Submitted:
24 February 2025
Posted:
25 February 2025
You are already at the latest version
Abstract

Keywords:
1. Introduction
1.1. Main Causes of CM
1.2. Possible Treatments for Melanoma
1.3. The Study
2. Results and Discussion
2.1. 1,1-(1,12-Dodecanediyl)bis[1,1,1]-triphenylphosphonium di-Bromide (BPPB)
2.2. Biological Effects of BPPB on Tumoral and Not Tumoral Human Cells Models
2.2.1. The Rational of The Study
2.2.2. Concentration- and Time-Dependent Effects of BPPB on MeOV PLX-R and MeTRAV PLX-R Cell Viability
Correlation Between BPPB Cytotoxic Effects and BPPB concentrations
2.2.3. Concentration- and Time-Dependent Effects of BPPB on ROS Production Into PLX-R Cells
Correlation Between ROS Production Increase and BPPB Concentrations
Correlation Between ROS Production Increase and Exposure Timing
Correlation Between BPPB Cytotoxic Effects (Cell Viability %) and ROS Overproduction
2.2.4. In vitro Hemolytic Toxicity of BPPB on Red Blood Cells (RBC)
2.2.5. Concentration- and Time-Dependent effects of BPPB on HaCaT Cell Viability
2.2.6. Concentration- and Time-Dependent Effects of BPPB on ROS production by HaCaT cells
2.2.7. Selectivity Index
3. Materials and Methods
3.1. Chemicals and Instruments
3.2. BPPB Cytotoxicity Evaluation on PLX-resistant CMM Cells
3.2.1. Cell Lines and Culture Conditions
3.2.2. Treatments
3.2.3. Cell Viability Assay
3.3. In Vitro Hemolytic Toxicity of BPPB Using Red Blood Cells (RBCs)
3.4. Evaluation of Cytotoxicity of BPPB on Human Keratinocites (HaCaT)
3.4.1. Cell Culture
3.4.2. Treatments
3.4.3. Viability Assay
3.5. ROS Production
3.6. Statistical Analyses
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A











References
- Drugs in Clinical Development for Melanoma. Pharmaceut Med 2012, 26, 171–183. [CrossRef]
- Long, G. V.; Swetter, S.M.; Menzies, A.M.; Gershenwald, J.E.; Scolyer, R.A. Cutaneous Melanoma. The Lancet 2023, 402, 485–502. [Google Scholar] [CrossRef]
- Schadendorf, D.; Fisher, D.E.; Garbe, C.; Gershenwald, J.E.; Grob, J.-J.; Halpern, A.; Herlyn, M.; Marchetti, M.A.; McArthur, G.; Ribas, A.; et al. Melanoma. Nat Rev Dis Primers 2015, 1, 15003. [Google Scholar] [CrossRef] [PubMed]
- Parkin, D.M.; Bray, F.; Ferlay, J.; Pisani, P. Global Cancer Statistics, 2002. CA Cancer J Clin 2005, 55, 74–108. [Google Scholar] [CrossRef] [PubMed]
- Park, S.; Yun, S.-J. Acral Melanocytic Neoplasms: A Comprehensive Review of Acral Nevus and Acral Melanoma in Asian Perspective. Dermatopathology 2022, 9, 292–303. [Google Scholar] [CrossRef]
- J Ferlay; M Ervik; FC Lam, et al Global Cancer Observatory: Cancer Today International Agency for Research on Cancer. Available online: https://gco.iarc.fr/today/en (accessed on 21 January 2025).
