van Gils Walter, Kilic Emine, Brüggenwirth Hennie T, Vaarwater Jolanda, Verbiest Michael M, Beverloo Berna, van Til-Berg Marjan E, Paridaens Dion, Luyten Gregorius P, de Klein Annelies
Departments of Clinical Genetics, Erasmus MC, Rotterdam, The Netherlands.
Melanoma Res. 2008 Feb;18(1):10-5. doi: 10.1097/CMR.0b013e3282f1d4d9.
Uveal melanoma (UM) is the most common primary intraocular malignancy in adults. Loss of the long arm and gain of the short arm of chromosome 6 are frequently observed chromosomal aberrations in UM, together with loss of chromosome 1p36, loss of chromosome 3 and gain of chromosome 8. This suggests the presence of one or more oncogenes on 6p and tumor suppressor genes at 6q that are involved in UM development. Both regions, however, have not been well defined yet. Furthermore in other neoplasms gain of 6p and loss of 6q are frequently occurring events. In this case report, we describe the delineation of a partial gain on chromosome 6p and a partial deletion on 6q in a UM with the objective to pinpoint smaller candidate regions on chromosome 6 involved in UM development. Conventional cytogenetics, comparative genomic hybridization (CGH) and fluorescence in-situ hybridization (FISH) were used to delineate regions of loss and gain on chromosome 6 in this UM patient. With conventional cytogenetics a deleted region was found on chromosome 6q that was further delineated to a region ranging from 6q16.1 to 6q22 using CGH and FISH. A region of gain from 6pter to 6p21.2 was also demarcated with CGH and FISH. No other deletions or amplifications on recurrently involved chromosomes were found in this patient. This study indicates the presence of one or more tumor suppressor genes on chromosomal region 6q16.1-6q22 and the presence of one or more oncogenes on chromosomal region 6pter-6p21.2, which are likely to be important in UM and other tumors.
葡萄膜黑色素瘤(UM)是成人中最常见的原发性眼内恶性肿瘤。6号染色体长臂缺失和短臂增加是UM中常见的染色体畸变,同时伴有1p36缺失、3号染色体缺失和8号染色体增加。这表明6p上存在一个或多个癌基因以及6q上存在参与UM发展的肿瘤抑制基因。然而,这两个区域尚未得到很好的界定。此外,在其他肿瘤中,6p增加和6q缺失也是常见事件。在本病例报告中,我们描述了一例UM中6号染色体p臂部分增加和6号染色体q臂部分缺失的情况,目的是确定6号染色体上参与UM发展的较小候选区域。使用传统细胞遗传学、比较基因组杂交(CGH)和荧光原位杂交(FISH)来确定该UM患者6号染色体上的缺失和增加区域。通过传统细胞遗传学在6号染色体q臂上发现了一个缺失区域,使用CGH和FISH进一步将其界定为从6q16.1到6q22的区域。使用CGH和FISH还划定了从6pter到6p21.2的增加区域。在该患者中未发现其他反复涉及的染色体上有缺失或扩增。这项研究表明在染色体区域6q16.1 - 6q22上存在一个或多个肿瘤抑制基因,在染色体区域6pter - 6p21.2上存在一个或多个癌基因,它们可能在UM和其他肿瘤中起重要作用。