Abstract
Malignant melanoma of the uvea is the most common primary malignant tumor in the eye. We aimed to analyze GNAQ and GNA11 mutations in uveal melanomas using formalin-fixed, paraffin-embedded material and correlate the results with clinicopathological parameters. Tumor tissue was microdissected followed by amplification of GNAQ exon 4 and 5, GNA11 exon 4 and 5, and finally analyzed by Sanger sequencing. A total of 64.4 GNA11/GNAQ mutations, including ten yet unreported, were found. Two cases showed multiple mutations. Overall survival was significantly shorter in the uveal melanoma cohort with GNAQ exon 5 mutation. In concordance with previous studies, high frequencies of mutations in GNAQ or GNA11 were detected. Interestingly, in about 20% of UM, not yet reported mutations in GNAQ or GNA11 were seen. Rarely, uveal melanoma may harbor double mutations in GNAQ and/or GNA11. Recent data imply, that implementation of GNAQ/GNA11 mutation analysis in routine diagnostic procedures might be helpful for future therapeutic decisions.
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References
Font RL, Croxatto JO, Narsing AR (2006) Tumors of the eye and ocular adnexa. AFIP Atlas Tumor Pathol 4(5):48–60
Damato B (2010) Does ocular treatment of uveal melanoma influence survival? Br J Cancer 103:285–290. https://doi.org/10.1038/sj.bjc.6605765
Curtin JA, Fridlyand J, Kageshita T et al (2005) Distinct sets of genetic alterations in melanoma. N Engl J Med 353:2135–2147. https://doi.org/10.1056/NEJMoa050092
Zuidervaart W, van Nieuwpoort F, Stark M et al (2005) Activation of the MAPK pathway is a common event in uveal melanomas although it rarely occurs through mutation of BRAF or RAS. Br J Cancer 92:2032–2038. https://doi.org/10.1038/sj.bjc.6602598
Weber A, Hengge UR, Urbanik D et al (2003) Absence of mutations of the BRAF gene and constitutive activation of extracellular-regulated kinase in malignant melanomas of the uvea. Lab Investig 83:1771–1776. https://doi.org/10.1097/01.LAB.0000101732.89463.29
Onken MD, Worley LA, Long MD et al (2008) Oncogenic mutations in GNAQ occur early in uveal melanoma. Invest Ophthalmol Vis Sci 49:5230–5234. https://doi.org/10.1167/iovs.08-2145
Bauer J, Kilic E, Vaarwater J et al (2009) Oncogenic GNAQ mutations are not correlated with disease-free survival in uveal melanoma. Br J Cancer 101:813–815. https://doi.org/10.1038/sj.bjc.6605226
Van Raamsdonk CD, Bezrookove V, Green G et al (2009) Frequent somatic mutations of GNAQ in uveal melanoma and blue naevi. Nature 457:599–602. https://doi.org/10.1038/nature07586
Van Raamsdonk CD, Griewank KG, Crosby MB et al (2010) Mutations in GNA11 in uveal melanoma. N Engl J Med 363:2191–2199. https://doi.org/10.1056/NEJMoa1000584
Pópulo H, Vinagre J, Lopes JM et al (2011) Analysis of GNAQ mutations, proliferation and MAPK pathway activation in uveal melanomas. Br J Ophthalmol 95:715–719. https://doi.org/10.1136/bjo.2009.174417
Daniels AB, Lee JE, MacConaill LE et al (2012) High throughput mass spectrometry-based mutation profiling of primary uveal melanoma. Invest Ophthalmol Vis Sci 53:6991–6996. https://doi.org/10.1167/iovs.12-10427
Koopmans AE, Vaarwater J, Paridaens D, Rotterdam Ocular Melanoma Study group et al (2013) Patient survival in uveal melanoma is not affected by oncogenic mutations in GNAQ and GNA11. Br J Cancer 109:493–496. https://doi.org/10.1038/bjc.2013.299
Griewank KG, van de Nes J, Schilling B et al (2014) Genetic and clinico-pathologic analysis of metastatic uveal melanoma. Mod Pathol 27:175–183. https://doi.org/10.1038/modpathol.2013.138
Dono M, Angelini G, Cecconi M et al (2014) Mutation frequencies of GNAQ, GNA11, BAP1, SF3B1, EIF1AX and TERT in uveal melanoma: detection of an activating mutation in the TERT gene promoter in a single case of uveal melanoma. Br J Cancer 110:1058–1065. https://doi.org/10.1038/bjc.2013.804
