Intercellular mitochondrial transfer in melanoma progression and therapeutic resistance: mechanisms and targeting potential
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By
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Qingqing Yan
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Tao Sun
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Kang Chen
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Hao Hu
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May 21, 2026
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Clinical Scorecard: Mitochondrial Transfer Between Cells in Melanoma Development and Treatment Resistance: Mechanisms and Therapeutic Implications
At a Glance
| Category | Detail |
| Condition | |
| Key Mechanisms | Intercellular mitochondrial transfer, metabolic reprogramming, oxidative phosphorylation (OXPHOS), immune modulation |
| Target Population | |
| Care Setting | |
Key Highlights
- Intercellular mitochondrial transfer enhances melanoma cell survival and promotes therapeutic resistance.
- Mitochondrial reprogramming is linked to metabolic plasticity in melanoma cells.
- Therapeutic resistance mechanisms include pathway reactivation and immune evasion.
- Mitochondrial transfer can have context-dependent tumor-suppressive effects.
- Understanding mitochondrial dynamics may inform precision treatment strategies.
- Mitochondrial transfer may enhance immune cell function in specific contexts.
Guideline-Based Recommendations
Diagnosis
Management
- Utilize multimodal strategies including surgery, targeted therapy, and immunotherapy.
- Consider therapies that target metabolic pathways and mitochondrial function.
Monitoring & Follow-up
Risks
Patient & Prescribing Data
Targeted therapies may induce mitochondrial biogenesis, increasing OXPHOS dependency, which could affect treatment efficacy.
Clinical Best Practices
- Integrate metabolic modulation with existing targeted and immunotherapeutic approaches.
- Evaluate the role of mitochondrial transfer in patient-specific treatment plans.
- Consider the context-dependent effects of mitochondrial dynamics in therapeutic strategies.
- Monitor mitochondrial dynamics as part of treatment response assessments.
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