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      Parkinson disease ( PARK) genes are somatically mutated in cutaneous melanoma

      research-article
      , MD , , PhD, , MD, , PhD, , BSc, , PhD, , PhD, , MD, PhD
      Neurology: Genetics
      Wolters Kluwer

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          Abstract

          Objective:

          To assess whether Parkinson disease (PD) genes are somatically mutated in cutaneous melanoma (CM) tissue, because CM occurs in patients with PD at higher rates than in the general population and PD is more common than expected in CM cohorts.

          Methods:

          We cross-referenced somatic mutations in metastatic CM detected by whole-exome sequencing with the 15 known PD ( PARK) genes. We computed the empirical distribution of the sum of mutations in each gene (Smut) and of the number of tissue samples in which a given gene was mutated at least once (SSampl) for each of the analyzable genes, determined the 90th and 95th percentiles of the empirical distributions of these sums, and verified the location of PARK genes in these distributions. Identical analyses were applied to adenocarcinoma of lung (ADENOCA-LUNG) and squamous cell carcinoma of lung (SQUAMCA-LUNG). We also analyzed the distribution of the number of mutated PARK genes in CM samples vs the 2 lung cancers.

          Results:

          Somatic CM mutation analysis (n = 246) detected 315,914 mutations in 18,758 genes. Somatic CM mutations were found in 14 of 15 PARK genes. Forty-eight percent of CM samples carried ≥1 PARK mutation and 25% carried multiple PARK mutations. PARK8 mutations occurred above the 95th percentile of the empirical distribution for SMut and SSampl. Significantly more CM samples harbored multiple PARK gene mutations compared with SQUAMCA-LUNG ( p = 0.0026) and with ADENOCA-LUNG ( p < 0.0001).

          Conclusions:

          The overrepresentation of somatic PARK mutations in CM suggests shared dysregulated pathways for CM and PD.

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          Most cited references27

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          Melanoma genome sequencing reveals frequent PREX2 mutations

          Melanoma is notable for its metastatic propensity, lethality in the advanced setting, and association with ultraviolet (UV) exposure early in life 1 . To obtain a comprehensive genomic view of melanoma, we sequenced the genomes of 25 metastatic melanomas and matched germline DNA. A wide range of point mutation rates was observed: lowest in melanomas whose primaries arose on non-UV exposed hairless skin of the extremities (3 and 14 per Mb genome), intermediate in those originating from hair-bearing skin of the trunk (range = 5 to 55 per Mb), and highest in a patient with a documented history of chronic sun exposure (111 per Mb). Analysis of whole-genome sequence data identified PREX2 - a PTEN-interacting protein and negative regulator of PTEN in breast cancer 2 - as a significantly mutated gene with a mutation frequency of approximately 14% in an independent extension cohort of 107 human melanomas. PREX2 mutations are biologically relevant, as ectopic expression of mutant PREX2 accelerated tumor formation of immortalized human melanocytes in vivo. Thus, whole-genome sequencing of human melanoma tumors revealed genomic evidence of UV pathogenesis and discovered a new recurrently mutated gene in melanoma.
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            Exome sequencing identifies GRIN2A as frequently mutated in melanoma.

            The incidence of melanoma is increasing more than any other cancer, and knowledge of its genetic alterations is limited. To systematically analyze such alterations, we performed whole-exome sequencing of 14 matched normal and metastatic tumor DNAs. Using stringent criteria, we identified 68 genes that appeared to be somatically mutated at elevated frequency, many of which are not known to be genetically altered in tumors. Most importantly, we discovered that TRRAP harbored a recurrent mutation that clustered in one position (p. Ser722Phe) in 6 out of 167 affected individuals (∼4%), as well as a previously unidentified gene, GRIN2A, which was mutated in 33% of melanoma samples. The nature, pattern and functional evaluation of the TRRAP recurrent mutation suggest that TRRAP functions as an oncogene. Our study provides, to our knowledge, the most comprehensive map of genetic alterations in melanoma to date and suggests that the glutamate signaling pathway is involved in this disease.
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              Exome sequencing identifies recurrent somatic MAP2K1 and MAP2K2 mutations in melanoma.

              We performed exome sequencing to detect somatic mutations in protein-coding regions in seven melanoma cell lines and donor-matched germline cells. All melanoma samples had high numbers of somatic mutations, which showed the hallmark of UV-induced DNA repair. Such a hallmark was absent in tumor sample-specific mutations in two metastases derived from the same individual. Two melanomas with non-canonical BRAF mutations harbored gain-of-function MAP2K1 and MAP2K2 (MEK1 and MEK2, respectively) mutations, resulting in constitutive ERK phosphorylation and higher resistance to MEK inhibitors. Screening a larger cohort of individuals with melanoma revealed the presence of recurring somatic MAP2K1 and MAP2K2 mutations, which occurred at an overall frequency of 8%. Furthermore, missense and nonsense somatic mutations were frequently found in three candidate melanoma genes, FAT4, LRP1B and DSC1.
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                Author and article information

                Contributors
                Journal
                Neurol Genet
                Neurol Genet
                nng
                NNG
                Neurology: Genetics
                Wolters Kluwer (Baltimore )
                2376-7839
                13 April 2016
                June 2016
                13 April 2016
                : 2
                : 3
                : e70
                Affiliations
                From the Department of Neurology (R.I.), Department of Dermatology (E.A.), Sackler Faculty of Medicine, Tel Aviv University; Center of Advanced Technologies in Rehabilitation (R.I.), Sheba Medical Center, Tel Hashomer; Department of Molecular Cell Biology (Y.S., N.Q.), Weizmann Institute of Science, Rehovot; The Sagol School of Neuroscience (L.I.), Tel Aviv University; Department of Physics of Complex Systems (E.D.), Weizmann Institute of Science, Rehovot; Department of Industrial Engineering and Management (E.S.), Ben Gurion University of the Negev, Beer Sheva; The Susanne Levy Gertner Oncogenetics Unit (E.F.), Institute of Human Genetics, Sheba Medical Center, Tel-Hashomer; and the Sackler Faculty of Medicine (E.F.), Tel Aviv University, Israel.
                Author notes
                Correspondence to Dr. R. Inzelberg: inzelber@ 123456post.tau.ac.il
                [*]

                These authors contributed equally to the manuscript.

                Funding information and disclosures are provided at the end of the article. Go to Neurology.org/ng for full disclosure forms. The Article Processing Charge was paid by Sheba Medical Center Research & Development Fund.

                Article
                NG2015001586
                10.1212/NXG.0000000000000070
                4832432
                27123489
                bbf55549-b4ac-428e-b898-949b6ec847d4
                © 2016 American Academy of Neurology

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially.

                History
                : 27 January 2016
                : 01 March 2016
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