Abstract. BACKGROUND: Skin melanocytes can give rise to benign and malignant neoplasms. Discrimination of an early melanoma from an unusual/atypical benign nevus can represent a significant challenge. However, previous studies have shown that in contrast to benign nevi, melanoma demonstrates pervasive chromosomal aberrations. OBJECTIVE: This substantial difference between melanoma and benign nevi can be exploited to discriminate between melanoma and benign nevi. METHODS: Array-comparative genomic hybridization (aCGH) is an approach that can be used on DNA extracted from formalin-fixed paraffin-embedded (FFPE) tissues to assess the entire genome for the presence of changes in DNA copy number. In this study, high resolution, genome-wide single-nucleotide polymorphism (SNP) arrays were utilized to perform comprehensive and detailed analyses of recurrent copy number aberrations in 41 melanoma samples in comparison with 21 benign nevi. RESULTS: We found statistically significant copy number gains and losses within melanoma samples. Some of the identified aberrations are previously implicated in melanoma. Moreover, novel regions of copy number alterations were identified, revealing new candidate genes potentially involved in melanoma pathogenesis. CONCLUSIONS: Taken together, these findings can help improve melanoma diagnosis and introduce novel melanoma therapeutic targets.Keywords: Array comparative genomic hybridization, melanoma, FFPE highly lethal forms of cancer. Although it accounts 10 for the minority of skin cancers, a large majority 11 (75%) of skin cancer related-deaths are accounted for 12 by melanoma [1,2]. The incidence and mortality of 13 melanoma has increased dramatically in the last few 14 decades [3]. The American Cancer Society estimates 15 that about 73,870 people in United States will be diag-16 nosed with melanoma in 2015 and about 9,940 people 17 are expected to die from the disease. Importantly, the 18 5-year survival rate of melanoma depends on the stage 19 of the disease when it is diagnosed. It can be as high 20 as 98% when the melanoma is detected early before 21 it spreads to the lymph nodes or other organs. When 22 melanoma reaches the lymph nodes, the 5-year sur-23 vival rate drops to 62%, and to 15% when melanoma 24 spread to other organs [2]. Sequences for the primer pairs and cycling parame-286 ters were as follows: 5'-AATCGGGCTG-3' and 5'-287 GAAACGGGTG-3', 94• C for 2.5 minutes, then 45 cy-288 cles of 1 minute 94• C, 1 minute 55 • C and 2 minutes 289 72• C, then 7 minutes 72 • C and holding at 4 • C; or 5 -290 TGTGCCCAGTGAAGACTCAG-3' and 5 -GAGTGA 291 GCGGAGAGGGAACT-3', 45 cycles of 94• C for 1 292 minute, 35• C for 1 minute, and 72• C for 2 minute. 293 PCR products were resolved on 3% TBE agarose plus 294 SYBR Safe dye (Life Technologies). Gels were visu-295 alized with a GE ImageQuant LAS-3000 camera (GE 296 Healthcare Life Sciences, Piscataway, NJ, USA).
Microarrays
298DNA copy number analysis was performed by hy-299 bridizing the extracted and qualified gDNA to Affy-300 metrix...