Role of the androgen receptor in melanoma aggressiveness

Abstract Malignant melanoma represents the fifth most common cancer in the world and its incidence is rising. Novel therapies targeting receptor tyrosine kinases, kinases and immune checkpoints have been employed with a significant improvement of the overall survival and long-term disease containmen...

Full description

Saved in:
Bibliographic Details
Main Authors: Marzia Di Donato, Costanza Maria Cristiani, Mariaelena Capone, Cinzia Garofalo, Gabriele Madonna, Lucia Carmela Passacatini, Margaret Ottaviano, Paolo Antonio Ascierto, Ferdinando Auricchio, Ennio Carbone, Antimo Migliaccio, Gabriella Castoria
Format: Article
Language:English
Published: Nature Publishing Group 2025-01-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-025-07350-4
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832585381731631104
author Marzia Di Donato
Costanza Maria Cristiani
Mariaelena Capone
Cinzia Garofalo
Gabriele Madonna
Lucia Carmela Passacatini
Margaret Ottaviano
Paolo Antonio Ascierto
Ferdinando Auricchio
Ennio Carbone
Antimo Migliaccio
Gabriella Castoria
author_facet Marzia Di Donato
Costanza Maria Cristiani
Mariaelena Capone
Cinzia Garofalo
Gabriele Madonna
Lucia Carmela Passacatini
Margaret Ottaviano
Paolo Antonio Ascierto
Ferdinando Auricchio
Ennio Carbone
Antimo Migliaccio
Gabriella Castoria
author_sort Marzia Di Donato
collection DOAJ
description Abstract Malignant melanoma represents the fifth most common cancer in the world and its incidence is rising. Novel therapies targeting receptor tyrosine kinases, kinases and immune checkpoints have been employed with a significant improvement of the overall survival and long-term disease containment. Nevertheless, the disease often progresses and becomes resistant to the therapies. As such, the discovery of new targets and drugs for advanced melanoma still remains a difficult task. Gender disparities, with a female advantage in melanoma incidence and outcome, have been reported. Although emerging studies support the pro-tumorigenic role of androgen/androgen receptor axis in melanoma, the molecular bases of such evidence are still under intense investigation. We now report that ligand activation of the androgen receptor drives melanoma invasiveness and its escape from natural killer-mediated cytotoxic effect. By combining different experimental approaches, we observe that melanoma escape is mediated by the androgen-triggered shedding of the surface molecule MICA. Specific blockade of ADAM10 or androgen receptor impairs the androgen-induced MICA shedding and melanoma immune-escape. Further, the increase in MICA serum levels correlates with a poor outcome in melanoma patients treated with the anti-PD-1 monoclonal antibody, pembrolizumab. At last, melanoma cells depleted of the androgen receptor become more responsive to the most commonly used immunocheckpoint inhibitors, suggesting that the receptor dampens the immunotherapy efficacy. Taken together, our findings identify the androgen receptor as a diagnostic guidance in melanoma and support the repositioning of AR blockers in clinical management of patients.
format Article
id doaj-art-bcd6e0ca5c01419685c5032737c8c9e6
institution Kabale University
issn 2041-4889
language English
publishDate 2025-01-01
publisher Nature Publishing Group
record_format Article
series Cell Death and Disease
spelling doaj-art-bcd6e0ca5c01419685c5032737c8c9e62025-01-26T12:54:49ZengNature Publishing GroupCell Death and Disease2041-48892025-01-0116111710.1038/s41419-025-07350-4Role of the androgen receptor in melanoma aggressivenessMarzia Di Donato0Costanza Maria Cristiani1Mariaelena Capone2Cinzia Garofalo3Gabriele Madonna4Lucia Carmela Passacatini5Margaret Ottaviano6Paolo Antonio Ascierto7Ferdinando Auricchio8Ennio Carbone9Antimo Migliaccio10Gabriella Castoria11Department of Precision Medicine, University of Campania ‘L. Vanvitelli’- Via L. De Crecchio 7Neuroscience Research Center, Department of Medical and Surgical Sciences - ‘Magna Graecia’ University of CatanzaroDepartment of Melanoma, Cancer Immunotherapy and Development Therapeutics, Istituto Nazionale Tumori IRCCS- Fondazione “G. Pascale”Department of Experimental and Clinical Medicine, ‘Magna Graecia’ University of