Skin Cancer: Merkel Research Paper

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Merkel Cell Carcinoma is a relatively rare, but highly aggressive type of skin cancer. Discovered in 2008, it is typically caused by a virus known as Merkel Cell Polyomavirus (MCPyV). At times, the disease may be known as APUDoma, a primary neuroendocrine carcinoma of the skin, or primary small cell carcinoma. However, from a pathological perspective, 80% of Merkel Cell Carcinoma (MCC) are called by the polyomavirus. Interestingly, the virus has a clonal integration into the cancerous cells, and a particular mutation only when in the cancerous cell, not a healthy skin cell. No other cancers have been confirmed to be caused by this virus, and because of the viral origin of the cancer, immunotherapies are one of the most promising avenues for treating virus-positive MCC. However, at present, little is known regarding the virus-host interactions from a biochemical perspective. Research does show, though, that a new function of the MCPyV small T-Antigen (ST) may serve as an inhibitor of transcription and provide a promising therapy for the condition (Griffiths, et al., 2013). Due to the nature of the MCPyV, there...

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Research does indicate that these antigens are important parts of the molecular mechanisms within cell death and cancer development, but are yet to be fully explained.
As a cancer, MCC typically presents as a relatively painless, yet firm, nodule with flesh-colored, red or blue tumors that vary in size from .5 cm to more than 5 cm, and tend to enlarge rapidly. They arise almost anywhere on the body, but most originate on areas that have more sun-exposure than others -- the head and neck, arms, or even legs in areas in certain climates. MCC cancers are virulent local cancers that tend to spread rapidly into the muscle tissue, subcutaneous fat and fascia, metastasize early and move into the lymph system, spreading through blood vessels into the liver, respiratory tract, brain and osteological system.

Recent research has shown that most patients who have tumors containing MCV have…

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There is a previously undiscovered function of MCPyV and antigens as a cellular inhibitor that may, in certain cases, explain the relationship between the virus and the manner in which MCC so aggressively and quickly attacks other cellular structures of the body. What appears to be happening is that the combination of the MCPyV and small and large antigens work in tandem to destabilize the body's natural immune response, which particularly when the individual's immune system is already compromised, increases the seriousness and likely persistent infection of not only the host cell but the surrounding cells. It also appears that certain aspects of ultraviolet light may act in conjunction with MCPyV to enhance the virus' natural tendency towards rapid and efficacious infection. This may, in part, be due to particular mutations caused by heavy exposure to certain light frequencies, which then tend to damage the interactions between cellular proteins and cellular phosphatase subunits that, in healthy cells, tend to act with proteins as a protectant and mediation unit to repair damaged structures.

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Griffiths, D., et al. (2013). Merkel Cell Polyomavirus Small T. Antigen Targets the NEMO Adaptor Protein To Disrupt Inflammatory Signaling. Journal of Virology. 87 (24): 13853. DOI: 10.1128/JVI.02159-13. Retrieved from: http://jvi.asm.org/content/87/24/13853#ref-list


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Related Documents

Merkel Cell Carcinoma Griffiths, D., et al. (2013). Merkel Cell Polyomavirus Small T. Antigen Targets the EMO Adaptor Protein To Disrupt Inflammatory Signaling. Journal of Virology. 87 (24), 13853-67. Merkel cell carcinoma is a relatively rare disease in which malignant cells form in the skin, usually in individuals who have a weak immune system or extensive exposure to the sun. Merkel cells are found in the top (epidermis) layer of the skin, close