Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Westmead, New South Wales, Australia.
Department of Dermatology, Westmead Hospital, Westmead, New South Wales, Australia.
Exp Dermatol. 2023 Jul;32(7):1072-1084. doi: 10.1111/exd.14814. Epub 2023 Apr 21.
Despite recent developments in managing metastatic melanomas, patients' overall survival remains low. Therefore, the current study aims to understand better the proteome-wide changes associated with melanoma metastasis that will assist with identifying targeted therapies. The latest development in mass spectrometry-based proteomics, together with extensive bioinformatics analysis, was used to investigate the molecular changes in 60 formalin-fixed and paraffin-embedded samples of primary and lymph nodes (LN) and distant organ metastatic melanomas. A total of 4631 proteins were identified, of which 72 and 453 were significantly changed between the LN and distant organ metastatic melanomas compared to the primary lesions (adj. p-value <0.05). An increase in proteins such as SLC9A3R1, CD20 and GRB2 and a decrease in CST6, SERPINB5 and ARG1 were associated with regional LN metastasis. By contrast, increased metastatic activities in distant organ metastatic melanomas were related to higher levels of CEACAM1, MC1R, AKT1 and MMP3-9 and decreased levels of CDKN2A, SDC1 and SDC4 proteins. Furthermore, machine learning analysis classified the lesions with up to 92% accuracy based on their metastatic status. The findings from this study provide up to date proteome-level information about the progression of melanomas to regional LN and distant organs, leading to the identification of protein signatures with potential for clinical translation.
尽管转移性黑色素瘤的治疗最近取得了进展,但患者的总体存活率仍然较低。因此,本研究旨在更深入地了解与黑色素瘤转移相关的蛋白质组学变化,以帮助确定靶向治疗方法。本研究采用基于质谱的蛋白质组学最新技术,结合广泛的生物信息学分析,研究了 60 例福尔马林固定石蜡包埋的原发性黑色素瘤、淋巴结(LN)和远处器官转移性黑色素瘤的分子变化。共鉴定出 4631 种蛋白质,其中 LN 和远处器官转移性黑色素瘤与原发性病变相比,有 72 种和 453 种蛋白质发生了显著变化(adj. p 值<0.05)。与 LN 转移相关的蛋白质如 SLC9A3R1、CD20 和 GRB2 增加,CST6、SERPINB5 和 ARG1 减少。相比之下,远处器官转移性黑色素瘤中转移性活性的增加与 CEACAM1、MC1R、AKT1 和 MMP3-9 水平升高以及 CDKN2A、SDC1 和 SDC4 蛋白水平降低有关。此外,机器学习分析根据病变的转移状态,将病变的分类准确率提高到 92%。本研究提供了有关黑色素瘤向局部 LN 和远处器官进展的最新蛋白质组学信息,鉴定出具有潜在临床转化的蛋白质特征。
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