- Bastian, B.C. The Molecular Pathology of Melanoma: An Integrated Taxonomy of Melanocytic Neoplasia. Annual Review of Pathology: Mechanisms of Disease 2014, 9, 239–271. [Google Scholar] [CrossRef]
- Keim, U.; Gandini, S.; Amaral, T.; Katalinic, A.; Holleczek, B.; Flatz, L.; Leiter, U.; Whiteman, D.; Garbe, C. Cutaneous Melanoma Attributable to UVR Exposure in Denmark and Germany. Eur J Cancer 2021, 159, 98–104. [Google Scholar] [CrossRef]
- Islami, F.; Goding Sauer, A.; Miller, K.D.; Siegel, R.L.; Fedewa, S.A.; Jacobs, E.J.; McCullough, M.L.; Patel, A.V.; Ma, J.; Soerjomataram, I.; et al. Proportion and Number of Cancer Cases and Deaths Attributable to Potentially Modifiable Risk Factors in the United States. CA Cancer J Clin 2018, 68, 31–54. [Google Scholar] [CrossRef]
- Nguyen, N.T.; Fisher, D.E. <scp>MITF</Scp> and <scp>UV</Scp> Responses in Skin: From Pigmentation to Addiction. Pigment Cell Melanoma Res 2019, 32, 224–236. [Google Scholar] [CrossRef]
- Elder, D.E.; Bastian, B.C.; Cree, I.A.; Massi, D.; Scolyer, R.A. The 2018 World Health Organization Classification of Cutaneous, Mucosal, and Uveal Melanoma: Detailed Analysis of 9 Distinct Subtypes Defined by Their Evolutionary Pathway. Arch Pathol Lab Med 2020, 144, 500–522. [Google Scholar] [CrossRef]
- Gandini, S.; Sera, F.; Cattaruzza, M.S.; Pasquini, P.; Abeni, D.; Boyle, P.; Melchi, C.F. Meta-Analysis of Risk Factors for Cutaneous Melanoma: I. Common and Atypical Naevi. Eur J Cancer 2005, 41, 28–44. [Google Scholar] [CrossRef]
- Bliss, J.M.; Ford, D.; Swerdlow, A.J.; Armstrong, B.K.; Cristofolini, M.; Elwood, J.M.; Green, A.; Holly, E.A.; Mack, T.; Mackie, R.M.; et al. Risk of Cutaneous Melanoma Associated with Pigmentation Characteristics and Freckling: Systematic Overview of 10 Case-control Studies. Int J Cancer 1995, 62, 367–376. [Google Scholar] [CrossRef] [PubMed]
- Kubica, A.W.; Brewer, J.D. Melanoma in Immunosuppressed Patients. Mayo Clin Proc 2012, 87, 991–1003. [Google Scholar] [CrossRef] [PubMed]
- Bradford, P.T.; Goldstein, A.M.; Tamura, D.; Khan, S.G.; Ueda, T.; Boyle, J.; Oh, K.-S.; Imoto, K.; Inui, H.; Moriwaki, S.-I.; et al. Cancer and Neurologic Degeneration in Xeroderma Pigmentosum: Long Term Follow-up Characterises the Role of DNA Repair. J Med Genet 2011, 48, 168–176. [Google Scholar] [CrossRef]
- Berk-Krauss, J.; Stein, J.A.; Weber, J.; Polsky, D.; Geller, A.C. New Systematic Therapies and Trends in Cutaneous Melanoma Deaths Among US Whites, 1986–2016. Am J Public Health 2020, 110, 731–733. [Google Scholar] [CrossRef]
- Erdei, E.; Torres, S.M. A New Understanding in the Epidemiology of Melanoma. Expert Rev Anticancer Ther 2010, 10, 1811–1823. [Google Scholar] [CrossRef] [PubMed]
- Leary, M.; Heerboth, S.; Lapinska, K.; Sarkar, S. Sensitization of Drug Resistant Cancer Cells: A Matter of Combination Therapy. Cancers (Basel) 2018, 10, 483. [Google Scholar] [CrossRef]
- Davies, H.; Bignell, G.R.; Cox, C.; Stephens, P.; Edkins, S.; Clegg, S.; Teague, J.; Woffendin, H.; Garnett, M.J.; Bottomley, W.; et al. Mutations of the BRAF Gene in Human Cancer. Nature 2002, 417, 949–954. [Google Scholar] [CrossRef]
- Holderfield, M.; Deuker, M.M.; McCormick, F.; McMahon, M. Targeting RAF Kinases for Cancer Therapy: BRAF-Mutated Melanoma and Beyond. Nat Rev Cancer 2014, 14, 455–467. [Google Scholar] [CrossRef]
