Bidirectional relationship between platelet count and skin cancer: tumor drug resistance mechanisms

Abstract Background Platelets (PLT) play a crucial role in tumor progression, including tumor growth, metastasis, and immune evasion. However, the relationship between PLT count and specific skin cancer subtypes, particularly melanoma skin cancer (MSC) and non-melanoma skin cancer (NMSC), remains po...

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Main Authors: Chao Guo, Jiaqin Deng, Tianhua Wen, Jinzhou Li, Peilin Zeng, Chao Liang
Format: Article
Language:English
Published: Springer 2025-03-01
Series:Discover Oncology
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Online Access:https://doi.org/10.1007/s12672-025-02122-0
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author Chao Guo
Jiaqin Deng
Tianhua Wen
Jinzhou Li
Peilin Zeng
Chao Liang
author_facet Chao Guo
Jiaqin Deng
Tianhua Wen
Jinzhou Li
Peilin Zeng
Chao Liang
author_sort Chao Guo
collection DOAJ
description Abstract Background Platelets (PLT) play a crucial role in tumor progression, including tumor growth, metastasis, and immune evasion. However, the relationship between PLT count and specific skin cancer subtypes, particularly melanoma skin cancer (MSC) and non-melanoma skin cancer (NMSC), remains poorly understood. Clarifying this association could identify potential biomarkers and therapeutic targets for personalized treatments. Methods We applied bidirectional Mendelian randomization (MR) to investigate the causal relationship between PLT count and skin cancer risk, focusing on MSC and NMSC. Genetic variants associated with PLT and skin cancer served as instrumental variables for causal inference. Nine MR analysis methods, with inverse-variance weighted (IVW) as the primary method, were used to assess robustness, heterogeneity, and pleiotropy. Results Forward MR analysis showed no significant relationship between PLT count and overall skin cancer or NMSC. However, elevated PLT was linked to an 18.6% increased risk of MSC. Reverse MR analysis revealed that skin cancer, particularly NMSC, negatively affected PLT count, while MSC was associated with a positive influence on PLT levels. No significant heterogeneity or pleiotropy was detected. Conclusions Our findings reveal a bidirectional, subtype-specific relationship between PLT and skin cancer. Elevated PLT levels specifically increase the risk of MSC, while MSC influences PLT count positively. In contrast, NMSC is associated with lower PLT levels. These results suggest that PLT could serve as both a prognostic marker and a potential therapeutic target, particularly for MSC. Further research is needed to explore the molecular mechanisms underlying these associations and to investigate the role of PLT in overcoming tumor resistance to therapies.
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spelling doaj-art-acc72ca10381407ca4576dff2e775a7c2025-08-20T02:41:32ZengSpringerDiscover Oncology2730-60112025-03-0116111010.1007/s12672-025-02122-0Bidirectional relationship between platelet count and skin cancer: tumor drug resistance mechanismsChao Guo0Jiaqin Deng1Tianhua Wen2Jinzhou Li3Peilin Zeng4Chao Liang5Department of Plastic Surgery, Meizhou People’s Hospital, Meizhou Academy of Medical SciencesDepartment of Thyroid Surgery, Meizhou People’s Hospital, Meizhou Academy of Medical SciencesDepartment of Plastic Surgery, Meizhou People’s Hospital, Meizhou Academy of Medical SciencesDepartment of Plastic Surgery, Meizhou People’s Hospital, Meizhou Academy of Medical SciencesDepartment of Plastic Surgery, Meizhou People’s Hospital, Meizhou Academy of Medical SciencesDepartment of Plastic Surgery, Meizhou People’s Hospital, Meizhou Academy of Medical SciencesAbstract Background Platelets (PLT) play a crucial role in tumor progression, including tumor growth, metastasis, and immune evasion. However, the relationship between PLT count and specific skin cancer subtypes, particularly melanoma skin cancer (MSC) and non-melanoma skin cancer (NMSC), remains poorly understood. Clarifying this association could identify potential biomarkers and therapeutic targets for personalized treatments. Methods We applied bidirectional Mendelian randomization (MR) to investigate the causal relationship between PLT count and skin cancer risk, focusing on MSC and NMSC. Genetic variants associated with PLT and skin cancer served as instrumental variables for causal inference. Nine MR analysis methods, with inverse-variance weighted (IVW) as the primary method, were used to assess robustness, heterogeneity, and pleiotropy. Results Forward MR analysis showed no significant relationship between PLT count and overall skin cancer or NMSC. However, elevated PLT was linked to an 18.6% increased risk of MSC. Reverse MR analysis revealed that skin cancer, particularly NMSC, negatively affected PLT count, while MSC was associated with a positive influence on PLT levels. No significant heterogeneity or pleiotropy was detected. Conclusions Our findings reveal a bidirectional, subtype-specific relationship between PLT and skin cancer. Elevated PLT levels specifically increase the risk of MSC, while MSC influences PLT count positively. In contrast, NMSC is associated with lower PLT levels. These results suggest that PLT could serve as both a prognostic marker and a potential therapeutic target, particularly for MSC. Further research is needed to explore the molecular mechanisms underlying these associations and to investigate the role of PLT in overcoming tumor resistance to therapies.https://doi.org/10.1007/s12672-025-02122-0Platelet count (PLT)Skin cancerMelanoma skin cancer (MSC)Non-melanoma skin cancer (NMSC)Mendelian randomization (MR)
spellingShingle Chao Guo
Jiaqin Deng
Tianhua Wen
Jinzhou Li
Peilin Zeng
Chao Liang
Bidirectional relationship between platelet count and skin cancer: tumor drug resistance mechanisms
Discover Oncology
Platelet count (PLT)
Skin cancer
Melanoma skin cancer (MSC)
Non-melanoma skin cancer (NMSC)
Mendelian randomization (MR)
title Bidirectional relationship between platelet count and skin cancer: tumor drug resistance mechanisms
title_full Bidirectional relationship between platelet count and skin cancer: tumor drug resistance mechanisms
title_fullStr Bidirectional relationship between platelet count and skin cancer: tumor drug resistance mechanisms
title_full_unstemmed Bidirectional relationship between platelet count and skin cancer: tumor drug resistance mechanisms
title_short Bidirectional relationship between platelet count and skin cancer: tumor drug resistance mechanisms
title_sort bidirectional relationship between platelet count and skin cancer tumor drug resistance mechanisms
topic Platelet count (PLT)
Skin cancer
Melanoma skin cancer (MSC)
Non-melanoma skin cancer (NMSC)
Mendelian randomization (MR)
url https://doi.org/10.1007/s12672-025-02122-0
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AT jinzhouli bidirectionalrelationshipbetweenplateletcountandskincancertumordrugresistancemechanisms
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