- Autori:
-
Ferrara, Giada; Paiella, Salvatore; Settanni, Giulio; Frizziero, Melissa; Rosina, Paolo; Viassolo, Valeria
- Titolo:
-
Prevalence of CDKN2A, CDK4, POT1, BAP1, MITF, ATM, and TERT Pathogenic Variants in a Single-Center Retrospective Series of Patients With Melanoma and Personal or Family History Suggestive of Genetic Predisposition
- Anno:
-
2024
- Tipologia prodotto:
-
Articolo in Rivista
- Tipologia ANVUR:
- Articolo su rivista
- Lingua:
-
Inglese
- Referee:
-
No
- Nome rivista:
- DERMATOLOGY PRACTICAL & CONCEPTUAL
- ISSN Rivista:
- 2160-9381
- N° Volume:
-
14
- Numero o Fascicolo:
-
3
- Intervallo pagine:
-
N/A-N/A
- Parole chiave:
-
NA
- Breve descrizione dei contenuti:
- Introduction: Approximately 20%-45% of familial melanoma (FM) cases are associated with genetic predisposition. Objectives: This single-center retrospective study aimed to assess the frequency of pathogenic variants (PV) in the main melanoma-predisposing genes in patients with cutaneous melanoma and investigate the clinical predictors of genetic predisposition. Methods: Patients included were those diagnosed with cutaneous melanoma at the Dermatology Unit of the University Hospital of Verona, Italy, from 2000 to 2022, presenting at least one of the followings: multiple melanomas (≥ 3); personal/family history of pancreatic cancer (PC) (up to 2nd-degree relatives); ≥ 2 1st-degree relatives with melanoma; ≥ 1 1st-degree relatives with early-onset (<45 years) melanoma and tested for CDKN2A, CDK4, POT1, BAP1, MITF, ATM, and TERT. Results: During the study period, 35 out of 1320 patients (2.7%) underwent genetic testing. Four patients (11.4%) harbored a PV in a melanoma-predisposing gene, three in CDKN2A (8.6%), and one in MITF (2.9%). Variants currently classified as being of unknown clinical significance (VUS) were detected in CDKN2A (N = 1), MITF (N = 1), and ATM (N = 2). Family history of PC and ≥5 melanomas, personal history of ≥50 nevi, and ≥4 melanomas were significantly associated with PV in tested genes (P < 0.05). Conclusions: The prevalence of PV in predisposing genes in FM was lower than previously reported in Italian registries. Possible reasons include deleterious variants in untested intermediate/low-penetrance genes or yet-to-be-discovered high-penetrance genes and environmental risk factors. A family history of PC, a high number of nevi and melanomas predict a monogenic predisposition to melanoma.
- Id prodotto:
-
140756
- Handle IRIS:
-
11562/1133346
- ultima modifica:
-
23 dicembre 2024
- Citazione bibliografica:
-
Ferrara, Giada; Paiella, Salvatore; Settanni, Giulio; Frizziero, Melissa; Rosina, Paolo; Viassolo, Valeria,
Prevalence of CDKN2A, CDK4, POT1, BAP1, MITF, ATM, and TERT Pathogenic Variants in a Single-Center Retrospective Series of Patients With Melanoma and Personal or Family History Suggestive of Genetic Predisposition
«DERMATOLOGY PRACTICAL & CONCEPTUAL»
, vol.
14
, n.
3
,
2024
,
pp. N/A-N/A
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