- Haq, R.; Fisher, D.E.; Widlund, H.R. Molecular Pathways: BRAF Induces Bioenergetic Adaptation by Attenuating Oxidative Phosphorylation. Clinical Cancer Research 2014, 20, 2257–2263. [Google Scholar] [CrossRef]
- Bollag, G.; Hirth, P.; Tsai, J.; Zhang, J.; Ibrahim, P.N.; Cho, H.; Spevak, W.; Zhang, C.; Zhang, Y.; Habets, G.; et al. Clinical Efficacy of a RAF Inhibitor Needs Broad Target Blockade in BRAF-Mutant Melanoma. Nature 2010, 467, 596–599. [Google Scholar] [CrossRef] [PubMed]
- Hallmeyer, S.; Gonzalez, R.; Lawson, D.H.; Cranmer, L.D.; Linette, G.P.; Puzanov, I.; Taback, B.; Cowey, C.L.; Ribas, A.; Daniels, G.A.; et al. Vemurafenib Treatment for Patients with Locally Advanced, Unresectable Stage IIIC or Metastatic Melanoma and Activating Exon 15 BRAF Mutations Other than V600E. Melanoma Res 2017, 27, 585–590. [Google Scholar] [CrossRef] [PubMed]
- Joseph, R.; Swaika, A.; Crozier, J.A. Vemurafenib: An Evidence-Based Review of Its Clinical Utility in the Treatment of Metastatic Melanoma. Drug Des Devel Ther 2014, 775. [Google Scholar] [CrossRef]
- Tanda, E.T.; Vanni, I.; Boutros, A.; Andreotti, V.; Bruno, W.; Ghiorzo, P.; Spagnolo, F. Current State of Target Treatment in BRAF Mutated Melanoma. Front Mol Biosci 2020, 7. [Google Scholar] [CrossRef] [PubMed]
- Alfei, S.; Zuccari, G.; Bacchetti, F.; Torazza, C.; Milanese, M.; Siciliano, C.; Athanassopoulos, C.M.; Piatti, G.; Schito, A.M. Synthesized Bis-Triphenyl Phosphonium-Based Nano Vesicles Have Potent and Selective Antibacterial Effects on Several Clinically Relevant Superbugs. Nanomaterials 2024, 14, 1351. [Google Scholar] [CrossRef]
- Zielonka, J.; Joseph, J.; Sikora, A.; Hardy, M.; Ouari, O.; Vasquez-Vivar, J.; Cheng, G.; Lopez, M.; Kalyanaraman, B. Mitochondria-Targeted Triphenylphosphonium-Based Compounds: Syntheses, Mechanisms of Action, and Therapeutic and Diagnostic Applications. Chem Rev 2017, 117, 10043–10120. [Google Scholar] [CrossRef]
- Ceccacci, F.; Sennato, S.; Rossi, E.; Proroga, R.; Sarti, S.; Diociaiuti, M.; Casciardi, S.; Mussi, V.; Ciogli, A.; Bordi, F.; et al. Aggregation Behaviour of Triphenylphosphonium Bolaamphiphiles. J Colloid Interface Sci 2018, 531, 451–462. [Google Scholar] [CrossRef]
- Dhanya, D.; Giuseppe, P.; Rita, C.A.; Annaluisa, M.; Stefania, S.M.; Francesca, G.; Vitale, D.V.; Anna, R.; Claudio, A.; Pasquale, L.; et al. Phosphonium Salt Displays Cytotoxic Effects Against Human Cancer Cell Lines. Anticancer Agents Med Chem 2018, 17. [Google Scholar] [CrossRef]
- Alfei, S.; Zuccari, G.; Athanassopoulos, C.M.; Domenicotti, C.; Marengo, B. Strongly ROS-Correlated, Time-Dependent, and Selective Antiproliferative Effects of Synthesized Nano Vesicles on BRAF Mutant Melanoma Cells and Their Hyaluronic Acid-Based Hydrogel Formulation. Int J Mol Sci 2024, 25, 10071. [Google Scholar] [CrossRef]
- Alfei, S.; Giannoni, P.; Signorello, M.G.; Torazza, C.; Zuccari, G.; Athanassopoulos, C.M.; Domenicotti, C.; Marengo, B. The Remarkable and Selective In Vitro Cytotoxicity of Synthesized Bola-Amphiphilic Nanovesicles on Etoposide-Sensitive and -Resistant Neuroblastoma Cells. Nanomaterials 2024, 14, 1505. [Google Scholar] [CrossRef]
- Severina, I.I.; Vyssokikh, M.Yu.; Pustovidko, A.V.; Simonyan, R.A.; Rokitskaya, T.I.; Skulachev, V.P. Effects of Lipophilic Dications on Planar Bilayer Phospholipid Membrane and Mitochondria. Biochimica et Biophysica Acta (BBA) - Bioenergetics 2007, 1767, 1164–1168. [Google Scholar] [CrossRef] [PubMed]
