title: Immunology Comes Full Circle in Melanoma While Specific Immunity Is Unleashed to Eliminate Metastatic Disease, Inflammatory Products of Innate Immunity Promote Resistance.
abstract: Melanoma and many other cancers often express cells and molecular features of inflammation. Intrinsic to melanoma is the expression of a continuous cycle of cytokines and oxidative stress markers. The oxidative stress of inflammation is proposed to drive a metastatic process, not only of DNA adducts and crosslinks, but also of posttranslational oxidative modifications to lipids and proteins that we argue support growth and survival. Fortunately, numerous antioxidant agents are available clinically and we further propose that the pharmacological attenuation of these inflammatory processes, particularly the reactive nitrogen species, will restore the cancer cells to an apoptosis-permissive and growth-inhibitory state. Experimental model data using a small-molecule arginine antagonist that prevents enzymatic production of nitric oxide supports this view directly. I propose that the recognition, measurement, and regulation of such carcinogenic inflammation be considered as part of the approach to the treatment of cancer.
authors.affiliation: University of Texas MD Anderson Cancer Center, 1515 Holcombe Avenue, Mail Unit 421, Room FC 11.2048, Houston, TX 77030.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Grimm
mesh_terms: D016207:Cytokines / Q000378:metabolism; D019008:Drug Resistance, Neoplasm; D006801:Humans; D007113:Immunity, Innate; D018836:Inflammation Mediators / Q000378:metabolism*; D008545:Melanoma / Q000276:immunology* / Q000378:metabolism* / Q000473:pathology / Q000628:therapy; D009362:Neoplasm Metastasis; D009569:Nitric Oxide / Q000378:metabolism; D018384:Oxidative Stress; D026361:Reactive Nitrogen Species / Q000378:metabolism; D017382:Reactive Oxygen Species / Q000378:metabolism; D015398:Signal Transduction; D059016:Tumor Microenvironment / Q000276:immunology
chemical_list: D016207:Cytokines; D018836:Inflammation Mediators; D026361:Reactive Nitrogen Species; D017382:Reactive Oxygen Species; D009569:Nitric Oxide