Telomerase reverse transcriptase promoter mutations in primary cutaneous melanoma.

Abstract:

:We previously reported a disease segregating causal germline mutation in a melanoma family and recurrent somatic mutations in metastasized tumours from unrelated patients in the core promoter region of the telomerase reverse transcriptase (TERT) gene. Here we show that the TERT promoter mutations, besides causing an increased gene expression, associate with increased patient age, increased Breslow thickness and tumour ulceration in 287 primary melanomas. The mutations are more frequent at both intermittently and chronically sun-exposed sites than non-exposed sites and tend to co-occur with BRAF and CDKN2A alterations. The association with parameters generally connected with poor outcome, coupled with high recurrence and mechanistic relevance, raises the possibility of the eventual use of TERT promoter mutations in the disease management.

journal_name

Nat Commun

journal_title

Nature communications

authors

Heidenreich B,Nagore E,Rachakonda PS,Garcia-Casado Z,Requena C,Traves V,Becker J,Soufir N,Hemminki K,Kumar R

doi

10.1038/ncomms4401

subject

Has Abstract

pub_date

2014-02-26 00:00:00

pages

3401

issn

2041-1723

pii

ncomms4401

journal_volume

5

pub_type

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