Dermatology: Molecular Mechanisms, Diagnosis and Therapeutic Targets

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Molecular Targeted Therapy".

Deadline for manuscript submissions: 15 October 2025 | Viewed by 2376

Special Issue Editors


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Guest Editor
Dermatology Unit, Hospital Universitario Virgen de las Nieves, IBS Granada, 18002 Granada, Spain
Interests: dermatology; atopic dermatitis; biomarkers; skin barrier
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Special Issue Information

Dear Colleagues,

The skin is a unique sensory organ that can experience itch, pain, and other tactile nerve signals. Malfunctions or the dysregulation of skin homeostasis can contribute to a variety of skin diseases, such as psoriasis, atopic dermatitis, melanoma, and autoimmune diseases including vitiligo, alopecia, and scleroderma. Many dermatoses present a long and persistent clinical course and impact patients' quality of life. However, recent advances in pathogenesis analysis have led to new therapeutic approaches, such as specific biologics and other molecularly targeted drugs. Like other areas of medicine, the field of dermatology is now facing a new era of personalized therapies.

This Special Issue aims to explore the latest research advances in the etiology, molecular mechanisms, diagnosis, and personalized treatment of dermatological diseases. Both clinical and basic science research will be considered, and researchers are warmly invited to submit original research manuscripts and comments to give readers a deeper understanding of these complex diseases and a fresher perspective on the field.

Dr. Trinidad Montero-Vilchez
Prof. Dr. Salvador Arias-Santiago
Guest Editors

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Keywords

  • dermatologic diseases
  • atopic dermatitis
  • psoriasis
  • hidradenitis suppurativa
  • vitiligo
  • alopecia
  • melanoma
  • scleroderma

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Published Papers (2 papers)

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Research

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10 pages, 3502 KiB  
Article
AKT and PERP Show Higher Expression in Precancerous than in Malignant Skin Neoplasms: Profiling in an Animal Model of Sequential Skin Carcinogenesis
by Efstathia Vairaktari, Alexander Schramm, Georgia Vairaktari, Spyridoula Derka, Frank Wilde, Andreas Sakkas, Christos Yapijakis, Maria Kouri, Athanasios Balakas, Andreas Lazaris, Marcel Ebeling and Stavros Vassiliou
J. Pers. Med. 2024, 14(8), 790; https://doi.org/10.3390/jpm14080790 - 25 Jul 2024
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Abstract
The primary aim of this study was to evaluate the activation of the PERP and Akt oncogenes in the induction of skin cancer in FVB/N mice by a stepwise chemical process. Forty four-week-old female FVB/N mice were randomly divided into a control group [...] Read more.
The primary aim of this study was to evaluate the activation of the PERP and Akt oncogenes in the induction of skin cancer in FVB/N mice by a stepwise chemical process. Forty four-week-old female FVB/N mice were randomly divided into a control group (n = 8) and two experimental groups (group A: n = 16, group B: n = 16). In the study, the groups were subjected to a two-stage carcinogenesis procedure. This consisted of an initial application of 97.4 nmol DMBA to shaved skin on the back, followed by applications of 32.4 nmol TPA after thirteen weeks for group A and after twenty weeks for group B. The control group received no treatment. Skin conditions were monitored weekly for tumor development. At the end of the experiment, the animals were euthanized for further tissue sampling. Examination of the skin lesions in the experimental groups showed a correlation with tumor progression, ranging from dysplasia to carcinoma. Tumor samples were examined both histologically and immunohistochemically. Notably, and PERP expression was higher in precancerous than in malignant tumors. The differences in expression between precancerous and benign tumors provide further evidence of a role for PERP and Akt in the transition from benign to malignant states. Our findings underscore the critical roles of PERP and Akt in the pathogenesis of skin cancer and suggest their potential as biomarkers for early detection and targets for therapeutic intervention. Full article
(This article belongs to the Special Issue Dermatology: Molecular Mechanisms, Diagnosis and Therapeutic Targets)
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Review

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10 pages, 241 KiB  
Review
Advanced Basal Cell Carcinoma: A Narrative Review on Current Systemic Treatments and the Neoadjuvant Approach
by Andrea Paradisi, Maria Mannino, Francesco Brunetti, Enrico Bocchino, Alessandro Di Stefani and Ketty Peris
J. Pers. Med. 2025, 15(6), 226; https://doi.org/10.3390/jpm15060226 - 1 Jun 2025
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Abstract
Background/Objectives: Systemic therapy with hedgehog pathway inhibitors (HHIs) and anti-programmed cell death protein 1 (PD-1) antibodies represent the first- and second-line treatment options for advanced basal cell carcinoma (aBCC), respectively. A shift in the treatment paradigms toward the neoadjuvant approach is gaining increasing [...] Read more.
Background/Objectives: Systemic therapy with hedgehog pathway inhibitors (HHIs) and anti-programmed cell death protein 1 (PD-1) antibodies represent the first- and second-line treatment options for advanced basal cell carcinoma (aBCC), respectively. A shift in the treatment paradigms toward the neoadjuvant approach is gaining increasing interest in aBCC management, whereby prior systemic therapy followed by surgery is likely to yield more favorable outcomes. The aim of this narrative review is to summarize the current evidence on systemic treatment options and the neoadjuvant approach for aBCC management. Methods: We performed a non-systematic review of the literature based on PubMed as search engine. Results: The pivotal phase II trials ERIVANCE and BOLT investigated the efficacy and safety profile of vismodegib and sonidegib, respectively, with reported objective response rates (ORRs) of 60.3% and 56% in laBCC patients, respectively. The pivotal phase II trial NCT03132636 investigated the efficacy and safety profile of cemiplimab in patients who progressed or were intolerant to prior HHI therapy, with an ORR of 32.1% in laBCC patients. Real-life studies confirmed the effectiveness and safety profile of HHI and anti-PD-1 immunotherapy. Several phase I/II clinical trials are currently investigating HHIs and immune-checkpoint inhibitors in the neoadjuvant setting followed by surgery for aBCC patients, with the aim of providing more favorable treatment outcomes, especially when upfront surgery would result in functional and/or aesthetic sequelae. Conclusions: Advanced BCC treatment is challenging, and the neoadjuvant approach followed by surgery is expected to reduce surgical complexity, increase tissue preservation, and improve patients’ satisfaction. Full article
(This article belongs to the Special Issue Dermatology: Molecular Mechanisms, Diagnosis and Therapeutic Targets)
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