Somatic mutation analysis in melanoma using targeted next generation sequencing
Advanced stage malignant melanoma often responds poorly to therapy with low survival rates. New therapeutic approaches are based upon a growing understanding of the underlying molecular abnormalities. We demonstrate the feasibility of a next generation sequencing (NGS) assay, which targets hotspots...
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Veröffentlicht in: | Experimental and molecular pathology 2017-10, Vol.103 (2), p.172-177 |
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creator | Miraflor, Allen P. de Abreu, Francine B. Peterson, Jason D. Turner, Scott A. Amos, Christopher I. Tsongalis, Gregory J. Yan, Shaofeng |
description | Advanced stage malignant melanoma often responds poorly to therapy with low survival rates. New therapeutic approaches are based upon a growing understanding of the underlying molecular abnormalities. We demonstrate the feasibility of a next generation sequencing (NGS) assay, which targets hotspots in 50 cancer genes, to assess genotypes that may influence therapeutic selection and response. DNA was extracted from formalin fixed paraffin embedded (FFPE) melanoma specimens to create multiplexed libraries which were sequenced. Of the 121 cases, BRAF mutations were present in 48 cases (40%) and NRAS mutations in 24 cases (20%). We identified other gene variants in 20 BRAF-mutated cases. Additional gene variants were also identified in the 57 BRAF wild-type cases. Four patients harbored different gene mutations at metastatic sites as compared to their primary lesions or metastasis from different sites. Concurrent gene variants may provide additional targets for future therapies and may suggest alternative mechanisms of secondary resistance. |
doi_str_mv | 10.1016/j.yexmp.2017.08.006 |
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New therapeutic approaches are based upon a growing understanding of the underlying molecular abnormalities. We demonstrate the feasibility of a next generation sequencing (NGS) assay, which targets hotspots in 50 cancer genes, to assess genotypes that may influence therapeutic selection and response. DNA was extracted from formalin fixed paraffin embedded (FFPE) melanoma specimens to create multiplexed libraries which were sequenced. Of the 121 cases, BRAF mutations were present in 48 cases (40%) and NRAS mutations in 24 cases (20%). We identified other gene variants in 20 BRAF-mutated cases. Additional gene variants were also identified in the 57 BRAF wild-type cases. Four patients harbored different gene mutations at metastatic sites as compared to their primary lesions or metastasis from different sites. 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All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-377e4189a0029baae6ae4a2f5358eeaecb4360b416f0b29f2f31e22e7f6906673</citedby><cites>FETCH-LOGICAL-c359t-377e4189a0029baae6ae4a2f5358eeaecb4360b416f0b29f2f31e22e7f6906673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0014480017304215$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28822769$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miraflor, Allen P.</creatorcontrib><creatorcontrib>de Abreu, Francine B.</creatorcontrib><creatorcontrib>Peterson, Jason D.</creatorcontrib><creatorcontrib>Turner, Scott A.</creatorcontrib><creatorcontrib>Amos, Christopher I.</creatorcontrib><creatorcontrib>Tsongalis, Gregory J.</creatorcontrib><creatorcontrib>Yan, Shaofeng</creatorcontrib><title>Somatic mutation analysis in melanoma using targeted next generation sequencing</title><title>Experimental and molecular pathology</title><addtitle>Exp Mol Pathol</addtitle><description>Advanced stage malignant melanoma often responds poorly to therapy with low survival rates. New therapeutic approaches are based upon a growing understanding of the underlying molecular abnormalities. We demonstrate the feasibility of a next generation sequencing (NGS) assay, which targets hotspots in 50 cancer genes, to assess genotypes that may influence therapeutic selection and response. DNA was extracted from formalin fixed paraffin embedded (FFPE) melanoma specimens to create multiplexed libraries which were sequenced. Of the 121 cases, BRAF mutations were present in 48 cases (40%) and NRAS mutations in 24 cases (20%). We identified other gene variants in 20 BRAF-mutated cases. Additional gene variants were also identified in the 57 BRAF wild-type cases. Four patients harbored different gene mutations at metastatic sites as compared to their primary lesions or metastasis from different sites. Concurrent gene variants may provide additional targets for future therapies and may suggest alternative mechanisms of secondary resistance.</description><subject>Biomarkers, Tumor - genetics</subject><subject>BRA</subject><subject>DNA Mutational Analysis - methods</subject><subject>Female</subject><subject>Genotype</subject><subject>GTP Phosphohydrolases - genetics</subject><subject>High-Throughput Nucleotide Sequencing - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Melanoma</subject><subject>Melanoma - diagnosis</subject><subject>Melanoma - genetics</subject><subject>Membrane Proteins - genetics</subject><subject>Middle Aged</subject><subject>Mutation</subject><subject>Neoplasm Metastasis</subject><subject>Next generation sequencing (NGS)</subject><subject>NRAS</subject><subject>Paraffin Embedding</subject><subject>Prognosis</subject><subject>Proto-Oncogene Proteins B-raf - genetics</subject><subject>Retrospective Studies</subject><subject>Variant</subject><issn>0014-4800</issn><issn>1096-0945</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwC5BQRpaEs5048cCAKr6kSh2A2XKSS-WqcYqdoPbf45LCyHTL89579xByTSGhQMXdOtnjrt0mDGieQJEAiBMypSBFDDLNTskUgKZxWgBMyIX3awCQQNk5mbCiYCwXckqWb12re1NF7dCH2dlIW73Ze-MjY6MWN9oGIBq8sauo126FPdaRxV0frdCiGzMePwe0VWAuyVmjNx6vjnNGPp4e3-cv8WL5_Dp_WMQVz2Qf8zzHlBZSAzBZao1CY6pZk_GsQNRYlSkXUKZUNFAy2bCGU2QM80ZIECLnM3I77t26LnT7XrXGV7gJ92I3eEUlB8mpgCygfEQr13nvsFFbZ1rt9oqCOphUa_VjUh1MKihUMBlSN8eCoWyx_sv8qgvA_QhgePPLoFO-MkEC1sZh1au6M_8WfAMl9YbT</recordid><startdate>201710</startdate><enddate>201710</enddate><creator>Miraflor, Allen P.</creator><creator>de Abreu, Francine B.</creator><creator>Peterson, Jason D.</creator><creator>Turner, Scott A.</creator><creator>Amos, Christopher I.</creator><creator>Tsongalis, Gregory J.</creator><creator>Yan, Shaofeng</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201710</creationdate><title>Somatic mutation analysis in melanoma using targeted next generation sequencing</title><author>Miraflor, Allen P. ; 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subjects | Biomarkers, Tumor - genetics BRA DNA Mutational Analysis - methods Female Genotype GTP Phosphohydrolases - genetics High-Throughput Nucleotide Sequencing - methods Humans Male Melanoma Melanoma - diagnosis Melanoma - genetics Membrane Proteins - genetics Middle Aged Mutation Neoplasm Metastasis Next generation sequencing (NGS) NRAS Paraffin Embedding Prognosis Proto-Oncogene Proteins B-raf - genetics Retrospective Studies Variant |
title | Somatic mutation analysis in melanoma using targeted next generation sequencing |
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