Prognostic Values of G-Protein Mutations in Metastatic Uveal Melanoma

Uveal melanoma is the most common primary ocular malignancy in adults, characterized by gene mutations in G protein subunit alpha q (<i>GNAQ</i>) and G protein subunit alpha 11 (<i>GNA11</i>). Although they are considered to be driver mutations, their role in MUM remains elus...

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Autores principales: Mizue Terai, Ayako Shimada, Inna Chervoneva, Liam Hulse, Meggie Danielson, Jeff Swensen, Marlana Orloff, Philip B. Wedegaertner, Jeffrey L. Benovic, Andrew E. Aplin, Takami Sato
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/86a4c271f81742bab04b74ded1bf5119
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spelling oai:doaj.org-article:86a4c271f81742bab04b74ded1bf51192021-11-25T17:03:34ZPrognostic Values of G-Protein Mutations in Metastatic Uveal Melanoma10.3390/cancers132257492072-6694https://doaj.org/article/86a4c271f81742bab04b74ded1bf51192021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5749https://doaj.org/toc/2072-6694Uveal melanoma is the most common primary ocular malignancy in adults, characterized by gene mutations in G protein subunit alpha q (<i>GNAQ</i>) and G protein subunit alpha 11 (<i>GNA11</i>). Although they are considered to be driver mutations, their role in MUM remains elusive. We investigated key somatic mutations of MUM and their impact on patients’ survival after development of systemic metastasis (Met-to-Death). Metastatic lesions from 87 MUM patients were analyzed by next generation sequencing (NGS). <i>GNA11</i> (41/87) and <i>GNAQ</i> (39/87) mutations were most predominantly seen in MUM. Most <i>GNA11</i> mutations were Q209L (36/41), whereas <i>GNAQ</i> mutations comprised Q209L (14/39) and Q209P (21/39). Epigenetic pathway mutations <i>BAP1</i> (42/66), <i>SF3B1</i> (11/66), <i>FBXW7</i> (2/87), <i>PBRM1</i> (1/66), and <i>SETD2</i> (1/66) were found. No specimen had the EIF1AX mutation. Interestingly, Met-to-Death was longer in patients with <i>GNAQ</i> Q209P compared to <i>GNAQ/GNA11</i> Q209L mutations, suggesting the difference in mutation type in <i>GNAQ/GNA11</i> might determine the prognosis of MUM. Structural alterations of the GNAQ/GNA11 protein and their impact on survival of MUM patients should be further investigated.Mizue TeraiAyako ShimadaInna ChervonevaLiam HulseMeggie DanielsonJeff SwensenMarlana OrloffPhilip B. WedegaertnerJeffrey L. BenovicAndrew E. AplinTakami SatoMDPI AGarticleuveal melanomametastasismetastatic uveal melanomasurvival<i>GNA11</i><i>GNAQ</i>Neoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5749, p 5749 (2021)
institution DOAJ
collection DOAJ
language EN
topic uveal melanoma
metastasis
metastatic uveal melanoma
survival
<i>GNA11</i>
<i>GNAQ</i>
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle uveal melanoma
metastasis
metastatic uveal melanoma
survival
<i>GNA11</i>
<i>GNAQ</i>
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Mizue Terai
Ayako Shimada
Inna Chervoneva
Liam Hulse
Meggie Danielson
Jeff Swensen
Marlana Orloff
Philip B. Wedegaertner
Jeffrey L. Benovic
Andrew E. Aplin
Takami Sato
Prognostic Values of G-Protein Mutations in Metastatic Uveal Melanoma
description Uveal melanoma is the most common primary ocular malignancy in adults, characterized by gene mutations in G protein subunit alpha q (<i>GNAQ</i>) and G protein subunit alpha 11 (<i>GNA11</i>). Although they are considered to be driver mutations, their role in MUM remains elusive. We investigated key somatic mutations of MUM and their impact on patients’ survival after development of systemic metastasis (Met-to-Death). Metastatic lesions from 87 MUM patients were analyzed by next generation sequencing (NGS). <i>GNA11</i> (41/87) and <i>GNAQ</i> (39/87) mutations were most predominantly seen in MUM. Most <i>GNA11</i> mutations were Q209L (36/41), whereas <i>GNAQ</i> mutations comprised Q209L (14/39) and Q209P (21/39). Epigenetic pathway mutations <i>BAP1</i> (42/66), <i>SF3B1</i> (11/66), <i>FBXW7</i> (2/87), <i>PBRM1</i> (1/66), and <i>SETD2</i> (1/66) were found. No specimen had the EIF1AX mutation. Interestingly, Met-to-Death was longer in patients with <i>GNAQ</i> Q209P compared to <i>GNAQ/GNA11</i> Q209L mutations, suggesting the difference in mutation type in <i>GNAQ/GNA11</i> might determine the prognosis of MUM. Structural alterations of the GNAQ/GNA11 protein and their impact on survival of MUM patients should be further investigated.
format article
author Mizue Terai
Ayako Shimada
Inna Chervoneva
Liam Hulse
Meggie Danielson
Jeff Swensen
Marlana Orloff
Philip B. Wedegaertner
Jeffrey L. Benovic
Andrew E. Aplin
Takami Sato
author_facet Mizue Terai
Ayako Shimada
Inna Chervoneva
Liam Hulse
Meggie Danielson
Jeff Swensen
Marlana Orloff
Philip B. Wedegaertner
Jeffrey L. Benovic
Andrew E. Aplin
Takami Sato
author_sort Mizue Terai
title Prognostic Values of G-Protein Mutations in Metastatic Uveal Melanoma
title_short Prognostic Values of G-Protein Mutations in Metastatic Uveal Melanoma
title_full Prognostic Values of G-Protein Mutations in Metastatic Uveal Melanoma
title_fullStr Prognostic Values of G-Protein Mutations in Metastatic Uveal Melanoma
title_full_unstemmed Prognostic Values of G-Protein Mutations in Metastatic Uveal Melanoma
title_sort prognostic values of g-protein mutations in metastatic uveal melanoma
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/86a4c271f81742bab04b74ded1bf5119
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