We also identified that the AURKA transcript over expression was significantly

My88 is required for RAS induc tion of pro inflammatory genes through a positive feed back mediated by IL 1 binding to the MyD88 coupled IL 1R. An IL 1 autocrine loop in oncogenic RAS transformed mouse keratinocytes is required for both the secretion of pro inflammatory mediators and, in part, for the transformation phenotype, Tumor associated macrophages are a KU-55933 key com ponent of cancer promoting inflammation and TAMs are generally skewed in an M2 like phenotype of IL 12 and IL 23 low and IL 10 high with variable ca pacity to produce inflammatory cytokines, Evidence suggests that the inflammation driven by these cells pro motes tumor proliferation and progression, stimulates angiogenesis and lymphangiogenesis, inhibits adaptive antitumor immunity contribute to tissue remodeling and promotes genetic instability.<br>br<> The potential of TAM markers and, more in general, inflammation markers as diagnostic Linifanib ABT-869 tools to tailor chemotherapeutic and, most important, immunotherapeutic approaches deserves further study, In particular, a distant relative of C reactive protein, PTX3, has emerged as a potential cor relate of cancer related inflammation in diverse human tumors, The value of markers of inflammation as predictors of response to immunotherapy in melanoma is also of high importance. Strategies aimed at interfer ing with TAM recruitment yield encouraging results in cluding re education with activation of the antitumor activity of these cells or reduction of their numbers. There is evidence that TAM express high levels of PDL1 and therefore can be a target for PD1 PDL1 blocking strategies.<br>br<> Approaches aimed at reducing the numbers of TAM include inhibitors of chemokines and of colony stimulating factor 1, Recent evidence indicates that trabectedin, an antitumor agent approved in Europe LY294002 溶解度 for the treatment of sarcomas and ovarian carcinoma, acts by depleting TAM in the mouse and in man, These data provide proof of principle evidence that targeting TAM offer promise for the development of ef fective therapeutic strategies. Ulcerated melanoma is a distinct biologic entity, con sidering that survival is much lower for same Breslow thin melanomas, Ulcerated melanomas differ from non ulcerated melanomas in terms of stromal response gene profile signature and a sentinel node im mune suppression status, Analysis of the data from two large phase III trial with IFN as adjuvant therapy for melanoma, the EORTC 18952 and the 18991 pegylated IFN, demon strated that ulceration is predictive for the efficacy of ad juvant IFN pIFN therapy.<br>br<> In both of these trials patients with ulcerated melanoma have an advantage in relapse free survival, in distant metastasis free survival and in OS according to the stage versus the non ulcerated melanoma patients, This advantage disappears in N2 patients. The EORTC Study 18991, after a 7. 6 years follow up, con firmed the data of advantage in this subgroup of pa tients, by a 42% Relative Risk reduction in overall survival, Also in the SUNBELT trial only patients with ulcerated melanoma benefitted from IFN treatment, Even from the Wheatley meta analysis of IFN as adjuvant therapy in melanoma, ulceration emerged as the advantage for melanoma patients, so that ulcerated melanoma can be considered a distinct biologic entity because only ulcerated melanoma is sensitive to IFN, while non ulcerated melanomas seem to not benefit at all from adjuvant IFN therapy, The EORTC 18081 trial in ulcerated stage II melanoma patients evaluates pro spectively the benefit of adjuvant pIFN in this setting.