CatanzaroDepartment of Melanoma, Cancer Immunotherapy and Development Therapeutics, Istituto Nazionale Tumori IRCCS- Fondazione “G. Pascale”Physiology and Pharmacology of Pain, IRCCS San Raffaele RomaDepartment of Melanoma, Cancer Immunotherapy and Development Therapeutics, Istituto Nazionale Tumori IRCCS- Fondazione “G. Pascale”Department of Melanoma, Cancer Immunotherapy and Development Therapeutics, Istituto Nazionale Tumori IRCCS- Fondazione “G. Pascale”Department of Precision Medicine, University of Campania ‘L. Vanvitelli’- Via L. De Crecchio 7Department of Precision Medicine, University of Campania ‘L. Vanvitelli’- Via L. De Crecchio 7Department of Precision Medicine, University of Campania ‘L. Vanvitelli’- Via L. De Crecchio 7Department of Precision Medicine, University of Campania ‘L. Vanvitelli’- Via L. De Crecchio 7Abstract Malignant melanoma represents the fifth most common cancer in the world and its incidence is rising. Novel therapies targeting receptor tyrosine kinases, kinases and immune checkpoints have been employed with a significant improvement of the overall survival and long-term disease containment. Nevertheless, the disease often progresses and becomes resistant to the therapies. As such, the discovery of new targets and drugs for advanced melanoma still remains a difficult task. Gender disparities, with a female advantage in melanoma incidence and outcome, have been reported. Although emerging studies support the pro-tumorigenic role of androgen/androgen receptor axis in melanoma, the molecular bases of such evidence are still under intense investigation. We now report that ligand activation of the androgen receptor drives melanoma invasiveness and its escape from natural killer-mediated cytotoxic effect. By combining different experimental approaches, we observe that melanoma escape is mediated by the androgen-triggered shedding of the surface molecule MICA. Specific blockade of ADAM10 or androgen receptor impairs the androgen-induced MICA shedding and melanoma immune-escape. Further, the increase in MICA serum levels correlates with a poor outcome in melanoma patients treated with the anti-PD-1 monoclonal antibody, pembrolizumab. At last, melanoma cells depleted of the androgen receptor become more responsive to the most commonly used immunocheckpoint inhibitors, suggesting that the receptor dampens the immunotherapy efficacy. Taken together, our findings identify the androgen receptor as a diagnostic guidance in melanoma and support the repositioning of AR blockers in clinical management of patients.https://doi.org/10.1038/s41419-025-07350-4
spellingShingle Marzia Di Donato
Costanza Maria Cristiani
Mariaelena Capone
Cinzia Garofalo
Gabriele Madonna
Lucia Carmela Passacatini
Margaret Ottaviano
Paolo Antonio Ascierto
Ferdinando Auricchio
Ennio Carbone
Antimo Migliaccio
Gabriella Castoria
Role of the androgen receptor in melanoma aggressiveness
Cell Death and Disease
title Role of the androgen receptor in melanoma aggressiveness
title_full Role of the androgen receptor in melanoma aggressiveness
title_fullStr Role of the androgen receptor in melanoma aggressiveness
title_full_unstemmed Role of the androgen receptor in melanoma aggressiveness
title_short Role of the androgen receptor in melanoma aggressiveness
title_sort role of the androgen receptor in melanoma aggressiveness
url https://doi.org/10.1038/s41419-025-07350-4
work_keys_str_mv AT marziadidonato roleoftheandrogenreceptorinmelanomaaggressiveness
AT costanzamariacristiani roleoftheandrogenreceptorinmelanomaaggressiveness
AT mariaelenacapone roleoftheandrogenreceptorinmelanomaaggressiveness
AT cinziagarofalo roleoftheandrogenreceptorinmelanomaaggressiveness
AT gabrielemadonna roleoftheandrogenreceptorinmelanomaaggressiveness
AT luciacarmelapassacatini roleoftheandrogenreceptorinmelanomaaggressiveness
AT margaretottaviano roleoftheandrogenreceptorinmelanomaaggressiveness
AT paoloantonioascierto roleoftheandrogenreceptorinmelanomaaggressiveness
AT ferdinandoauricchio roleoftheandrogenreceptorinmelanomaaggressiveness
AT enniocarbone roleoftheandrogenreceptorinmelanomaaggressiveness
AT antimomigliaccio roleoftheandrogenreceptorinmelanomaaggressiveness
AT gabriellacastoria roleoftheandrogenreceptorinmelanomaaggressiveness