- Brusnakov, M.; Golovchenko, O.; Velihina, Y.; Liavynets, O.; Zhirnov, V.; Brovarets, V. Evaluation of Anticancer Activity of 1,3-Oxazol-4-ylphosphonium Salts in Vitro. ChemMedChem 2022, 17. [Google Scholar] [CrossRef] [PubMed]
- Garbarino, O.; Valenti, G.E.; Monteleone, L.; Pietra, G.; Mingari, M.C.; Benzi, A.; Bruzzone, S.; Ravera, S.; Leardi, R.; Farinini, E.; et al. PLX4032 Resistance of Patient-Derived Melanoma Cells: Crucial Role of Oxidative Metabolism. Front Oncol 2023, 13. [Google Scholar] [CrossRef] [PubMed]
- Nuraje, N.; Bai, H.; Su, K. Bolaamphiphilic Molecules: Assembly and Applications. Prog Polym Sci 2013, 38, 302–343. [Google Scholar] [CrossRef]
- Li, K.; Xiao, G.; Richardson, J.J.; Tardy, B.L.; Ejima, H.; Huang, W.; Guo, J.; Liao, X.; Shi, B. Targeted Therapy against Metastatic Melanoma Based on Self-Assembled Metal-Phenolic Nanocomplexes Comprised of Green Tea Catechin. Advanced Science 2019, 6. [Google Scholar] [CrossRef]
- Heinisch, O.; Steel, R.G.D. , and J. H. Torrie: Principles and Procedures of Statistics. (With Special Reference to the Biological Sciences.) McGraw-Hill Book Company, New York, Toronto, London 1960, 481 S., 15 Abb.; 81 s 6 d. Biom Z 1962, 4, 207–208. [Google Scholar] [CrossRef]
- Zach Bobbitt Statology. What Is a Good R-Squared Value? Available online: https://www.statology.org/good-r-squared-value/#:~:text=For%20example%2C%20in%20scientific%20studies%2C%20the%20R-squared%20may,if%20there%20is%20extreme%20variability%20in%20the%20dataset. (accessed on 22 January 2025).
- Valutazione Della Bontà Di Adattamento per Modelli Non Lineari: Metodi, Parametri e Considerazioni Pratiche Available online:. Available online: https://www.geeksforgeeks.org/evaluating-goodness-of-fit-for-nonlinear-models-methods-metrics-and-practical-considerations/ (accessed on 22 January 2025).
- Kim, H.; Xue, X. Detection of Total Reactive Oxygen Species in Adherent Cells by 2’,7’-Dichlorodihydrofluorescein Diacetate Staining. Journal of Visualized Experiments 2020. [Google Scholar] [CrossRef]
- Chandrasekhar, B.; Gor, R.; Ramalingam, S.; Thiagarajan, A.; Sohn, H.; Madhavan, T. Repurposing FDA-Approved Compounds to Target JAK2 for Colon Cancer Treatment. Discover Oncology 2024, 15, 226. [Google Scholar] [CrossRef]
- Boukamp, P.; Petrussevska, R.T.; Breitkreutz, D.; Hornung, J.; Markham, A.; Fusenig, N.E. Normal Keratinization in a Spontaneously Immortalized Aneuploid Human Keratinocyte Cell Line. J Cell Biol 1988, 106, 761–771. [Google Scholar] [CrossRef]
- Ölschläger, V.; Schrader, A.; Hockertz, S. Comparison of Primary Human Fibroblasts and Keratinocytes with Immortalized Cell Lines Regarding Their Sensitivity to Sodium Dodecyl Sulfate in a Neutral Red Uptake Cytotoxicity Assay. Arzneimittelforschung 2011, 59, 146–152. [Google Scholar] [CrossRef]
- Schoop, V.M.; Fusenig, N.E.; Mirancea, N. Epidermal Organization and Differentiation of HaCaT Keratinocytes in Organotypic Coculture with Human Dermal Fibroblasts. Journal of Investigative Dermatology 1999, 112, 343–353. [Google Scholar] [CrossRef]
- Mukherjee, S.P.; Davoren, M.; Byrne, H.J. In Vitro Mammalian Cytotoxicological Study of PAMAM Dendrimers – Towards Quantitative Structure Activity Relationships. Toxicology in Vitro 2010, 24, 169–177. [Google Scholar] [CrossRef]
