Harland Mark, Goldstein Alisa M, Kukalizch Kairen, Taylor Claire, Hogg David, Puig Susana, Badenas Celia, Gruis Nelleke, ter Huurne Jeanet, Bergman Wilma, Hayward Nicholas K, Stark Mitchell, Tsao Hensin, Tucker Margaret A, Landi Maria Teresa, Scarra Giovanna Bianchi, Ghiorzo Paola, Kanetsky Peter A, Elder David, Mann Graham J, Holland Elizabeth A, Bishop D Timothy, Bishop Julia Newton
Division of Epidemiology and Biostatistics, Leeds Institute of Molecular Medicine, Cancer Research UK Cancer Centre at Leeds, St James's University Hospital, Leeds, UK.
Eur J Cancer. 2008 Jun;44(9):1269-74. doi: 10.1016/j.ejca.2008.03.005. Epub 2008 Apr 3.
CDKN2A is the major melanoma susceptibility gene so far identified, but only 40% of three or more case families have identified mutations. A comparison of mutation detection rates was carried out by "blind" exchange of samples across GenoMEL, the Melanoma Genetics Consortium, to establish the false negative detection rates. Denaturing high performance liquid chromatography (DHPLC) screening results from 451 samples were compared to screening data from nine research groups in which the initial mutation screen had been done predominantly by sequencing. Three samples with mutations identified at the local centres were not detected by the DHPLC screen. No additional mutations were detected by DHPLC. Mutation detection across groups within GenoMEL is carried out to a consistently high standard. The relatively low rate of CDKN2A mutation detection is not due to failure to detect mutations and implies the existence of other high penetrance melanoma susceptibility genes.
CDKN2A是目前已鉴定出的主要黑色素瘤易感基因,但在三个或更多病例家族中,只有40%的家族鉴定出了突变。通过在黑色素瘤遗传学联盟GenoMEL中“盲法”交换样本,对突变检测率进行了比较,以确定假阴性检测率。将451个样本的变性高效液相色谱(DHPLC)筛选结果与九个研究组的筛选数据进行了比较,这些研究组的初始突变筛查主要通过测序完成。在当地中心鉴定出突变的三个样本未被DHPLC筛查检测到。DHPLC未检测到其他额外的突变。GenoMEL内各研究组间的突变检测均达到了一致的高标准。CDKN2A突变检测率相对较低并非由于未能检测到突变,这意味着存在其他高外显率的黑色素瘤易感基因。