1st Department of Dermatology, Andreas Sygros Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Acta Derm Venereol. 2018 Oct 10;98(9):862-866. doi: 10.2340/00015555-2969.
Approximately 5-10% of melanoma cases occur in a familial context. CDKN2A/CDK4 were the first high-penetrance melanoma genes identified. The aims of this study were to evaluate CDKN2A/CDK4 variants in Greek familial melanoma patients and to correlate the mutational status with specific clinico-epidemiological characteristics. A cross-sectional study was conducted by genotyping CDKN2A/CDK4 variants and selected MC1R polymorphisms in 52 melanoma-prone families. Descriptive statistics were calculated and comparisons were made using the χ2 test, Fisher's exact test and Student's t-test for statistical analysis, as appropriate. CDKN2A variants were detected in 46.2% of melanoma-prone families, while a CDK4 variant was found in only one family. This study confirmed that, in the Greek population, the age at melanoma diagnosis was lower in patients carrying a variant in CDKN2A compared with wild-type patients. No statistically significant associations were found between CDKN2A mutational status and MC1R polymorphisms.
约 5-10%的黑色素瘤病例发生在家族环境中。CDKN2A/CDK4 是第一个被鉴定出的高外显率黑色素瘤基因。本研究的目的是评估希腊家族性黑色素瘤患者的 CDKN2A/CDK4 变异,并将突变状态与特定的临床流行病学特征相关联。通过基因分型 CDKN2A/CDK4 变异和选择 MC1R 多态性,对 52 个易患黑色素瘤的家族进行了横断面研究。使用 χ2 检验、Fisher 确切检验和学生 t 检验进行统计分析,计算描述性统计数据,并进行比较,具体取决于适用情况。在易患黑色素瘤的家族中,发现 CDKN2A 变异的占 46.2%,而仅在一个家族中发现 CDK4 变异。本研究证实,在希腊人群中,与野生型患者相比,携带 CDKN2A 变异的患者的黑色素瘤诊断年龄较低。CDKN2A 突变状态与 MC1R 多态性之间未发现统计学上的显著关联。