It is well known that cutaneous melanoma is characterized by an early onset of metastatic spread as even very thin primary lesions are able to generate metastasis, and metastatic disease may occur in the absence of a detectable primary lesion. Deciphering the genetic alterations and the signalling pathways involved in the neoplastic transformation of melanocytes will provide the basis for identifying new drugs targeting the molecules involved and which could overcome melanoma cell resistance to cytotoxic compounds.Though many genes have been reported to be involved in human melanoma formation, their specific role and interaction and the underlying mechanisms of action in melanocyte transformation remain elusive. In most of the previous studies, the authors' attention was focussed on a single pathway whose alteration might result in neoplasia.For example, whereas the role of p16 inactivation in melanoma is well established, that of p53 pathway disruption is not. Because of the central role played by the p53 pathway in tumor pathogenesis through the control of genomic stability, cell cycle arrest, induction of apoptosis, and transcriptional activity on genes involved in tumor progression (Milyavsky et al, 2005), the potential contribution of p53 in melanoma needs clarification.In fact, the frequency of p53 mutations detected in melanoma has been generally reported to be lower than in other tumor types. The most common mechanism determining alterations in the p53 pathway in melanoma is represented by the homozygous deletion of the alternative reading frame (ARF) and p16 genes as the result of CDKN2A locus injury. Since ARF preserves the functional activity of p53, whereas p16 is more relevant for retinoblastoma (RB), deletions involving CDKN2A exons can theoretically disrupt both regulatory pathways.But if homozygous deletions of exons 1a and 1b (or 1a and 2) of CDKN2A affect both p16 and ARF, the effects of point mutations occurring in exon 2 are less clear, since few of them have been functionally characterized for their effect on ARF, thus leaving doubts on the real need of p53 pathway inactivation.Nonetheless, concomitant mutations in TP53 and p16 genes have been reported in some melanoma cell lines and, in a recent study, we found TP53 mutations either concomitant or alternative with respect to those of the CDKN2A locus, the latter always being associated with BRAF mutations. Of note, this mutational profile is preferentially found in poorly surviving patients (Daniotti et al, 2004).In this issue of the Journal, Yang et al (2005) have reassessed the potential effect of inactivating the two master regulatory pathways RB and p53 in human melanoma formation by analyzing data on gene alterations in a large collection of cell lines. The authors come to the conclusion that disruption of both pathways can be detected in the large majority (70%-80%) of the melanoma studied, thus indicating that concomitant injury of both pathways might represent the basis of human melanocyte transformation.The authors consider mutation...