
On the interface between immune cold and immune hot melanoma microenvironment. The cover image illustrates the involvement of epigenetic reprogramming as a major mechanism in resensitizing melanoma’s immunosuppressive microenvironment following immunotherapy. An aberrant epigenetic landscape contributes further to resistance against immune checkpoint inhibitors (ICIs) in melanoma management. As such, in this review article, we report on major epigenetic mechanisms (e.g., DNA methylation, histone modifications and non-coding RNAs expression patterns) that become deregulated along with underlying molecular mechanisms that govern melanoma’s immunosuppressive responses. In addition, this review article provides a comprehensive overview of how different classes of epigenetic drugs can reverse resistant phenotypes (either in single or in combined therapeutic schemes with ICIs) alongside the use of emerging technologies aiming to improve therapeutic responses. This cover image was generated using AI-assisted tools. The authors confirm that it contains no identifiable human likenesses, copyrighted elements, or misleading content.
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