biomedicines Review Molecular Mechanisms of Resistance to Immune Checkpoint Inhibitors in Melanoma Treatment: An Update Sonja Vukadin 1,2, Farah Khaznadar 1, Tomislav Kizivat 3,4, Aleksandar Vcev 5,6,7 and Martina Smolic 1,2,* 1 Department of Pharmacology and Biochemistry, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia;
[email protected] (S.V.);
[email protected] (F.K.) 2 Department of Pharmacology, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia 3 Clinical Institute of Nuclear Medicine and Radiation Protection, University Hospital Osijek, 31000 Osijek, Croatia;
[email protected] 4 Department of Nuclear Medicine and Oncology, Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia 5 Department of Pathophysiology, Physiology and Immunology, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia;
[email protected] 6 Department of Pathophysiology, Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia 7 Department of Internal Medicine, University Hospital Osijek, 31000 Osijek, Croatia * Correspondence:
[email protected] Abstract: Over the past decade, immune checkpoint inhibitors (ICI) have revolutionized the treatment of advanced melanoma and ensured significant improvement in overall survival versus chemother- apy. ICI or targeted therapy are now the first line treatment in advanced melanoma, depending on the tumor v-raf murine sarcoma viral oncogene homolog B1 (BRAF) mutational status. While these Citation: Vukadin, S.; Khaznadar, F.; new approaches have changed the outcomes for many patients, a significant proportion of them still Kizivat, T.; Vcev, A.; Smolic, M.