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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2021
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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 |
work_keys_str_mv |
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1718412787912278016 |