- Nakagawa, Y.; Akao, Y.; Morikawa, H.; Hirata, I.; Katsu, K.; Naoe, T.; Ohishi, N.; Yagi, K. Arsenic Trioxide-Induced Apoptosis through Oxidative Stress in Cells of Colon Cancer Cell Lines. Life Sci 2002, 70, 2253–2269. [Google Scholar] [CrossRef] [PubMed]
- SNOW, E.; SYKORA, P.; DURHAM, T.; KLEIN, C. ; Arsenic, Mode of Action at Biologically Plausible Low Doses: What Are the Implications for Low Dose Cancer Risk? Toxicol Appl Pharmacol 2005, 207, 557–564. [Google Scholar] [CrossRef] [PubMed]
- Krzywik, J.; Mozga, W.; Aminpour, M.; Janczak, J.; Maj, E.; Wietrzyk, J.; Tuszyński, J.A.; Huczyński, A. ; Synthesis, Antiproliferative Activity and Molecular Docking Studies of Novel Doubly Modified Colchicine Amides and Sulfonamides as Anticancer Agents. Molecules 2020, 25, 1789. [Google Scholar] [CrossRef]
- Chen, Z.; Duan, H.; Tong, X.; Hsu, P.; Han, L.; Morris-Natschke, S.L.; Yang, S.; Liu, W.; Lee, K.-H. ; Cytotoxicity, Hemolytic Toxicity, and Mechanism of Action of Pulsatilla Saponin D and Its Synthetic Derivatives. J Nat Prod 2018, 81, 465–474. [Google Scholar] [CrossRef]
- Wróblewska-Łuczka, P.; Kulenty, L.; Załuska-Ogryzek, K.; Góralczyk, A.; Łuszczki, J.J. Screening of the Antimelanoma Activity of Monoterpenes—In Vitro Experiments on Four Human Melanoma Lines. Curr Issues Mol Biol 2025, 47, 97. [Google Scholar] [CrossRef] [PubMed]
- Furfaro, A.L.; Loi, G.; Ivaldo, C.; Passalacqua, M.; Pietra, G.; Mann, G.E.; Nitti, M. HO-1 Limits the Efficacy of Vemurafenib/PLX4032 in BRAFV600E Mutated Melanoma Cells Adapted to Physiological Normoxia or Hypoxia. Antioxidants 2022, 11, 1171. [Google Scholar] [CrossRef]
- Alfei, S.; Marengo, B.; Domenicotti, C. Polyester-Based Dendrimer Nanoparticles Combined with Etoposide Have an Improved Cytotoxic and Pro-Oxidant Effect on Human Neuroblastoma Cells. Antioxidants 2020, 9, 50. [Google Scholar] [CrossRef]
- Alfei, S.; Marengo, B.; Zuccari, G.; Turrini, F.; Domenicotti, C. Dendrimer Nanodevices and Gallic Acid as Novel Strategies to Fight Chemoresistance in Neuroblastoma Cells. Nanomaterials 2020, 10, 1243. [Google Scholar] [CrossRef]
- Colla, R.; Izzotti, A.; De Ciucis, C.; Fenoglio, D.; Ravera, S.; Speciale, A.; Ricciarelli, R.; Furfaro, A.L.; Pulliero, A.; Passalacqua, M.; et al. Glutathione-Mediated Antioxidant Response and Aerobic Metabolism: Two Crucial Factors Involved in Determining the Multi-Drug Resistance of High-Risk Neuroblastoma. Oncotarget 2016, 7, 70715–70737. [Google Scholar] [CrossRef] [PubMed]








| Exposure time (hours) | IC50 MeOV PLX-R (µM) | IC50 MeTRAV PLX-R (µM) |
|---|---|---|
| 24 | 1.0060 ± 0.1253 | N.D. |
| 48 | 0.0878 ± 0.0187 | 0.1406 ± 0.0271 |
| 72 | 0.1065 ± 0.0343 | 0.0809 ± 0.0268 |
| IC50 (µM) | IC50 24 hours (µM) | IC50 48 hours (µM) | IC50 72 hours (µM) | HC50 experiment time (µM) |
|---|---|---|---|---|
| RBCs | N.A.Q. | N.A.Q. | N.A.Q. | 15.56 ± 12.13 |
| MeOV PLX-R | 1.0060 ± 0.1253 | 0.0878 ± 0.0187 | 0.1065 ± 0.0343 | ---- |
| MeTRAV PLX-R | 3.7970 ± 1.0880 | 0.1406 ± 0.0271 | 0.0810 ± 0.0268 | ---- |
| HaCaT | 4.0210 ± 2.1590 | 0.6981 ± 0.3030 | 0.9238 ± 0.2487 | ---- |
| Cells | SI 24 hours a | SI 48 hours a | SI 72 hours a |
|---|---|---|---|
| RBCs * | 15.46 | 177.22. | 146.10. |
| RBCs ** | 4.10 | 110.67. | 192.10 |
| HaCaT * | 4.00 | 7.95 | 8.67 |
| HaCaT ** | 1.06 | 4.97 | 11.40 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).