[PDF][PDF] Genomic and transcriptomic analysis reveals incremental disruption of key signaling pathways during melanoma evolution

AH Shain, NM Joseph, R Yu, J Benhamida, S Liu… - Cancer cell, 2018 - cell.com
AH Shain, NM Joseph, R Yu, J Benhamida, S Liu, T Prow, B Ruben, J North, L Pincus, I Yeh
Cancer cell, 2018cell.com
We elucidated genomic and transcriptomic changes that accompany the evolution of
melanoma from pre-malignant lesions by sequencing DNA and RNA from primary
melanomas and their adjacent precursors, as well as matched primary tumors and regional
metastases. In total, we analyzed 230 histopathologically distinct areas of melanocytic
neoplasia from 82 patients. Somatic alterations sequentially induced mitogen-activated
protein kinase (MAPK) pathway activation, upregulation of telomerase, modulation of the …
Summary
We elucidated genomic and transcriptomic changes that accompany the evolution of melanoma from pre-malignant lesions by sequencing DNA and RNA from primary melanomas and their adjacent precursors, as well as matched primary tumors and regional metastases. In total, we analyzed 230 histopathologically distinct areas of melanocytic neoplasia from 82 patients. Somatic alterations sequentially induced mitogen-activated protein kinase (MAPK) pathway activation, upregulation of telomerase, modulation of the chromatin landscape, G1/S checkpoint override, ramp-up of MAPK signaling, disruption of the p53 pathway, and activation of the PI3K pathway; no mutations were specifically associated with metastatic progression, as these pathways were perturbed during the evolution of primary melanomas. UV radiation-induced point mutations steadily increased until melanoma invasion, at which point copy-number alterations also became prevalent.
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