Van Raamsdonk CD, Barsh GS, Wakamatsu K et al (2009) Independent regulation of hair and skin color by two G protein-coupled pathways. Pigment Cell Melanoma Res 22:819–826. https://doi.org/10.1111/j.1755-148X.2009.00609.x
FX Y, Luo J, Mo JS et al (2014) Mutant Gq/11 promote uveal melanoma tumorigenesis by activating YAP. Cancer Cell 25:822–830. https://doi.org/10.1016/j.ccr.2014.04.017
Cohen Y, Goldenberg-Cohen N, Parrella P et al (2003) Lack of BRAF mutation in primary uveal melanoma. Invest Ophthalmol Vis Sci 44:2876–2878. https://doi.org/10.1167/iovs.02-1329
Cruz F 3rd, Rubin BP, Wilson D et al (2003) Absence of BRAF and NRAS mutations in uveal melanoma. Cancer Res 63:5761–5766
Edmunds SC, Cree IA, Di Nicolantonio F et al (2003) Absence of BRAF gene mutations in uveal melanomas in contrast to cutaneous melanomas. Br J Cancer 88:1403–1405. https://doi.org/10.1038/sj.bjc.6600919
Rimoldi D, Salvi S, Liénard D et al (2003) Lack of BRAF mutations in uveal melanoma. Cancer Res 63:5712–5715
Kiliç E, Brüggenwirth HT, Verbiest MM et al (2004) The RAS-BRAF kinase pathway is not involved in uveal melanoma. Melanoma Res 14:203–205. https://doi.org/10.1097/01.cmr.0000130006.46885.a0
Henriquez F, Janssen C, Kemp EG et al (2007) The T1799A BRAF mutation is present in iris melanoma. Invest Ophthalmol Vis Sci 48:4897–4900. https://doi.org/10.1167/iovs.07-0440
Mellen PL, Morton SJ, Shields CL (2013) American joint committee on cancer staging of uveal melanoma. Oman J Ophthalmol 6:116–118
O'Hayre M, Vázquez-Prado J, Kufareva I et al (2013) The emerging mutational landscape of G proteins and G-protein-coupled receptors in cancer. Nat Rev Cancer 13:412–424. https://doi.org/10.1038/nrc3521
Field MG, Harbour JW (2014) Recent developments in prognostic and predictive testing in uveal melanoma. Curr Opin Ophthalmol 25:234–239. https://doi.org/10.1097/ICU.0000000000000051
Giannakis M, XJ M, Shukla SA et al (2016) Genomic correlates of immune-cell infiltrates in colorectal carcinoma. Cell Rep 15:857–865. https://doi.org/10.1016/j.celrep.2016.03.075
Feng X, Degese MS, Iglesias-Bartolome R et al (2014) Hippo-independent activation of YAP by the GNAQ uveal melanoma oncogene through a trio-regulated rho GTPase signaling circuitry. Cancer Cell 25:831–845. https://doi.org/10.1016/j.ccr.2014.04.016
Opel KL, Chung D, McCord BR (2010) A study of PCR inhibition mechanisms using real time PCR. J Forensic Sci 55:25–33. https://doi.org/10.1111/j.1556-4029.2009.01245.x
Metz CH, Lohmann D, Zeschnigk M et al (2013) Uveal melanoma: current insights into clinical relevance of genetic testing. Klin Monatsbl Augenheilkd 230:686–691. https://doi.org/10.1055/s-0033-1350628
Aalto Y, Eriksson L, Seregard S et al (2001) Concomitant loss of chromosome 3 and whole arm losses and gains of chromosome 1, 6, or 8 in metastasizing primary uveal melanoma. Invest Ophthalmol Vis Sci 42:313–317
Harbour JW (2012) The genetics of uveal melanoma: an emerging framework for targeted therapy. Pigment Cell Melanoma Res 25:171–181. https://doi.org/10.1111/j.1755-148X.2012.00979.x
Komatsubara KM, Manson DK, Carvajal RD (2016) Selumetinib for the treatment of metastatic uveal melanoma: past and future perspectives. Future Oncol 12:1331–1344. https://doi.org/10.2217/fon-2015-0075
Lyubasyuk V, Ouyang H, FX Y et al (2015) YAP inhibition blocks uveal melanogenesis driven by GNAQ or GNA11 mutations. Mol Cell Oncol 2:e970957. https://doi.org/10.4161/23723548.2014.970957
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We warmly thank Mrs. Westphal, Mrs. Stegemann and Mrs. Schmidtgen for technical assistance. We thank Dr. S.-K. Kraeft, MD for linguistic proofreading of the manuscript.
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Schneider, B., Riedel, K., Zhivov, A. et al. Frequent and Yet Unreported GNAQ and GNA11 Mutations are Found in Uveal Melanomas. Pathol. Oncol. Res. 25, 1319–1325 (2019). https://doi.org/10.1007/s12253-017-0371-7
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DOI: https://doi.org/10.1007/s12253-017-0371-7