Germline and Somatic Mutations of the INK4a-ARF Gene in a Xeroderma Pigmentosum Group C Patient

Autor: M. Ribojad, Thierry Magnaldo, J. Rivet, Gisele Delestaing, Nicole Basset-Seguin, O. Thibaudeau, Nadem Soufir, Alain Sarasin, Leela Daya-Grosjean
Rok vydání: 2002
Předmět:
Keratinocytes
Male
Pathology
medicine.medical_specialty
congenital
hereditary
and neonatal diseases and abnormalities

Xeroderma pigmentosum
Skin Neoplasms
DNA Repair
DNA Mutational Analysis
lymphoma
p14ARF
Dermatology
Biology
medicine.disease_cause
Lymphoma
T-Cell

Biochemistry
Germline
Germline mutation
Tumor Suppressor Protein p14ARF
medicine
Ultraviolet light
Humans
Basal cell carcinoma
Child
skin and connective tissue diseases
Molecular Biology
Cyclin-Dependent Kinase Inhibitor p16
Germ-Line Mutation
Xeroderma Pigmentosum
integumentary system
skin carcinogenesis
Atypical fibroxanthoma
nutritional and metabolic diseases
Keratosis
Cell Biology
medicine.disease
DNA-Binding Proteins
p16INK4A
Carcinoma
Basal Cell

Cancer research
Carcinoma
Squamous Cell

mutation
Tumor Suppressor Protein p53
Carcinogenesis
Nucleotide excision repair
Zdroj: Journal of Investigative Dermatology. 119(6):1355-1360
ISSN: 0022-202X
DOI: 10.1046/j.1523-1747.2002.19603.x
Popis: Xeroderma pigmentosum is an inheritable autosomal recessive DNA repair deficient syndrome characterized by a high predisposition to skin cancers. An elevated proportion of tumors from xeroderma pigmentosum patients harbor ultraviolet-induced mutations (CC:GG > TT:AA tandem transitions) of the p53 and/or the INK4a-ARF genes. Here, we report the clinical and molecular features of a 12 y old xeroderma pigmentosum patient who, in addition to severe cutaneous clinical symptoms, also had three unusual tumors, a mediastinal lymphoblastic lymphoma, an atypical fibroxanthoma, and an epithelioid hemangioma. Single strand conformation polymorphism and sequencing analysis of the p53 and INK4a-ARF genes were carried out in DNA from normal skin and different tumors (four actinic keratosis, two microinvasive squamous cell carcinomas, one basal cell carcinoma, and one atypical fibroxanthoma) from the patient. After characterization of the xeroderma pigmentosum C complementation group, we found unexpectedly that this patient also carried a germline mutation of the INK4a-ARF locus affecting the p16INK4A reading frame. Three different somatic mutations that all harbor the signature of ultraviolet light (two of p16INK4A and one of p53) were also detected in the basal cell carcinoma. We hypothesize that the germline mutation of p16INK4A, in association with the nucleotide excision repair defect, could explain the patient's unusual phenotype. Furthermore, this study confirms that concomitant somatic mutations of INK4a-ARF and p53 occur in some xeroderma pigmentosum associated tumors, and seem to accumulate during tumor progression rather than the initiation step.
Databáze: OpenAIRE