Sciences Program, University of Alabama at Birmingham, Birmingham, AL, United States. FAU - Sarna, Tadeusz AU - Sarna T AD - Department of Biophysics, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, Krakow, Poland. FAU - Plonka, Przemyslaw M AU - Plonka PM AD - Department of Biophysics and Cancer Biology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, Krakow, Poland. FAU - Raman, Chander AU - Raman C AD - Department of Dermatology, University of Alabama at Birmingham, Birmingham, AL, United States. FAU - Brozyna, Anna A AU - Brozyna AA AD - Department of Human Biology, Institute of Biology, Faculty of Biological and Veterinary Sciences, Nicolaus Copernicus University, Torun, Poland. FAU - Slominski, Andrzej T AU - Slominski AT AD - Department of Dermatology, University of Alabama at Birmingham, Birmingham, AL, United States. AD - Pathology Laboratory Service, Veteran Administration Medical Center at Birmingham, Birmingham, AL, United States. LA - eng GR - I01 BX004293/BX/BLRD VA/United States GR - R01 AR071189/AR/NIAMS NIH HHS/United States GR - R01 AR073004/AR/NIAMS NIH HHS/United States GR - R21 AI149267/AI/NIAID NIH HHS/United States PT - Journal Article PT - Review DEP - 20220314 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC8963986 OTO - NOTNLM OT - immune responses OT - melanin OT - melanocytes OT - melanogenesis OT - melanoma OT - melanoma progression OT - melanoma therapy OT - oxidative stress COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/04/02 06:00 MHDA- 2022/04/02 06:01 PMCR- 2022/01/01 CRDT- 2022/04/01 05:09 PHST- 2021/12/23 00:00 [received] PHST- 2022/01/24 00:00 [accepted] PHST- 2022/04/01 05:09 [entrez] PHST- 2022/04/02 06:00 [pubmed] PHST- 2022/04/02 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2022.842496 [doi] PST - epublish SO - Front Oncol. 2022 Mar 14;12:842496. doi: 10.3389/fonc.2022.842496. eCollection 2022.