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N-ras突变在人类暴露于阳光的皮肤所患黑色素瘤中很常见,但在黏膜或未暴露的皮肤中很少见。

N-ras mutations are common in melanomas from sun-exposed skin of humans but rare in mucosal membranes or unexposed skin.

作者信息

Jiveskog S, Ragnarsson-Olding B, Platz A, Ringborg U

机构信息

Department of Oncology, Radiumhemmet, Karolinska Hospital, Stockholm, Sweden.

出版信息

J Invest Dermatol. 1998 Nov;111(5):757-61. doi: 10.1046/j.1523-1747.1998.00376.x.

Abstract

Ras mutations, preferentially in codon 61 of the N-ras oncogene, are common in human cutaneous melanomas. In this study, we questioned the association between ras mutations in primary melanomas and sun exposure. DNA was extracted from formalin-fixed primary melanomas: 28 at chronically sun-exposed head and neck areas, 18 at sites subject to intermittent sun exposure, and 28 from unexposed mucosal membranes (vulva/vagina, anus/ rectum, palate). Mutations of both exons of H-, K-, and N-ras genes were examined by polymerase chain reaction/single-strand conformation polymorphism and by direct nucleotide sequencing of the polymerase chain reaction amplified exons. Thirty-two per cent of the head and neck melanomas and 11% of the melanomas from intermittently sun-exposed skin had N-ras codon 61 mutations; comparatively only 7% of the tumors from the unexposed areas had such mutations. One vulvar melanoma had an N-ras codon 12 mutation. No H-ras or K-ras mutations were detected in any sample. The frequency of N-ras exon 2 mutations in melanomas of typically sunbathed skin was compared for the first time with that in melanomas of areas completely protected from sun exposure. The significantly higher frequency (p = 0.04, chi square exact test) of these N-ras mutations on the head and neck demonstrates their UV-light induction in a subset of melanomas explaining one of the molecular effects of UV light in human skin.

摘要

Ras突变,优先发生在N-ras癌基因的第61密码子,在人类皮肤黑色素瘤中很常见。在本研究中,我们质疑原发性黑色素瘤中的ras突变与阳光暴露之间的关联。从福尔马林固定的原发性黑色素瘤中提取DNA:28例来自长期阳光暴露的头颈部区域,18例来自间歇性阳光暴露部位,28例来自未暴露的黏膜(外阴/阴道、肛门/直肠、腭)。通过聚合酶链反应/单链构象多态性以及对聚合酶链反应扩增外显子进行直接核苷酸测序,检测H-、K-和N-ras基因两个外显子的突变。头颈部黑色素瘤中有32%以及间歇性阳光暴露皮肤的黑色素瘤中有11%存在N-ras第61密码子突变;相比之下,未暴露区域的肿瘤中只有7%有此类突变。1例外阴黑色素瘤存在N-ras第12密码子突变。在任何样本中均未检测到H-ras或K-ras突变。首次比较了典型日光浴皮肤黑色素瘤中N-ras外显子2突变的频率与完全免受阳光照射区域黑色素瘤中该突变的频率。头颈部这些N-ras突变的频率显著更高(p = 0.04,卡方精确检验),表明它们在一部分黑色素瘤中是由紫外线诱导产生的,这解释了紫外线对人体皮肤的一种分子效应。

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