2017
DOI: 10.1002/1878-0261.12050
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NF1‐mutated melanoma tumors harbor distinct clinical and biological characteristics

Abstract: In general, melanoma can be considered as a UV‐driven disease with an aggressive metastatic course and high mutational load, with only few tumors (acral, mucosal, and uveal melanomas) not induced by sunlight and possessing a lower mutational load. The most commonly activated pathway in melanoma is the mitogen‐activated protein kinase (MAPK) pathway. However, the prognostic significance of mutational stratification is unclear and needs further investigation. Here, in silico we combined mutation data from 162 me… Show more

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Cited by 120 publications
(144 citation statements)
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“…We did not observe any difference between those with one or two truncating NF1 mutations, or with accompany loss of the wild-type allele. Prior literature has suggested an enrichment for co-occurring mutations in Rasopathy genes, particularly PTPN11 and RASA2 (Arafeh et al, 2015; Cirenajwis et al, 2017; Krauthammer et al, 2015) However, we observed co-occurrence of deleterious mutations across numerous genes without specific enrichment, including those that have not been previously implicated as co-mutated with NF1 , although known to be mutated in melanoma, MAP3K5 and MAP3K9 . Functional studies of BRAF wt /RAS wt melanoma cell lines lacking NF1 expression, or expressing NF1 at extremely low levels, have shown that not all have RAS activation and that only some were sensitive to MEKi (Krauthammer et al, 2015).…”
Section: Discussioncontrasting
confidence: 74%
“…We did not observe any difference between those with one or two truncating NF1 mutations, or with accompany loss of the wild-type allele. Prior literature has suggested an enrichment for co-occurring mutations in Rasopathy genes, particularly PTPN11 and RASA2 (Arafeh et al, 2015; Cirenajwis et al, 2017; Krauthammer et al, 2015) However, we observed co-occurrence of deleterious mutations across numerous genes without specific enrichment, including those that have not been previously implicated as co-mutated with NF1 , although known to be mutated in melanoma, MAP3K5 and MAP3K9 . Functional studies of BRAF wt /RAS wt melanoma cell lines lacking NF1 expression, or expressing NF1 at extremely low levels, have shown that not all have RAS activation and that only some were sensitive to MEKi (Krauthammer et al, 2015).…”
Section: Discussioncontrasting
confidence: 74%
“…Mutations in NF1 were mostly mutually exclusive with those in BRAF or NRAS although exact frequencies were not given (Scholz et al, ). These recent findings are also consistent with CM where NF1 mutations occur in 12%–30%, and are generally mutually exclusive from tumors with BRAF and NRAS mutations (Cirenajwis et al, ; Hodis et al, ; Krauthammer et al, ). In line with CM, a 4‐group gene‐specific mutation/triple wild type (wt) classification for CoM was proposed (Cancer Genome Atlas, Network, ; Scholz et al, ).…”
Section: Introductionsupporting
confidence: 75%
“…Furthermore, differences between previous studies and the present study may be due to the absence of investigation of LVI and necrosis in many of the above-mentioned studies. However, various molecular alterations accompanying the BRAF V600 mutation may also be features of an ordinary nevus, such as promoter mutations of telomerase reverse transcriptase (TERT) (27,28); mutations in NRAS, PTEN, CDK2NA, STK19, KIT, GNAQ, GNA11 and NF 1 genes (29)(30)(31) or undetected interactions between the BRAF V600 mutation and other signaling pathways (26). Further studies on genotypic and phenotypic alterations in specimens of primary tumours obtained from both metastatic and nonmetastatic patients may provide more information about the impact of the BRAF mutation on prognostic features of melanoma.…”
Section: Discussionmentioning
confidence: 99%