CCL

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001-es BibID:BIBFORM115627
035-os BibID:(cikkazonosító)5141 (wos)001103294600001 (scopus)85176506719
Első szerző:Csoma Szilvia Lilla (Klinikai laboratóriumi kutató)
Cím:Correlation Analyses between Histological Staging and Molecular Alterations in Tumor-Derived and Cell-Free DNA of Early-Stage Primary Cutaneous Melanoma / Csoma Szilvia Lilla, Madarász Kristóf, Chang Chien Yi Che, Emri Gabriella, Bedekovics Judit, Méhes Gábor, Mokánszki Attila
Dátum:2023
ISSN:2072-6694
Megjegyzések:Primary cutaneous melanoma (PCM) is a highly aggressive and potentially lethal form of skin neoplasm with a rapidly increasing incidence rate worldwide. The most common genetic aberration in PCM is the BRAF gene p.V600E pathogenic variant. The use of liquid biopsy (LB), which is a non-invasive, low-risk procedure that can be repeated multiple times, is becoming increasingly important in precision oncology. Because of the limited information about the applicability of LB in melanoma, here we investigate the correlation analyses and statistical significance between histopathological staging and molecular alterations in tumor-derived and cell-free DNA. The Breslow depth (BD) and Clark level were applied to categorize the study population. A positive correlation was proven between the tumor depth and peripheral blood plasma cfDNA yield in all mutant and negative cases. This observation is also supported by the fact that a statistically significantly higher concentration of cfDNA can be isolated from Clark V category cases compared to the others. Here, we investigate the correlation and statistical analyses between histological staging and molecular alterations in tumor-derived (tdDNA) and cell-free DNA (cfDNA) obtained from early-stage primary cutaneous melanoma (PCM) patients using digital PCR (dPCR) for the detection of the BRAF p.V600E somatic pathogenic variant. In the prospective study, a total of 68 plasma and paired tdDNA samples, and in the retrospective cohort, a total of 100 tdDNA samples were analyzed using dPCR and reverse hybridization StripAssay. The Breslow depth (BD) and Clark level were applied to categorize the study population. Our results demonstrate that dPCR is a highly sensitive and specific method for the detection of BRAF p.V600E somatic variants in cfDNA samples from PCM patients. A strong correlation was detected between BD and cfDNA concentration in all mutant and negative cases, between the tdDNA concentration and the tumor-derived variant allele frequency (VAF) of BRAF p.V600E, between the tdVAF and the cfVAF in all cases, and between the cfDNA and cfVAF in mutant cases. The tdVAF and cfVAF of BRAF p.V600E and cfDNA concentration were the highest in Clark's V category. The cfDNA concentration was statistically significantly higher in Clark's III, IV, and V groups compared to cases with a better prognosis. It can also be explained by the fact that cases with a more advanced stage classification release more cfDNA into the peripheral circulation.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Cancers. - 15 : 21 (2023), p. 1-13. -
További szerzők:Madarász Kristóf (1996-) (biológus) Chang Chien, Yi-Che (1975-) (pathológus) Emri Gabriella (1972-) (bőrgyógyász, allergológus, onkológus) Bedekovics Judit (1986-) (orvos) Méhes Gábor (1966-) (patológus) Mokánszki Attila (1983-) (molekuláris biológus Ph.D hallgató)
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001-es BibID:BIBFORM104619
035-os BibID:(cikkazonosító)3475 (WoS)000883850300001 (Scopus)85141641121
Első szerző:Madarász Kristóf (biológus)
Cím:Deep Molecular and In Silico Protein Analysis of p53 Alteration in Myelodysplastic Neoplasia and Acute Myeloid Leukemia / Madarász Kristóf, Mótyán János András, Bedekovics Judit, Miltényi Zsófia, Ujfalusi Anikó, Méhes Gábor, Mokánszki Attila
Dátum:2022
ISSN:2073-4409
Megjegyzések:Background: Mutation of the TP53 gene is one of the major drivers of myelodysplastic neoplasias (MDS) and acute myeloid leukemia with myelodysplasia-related changes (AML-MR). TP53 mutations present in these hematopoietic malignancies form a distinct molecular genetic cluster with a worse prognosis than without the alteration. However, besides well-characterized hot-spot variants, a significant proportion of TP53 alterations are of uncertain clinical significance. Methods: To enlighten so far unknown aspects, bone-marrow samples from altogether 77 patients are analyzed retrospectively with the diagnosis of AML-MR (26 cases), MDS-IB (12 cases), and MDS-LB (39 cases) according to WHO 2022 guidelines. Next-generation sequencing results are correlated with histological, cytogenetic, and survival data. Results: Twenty out of the 30 TP53 mutation types detected by NGS are not categorized in current public databases; thus, their clinical significance remained mysterious. Because of the interpretation difficulties and the absence of clinical correlations, pathogenicity is established based on in silico approaches. The 12 pathogenicity classification systems, as well as protein stability, protein?DNA, protein?protein interaction, and post-translational modification analyses are applied. We found statistically significant differences between AML/MDS groups considering p53 pathogenicity, protein structural changes, and overall survival. The largest number of abnormalities with the most severe consequences are found in AML-MR cases. Conclusions: These molecular and in silico protein data further support that MDS with increased-blast (MDS-IB) is an intermediate group between AML-MR and MDS with low-blast (MDS-LB) patients, which frequently progresses to AML and is therefore considered a pre-leukemic condition.
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
in silico bioinformatic analysis
next-generation sequencing (NGS)
p53 protein
TP53 gene
acute myeloid leukemia (AML)
myelodysplastic neoplasias (MDS)
Megjelenés:Cells. - 11 : 21 (2022), p. 1-23. -
További szerzők:Mótyán János András (1981-) (biokémikus, molekuláris biológus) Bedekovics Judit (1986-) (orvos) Miltényi Zsófia (1975-) (belgyógyász, haematológus) Ujfalusi Anikó (1968-) (gyermekorvos, laboratóriumi szakorvos) Méhes Gábor (1966-) (patológus) Mokánszki Attila (1983-) (molekuláris biológus Ph.D hallgató)
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DOI
Intézményi repozitóriumban (DEA) tárolt változat
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