Table 2.
Commonest known genetic changes in CM and UM.
CM | |||||
---|---|---|---|---|---|
Gene | Mechanism | Location | Cases (%) | Reference | |
| |||||
Proto oncogenes | NRAS | mutation | 1p13 | 15–25 | [71, 72] |
AKT3 | amplification | 1q44 | 40–67 | [73] | |
BRAF | mutation | 7q34 | 36–61 | [74–76] | |
NBS1 | amplification | 8q21 | * | [77] | |
MYC | amplification | 8q24 | 1–40 | [78–80] | |
DDEF1 | amplification | 8q24 | — | ||
GNAQ | mutation | 9p21 | 83∗1 | [81] | |
CCND1 | amplification | 11q13 | 6–44 | [82–84] | |
HDM2 | amplification | 12q15 | — | ||
BCL-2 | amplification | 18q21 | >90% | [85, 86] | |
| |||||
Tumor suppressor genes | LZTS1 | deletion | 8p21 | — | |
CDKN2A-sporadic | deletion, mutation | 9p21 | * | [87] | |
CDKN2A-familial | deletion, mutation | 9p21 | 30–80 | [88–91] | |
PTEN | deletion, mutation | 10q23 | 10–40 | [92–94] | |
| |||||
UM | |||||
| |||||
Gene | Mechanism | Location | Cases (%) | Reference | |
| |||||
Proto oncogenes | NRAS | mutation | 1p13 | * | [95–98] |
AKT3 | amplification | 1q44 | — | ||
BRAF | mutation | 7q34 | 48∗2 | [81, 99–101] | |
NBS1 | amplification | 8q21 | 50 | [62, 102] | |
MYC | amplification | 8q24 | 43 | [103] | |
DDEF1 | amplification | 8q24 | 50 | [63, 69] | |
GNAQ | mutation | 9p21 | 46 | [81, 104] | |
CCND1 | amplification | 11q13 | 65 | [69, 105–107] | |
HDM2 | amplification | 12q15 | 97 | [69, 105, 106] | |
BCL-2 | amplification | 18q21 | 100 | [105, 108, 109] | |
| |||||
Tumor suppressor genes | LZTS1 | deletion | 8p21 | — | [23] |
CDKN2A-sporadic | deletion, mutation | 9p21 | * | [110] | |
CDKN2A-familial | deletion, mutation | 9p21 | * | [110] | |
PTEN | deletion, mutation | 10q23 | 15 | [111, 112] |
— no data available.
*Rarely observed or sporadic reports in literature.
∗1Observed in 83% of blue naevi.
∗2Observed in 48% of iris melanomas.