Our study demonstrates that cultured uveal melanocytes
from patients with melanoma, compared with cultured normal cutaneous
melanocytes,
3 4 have a higher level of enzymatic
antioxidant activities. In particular, SOD activity appears to be
significantly higher, possibly related to the high
O
2 tension found in the choroidal district. SOD,
in fact, is important in clinical situations such as in reperfusion
after ischemia, where huge amounts of superoxide anion
(O
2 −·) are generated
and need to be dismutated by this enzymatic activity.
More interestingly, as previously described in cutaneous melanocytes
from melanoma patients,
3 4 two subgroups of uveal
melanocytes were identified on the basis of catalase activity: one with
values comparable to those observed in cutaneous melanocytes (UM-A) and
the other with significantly lower values (UM-B). Consequently, in the
B group, the SOD/catalase ratio, which is correlated with the
susceptibility of the cells to a peroxidative stress,
5 was
significantly increased compared with that of group A. The SOD/catalase
ratio imbalance represents an alteration of the scavenger system.
Antioxidants, in fact, interact in a complex fashion, so that changes
in the concentration or activity in one component can affect the whole
system. SOD dismutates superoxide anion radicals, generating hydrogen
peroxide and oxygen. Catalase and glutathione peroxidase (GSH–Px) are
the main enzymes involved in removing
H
2O
2.
6 If the
production of H
2O
2 overwhelms the activities of these latter enzymes, in the presence of
transitional metals (Fe
2+,
Cu
+),
H
2O
2 becomes a substrate of
the Fenton reaction, giving rise to extremely toxic and mutagenic
hydroxyl radicals (HO
·).
6 Moreover, the imbalance of the SOD/catalase ratio was associated with
an increased PUFA percentage in the cell membranes of UM-B, suggesting
that these cells are more susceptible to the deleterious effects of
prooxidants. In vitro, cutaneous melanocytes with alteration of the
SOD/catalase ratio, in fact, undergo a significant proliferation after
treatment with a low concentration of cumene
hydroperoxide.
4 Moreover, cell cultures deficient in
catalase activity showed an increased DNA alteration after exposure to
peroxidizing agents.
7 Therefore, the imbalance of the
intracellular antioxidants has been considered as a possible additional
risk factor for the development of melanoma.
3 4
In uveal melanoma cells, instead, a significant decrease of SOD
activity, compared with that of uveal melanocytes, was detected,
whereas catalase activity, even if lower, was not significantly
modified. An increased level of the polyunsaturated component of cell
membranes and vitamin E concentration was observed. The higher vitamin
E level is likely to be a compensatory mechanism adopted by the cells,
at least in vitro, to reduce the intracellular oxidative events. In
fact, in UMC a significant direct correlation was observed between the
SOD/catalase ratio and the vitamin E level. These results are in
agreement with previous data that demonstrated the correlation among
the differentiation status, antioxidant systems, and percentage of
PUFAs in cultured cells: the higher the proliferation rate, the less
differentiated the cells; the lower the total antioxidant protection
system, the higher the PUFA percentage.
8 However, no
correlation was found between alteration of the antioxidant pattern and
the melanoma cell type.
The source of ROS for the development of cutaneous melanoma could be UV
exposure,
2 but uveal melanocytes, especially those
embedded in the ciliary body, are reached by low amounts of UV
radiation; therefore, different free radical sources should be
considered. Uveal melanocytes are tightly connected with the vascular
bed and the oxidative insults might be related to hemodynamic changes.
Alterations in blood flow can induce free radical release, and free
radical–mediated injury has been involved in the pathophysiological
alterations observed during ischemia and reperfusion.
9
Episodes of choroidal ischemia–reperfusion may take place many times
during a lifetime without causing clinical manifestations, because of
the reservoir in choroidal blood flow.
10
In conclusion these data demonstrate that an alteration of the
antioxidant pattern can be detected in uveal melanoma cells, as well as
in cutaneous ones, possibly related to the disease status and
progression. Moreover, data obtained from apparently normal uveal
melanocytes suggest that in some subjects a constitutional imbalance of
the antioxidant system, detectable by a decrease of catalase activity,
can exist. This could be the basis for increased susceptibility to free
radical–mediated damage and possibly to the development of uveal
melanoma. As for skin melanoma, we can suggest that an individual
predisposition together with environmental and general risk factors
could play an important role in tumor onset and that the occurrence of
the uveal melanoma might be the expression of acute repeated
damages.
2