CDKN2A/CDK4 Status in Greek Patients with Familial Melanoma and Association with Clinico-epidemiological Parameters

Acta Derm Venereol. 2018 Oct 10;98(9):862-866. doi: 10.2340/00015555-2969.

Abstract

Approximately 5-10% of melanoma cases occur in a familial context. CDKN2A/CDK4 were the first high-penetrance melanoma genes identified. The aims of this study were to evaluate CDKN2A/CDK4 variants in Greek familial melanoma patients and to correlate the mutational status with specific clinico-epidemiological characteristics. A cross-sectional study was conducted by genotyping CDKN2A/CDK4 variants and selected MC1R polymorphisms in 52 melanoma-prone families. Descriptive statistics were calculated and comparisons were made using the χ2 test, Fisher's exact test and Student's t-test for statistical analysis, as appropriate. CDKN2A variants were detected in 46.2% of melanoma-prone families, while a CDK4 variant was found in only one family. This study confirmed that, in the Greek population, the age at melanoma diagnosis was lower in patients carrying a variant in CDKN2A compared with wild-type patients. No statistically significant associations were found between CDKN2A mutational status and MC1R polymorphisms.

Keywords: CDK4; CDKN2A; Greece; MC1R; familialmelanoma.

MeSH terms

  • Adult
  • Age of Onset
  • Aged
  • Biomarkers, Tumor / genetics*
  • Cyclin-Dependent Kinase 4 / genetics*
  • Cyclin-Dependent Kinase Inhibitor p16
  • Cyclin-Dependent Kinase Inhibitor p18 / genetics*
  • Female
  • Genetic Predisposition to Disease
  • Greece / epidemiology
  • Heredity
  • Humans
  • Incidence
  • Male
  • Melanoma / epidemiology
  • Melanoma / genetics*
  • Melanoma / pathology
  • Middle Aged
  • Molecular Epidemiology
  • Mutation*
  • Pedigree
  • Phenotype
  • Polymorphism, Single Nucleotide
  • Receptor, Melanocortin, Type 1 / genetics
  • Risk Factors
  • Skin Neoplasms / epidemiology
  • Skin Neoplasms / genetics*
  • Skin Neoplasms / pathology

Substances

  • Biomarkers, Tumor
  • CDKN2A protein, human
  • Cyclin-Dependent Kinase Inhibitor p16
  • Cyclin-Dependent Kinase Inhibitor p18
  • Receptor, Melanocortin, Type 1
  • CDK4 protein, human
  • Cyclin-Dependent Kinase 4