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检测经证实患有恶性黑色素瘤的患者 FFPE 样本中的驱动基因突变。

Detection of driver mutations in FFPE samples from patients with verified malignant melanoma.

机构信息

Biomedical Center Martin, Jessenius Faculty of Medicine in Martin, Commenius University in Bratislava, Martin, Slovakia.

Division of Oncology, Jessenius Faculty of Medicine in Martin, Commenius University in Bratislava, Martin, Slovakia.

出版信息

Neoplasma. 2019 Jan 15;66(1):33-38. doi: 10.4149/neo_2018_180115N31. Epub 2018 Aug 9.

Abstract

Malignant melanoma is an oncological disease characterized by etiologic heterogeneity and it has increasing incidence and mortality in the Slovak Republic. While it is treated surgically in combination with chemotherapy, targeted therapy, and immunotherapy, malignant melanomas can ulcerate and are susceptible to infections. These are highly aggressive cancers with metastasis, and recent studies have shown the presence of mutations in RAC1, PPP6C and STK19 genes in melanoma patients. Mutations in these genes are driver mutations; important in oncogenesis and providing selective advantage to tumor cells. The aim of our study is to establish a method to detect driver mutations in formalin-fixed, paraffin embedded (FFPE) tissue DNA. We applied Sanger sequencing to detect driver somatic mutations in RAC1, PPP6C, STK19 and BRAF genes in patients with malignant melanoma. Confirmation of BRAF V600E mutation was obtained by allele-specific PCR. The BRAF V600E mutation was present in 15 of 113 patients (13.2%) and the driver mutation in 7 of 113 patients (6.2 %). Our results demonstrate that Sanger sequencing analysis detects mutations in FFPE clinical samples. The identification of these somatic driver mutations in samples with verified malignant melanomas enabled development of a molecular classification of melanomas, and our study provides evidence of diversity of novel driver mutations implicated in malignant melanoma pathogenesis. These findings could have very important implications for targeted therapy.

摘要

恶性黑素瘤是一种具有异质性病因的肿瘤学疾病,在斯洛伐克共和国的发病率和死亡率呈上升趋势。虽然它可以通过手术联合化疗、靶向治疗和免疫治疗来治疗,但恶性黑素瘤可能会溃疡,并容易感染。这些是高度侵袭性的癌症,会发生转移,最近的研究表明,黑素瘤患者的 RAC1、PPP6C 和 STK19 基因存在突变。这些基因的突变是驱动突变;在肿瘤发生中很重要,并为肿瘤细胞提供选择性优势。我们的研究旨在建立一种检测福尔马林固定、石蜡包埋(FFPE)组织 DNA 中驱动突变的方法。我们应用 Sanger 测序来检测恶性黑素瘤患者 RAC1、PPP6C、STK19 和 BRAF 基因中的驱动体突变。通过等位基因特异性 PCR 证实了 BRAF V600E 突变的存在。在 113 名患者中有 15 名(13.2%)存在 BRAF V600E 突变,有 7 名(6.2%)存在驱动突变。我们的结果表明,Sanger 测序分析可检测 FFPE 临床样本中的突变。在经证实的恶性黑素瘤样本中鉴定这些体细胞驱动突变,使黑色素瘤的分子分类得以发展,我们的研究为恶性黑色素瘤发病机制中涉及的新型驱动突变的多样性提供了证据。这些发现可能对靶向治疗具有非常重要的意义。

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