Zhang Edward D, Zhang Meixia, Li Gen, Zhang Charlotte L, Li Zhihuan, Zang Guangxi, Su Zhiguang, Zhang Ming, Xiang Daoman, Zhao Ling, Zhu Jie
Guangzhou Regenerative Medicine and Health Guangdong Laboratory, Guangzhou 510530, China.
Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610041, China.
Precis Clin Med. 2019 Dec;2(4):213-220. doi: 10.1093/pcmedi/pbz021. Epub 2019 Nov 13.
Uveal melanoma is the most common intraocular cancer in the adult eye. R183 and Q209 were found to be mutational hotspots in exon 4 and exon 5 of and in Caucasians. However, only a few studies have reported somatic mutations in or in uveal melanoma in Chinese. We extracted somatic DNA from paraffin-embedded biopsies of 63 Chinese uveal melanoma samples and sequenced the entire coding regions of exons 4 and 5 in and . The results showed that 33% of Chinese uveal melanoma samples carried Q209 mutations while none had R183 mutation in or . In addition, seven novel missense somatic mutations in (Y192C, F194L, P170S, D236N, L232F, V230A, and M227I) and four novel missense somatic mutations in (R166C, I200T, S225F, and V206M) were found in our study. The high mutation frequency of Q209 and the novel missense mutations detected in this study suggest that and are common targets for somatic mutations in Chinese uveal melanoma.
葡萄膜黑色素瘤是成人眼中最常见的眼内癌。在白种人中,R183和Q209被发现是GNAQ和GNA11基因第4外显子和第5外显子的突变热点。然而,仅有少数研究报道过中国葡萄膜黑色素瘤患者中GNAQ或GNA11基因的体细胞突变情况。我们从63例中国葡萄膜黑色素瘤样本的石蜡包埋活检组织中提取了体细胞DNA,并对GNAQ和GNA11基因第4外显子和第5外显子的整个编码区进行了测序。结果显示,33%的中国葡萄膜黑色素瘤样本携带Q209突变,而GNAQ或GNA11基因中均未发现R183突变。此外,本研究还发现了GNAQ基因的7个新的错义体细胞突变(Y192C、F194L、P170S、D236N、L232F、V230A和M227I)以及GNA11基因的4个新的错义体细胞突变(R166C、I200T、S225F和V206M)。Q209的高突变频率以及本研究中检测到的新的错义突变表明,GNAQ和GNA11是中国葡萄膜黑色素瘤体细胞突变的常见靶点。