Related Experiment Video
Updated: May 11, 2026

Spatial and Temporal Control of Murine Melanoma Initiation from Mutant Melanocyte Stem Cells
Published on: June 7, 2019
Conjunctival melanomas harbor BRAF and NRAS mutations and copy number changes similar to cutaneous and mucosal
Klaus G Griewank1, Henrike Westekemper, Rajmohan Murali
1Department of Dermatology, Institute of Pathology and Neuropathology, University Hospital, University Duisburg-Essen, Essen, Germany.
Purpose:
Conjunctival melanoma is a rare but potentially deadly tumor of the eye. Despite effective local therapies, recurrence and metastasis remain frequent. Once the tumor has metastasized, treatment options are limited and the prognosis is poor. To date, little is known of the genetic alterations in conjunctival melanomas.
Experimental Design:
We conducted genetic analysis of 78 conjunctival melanomas, to our knowledge the largest cohort reported to date. An oncogene hotspot array was run on 38 samples, screening for a panel of known cancer-relevant mutations. Thirty tumors were analyzed for genome-wide copy number alterations (CNA) using array-based comparative genomic hybridization. Sanger sequencing of selected target mutations was conducted in all samples.
Results:
BRAF mutations were identified in 23 of 78 (29%) tumors. NRAS mutations, previously not recognized as relevant in conjunctival melanoma, were detected in 14 of 78 (18%) tumors. We found CNAs affecting various chromosomes distributed across the genome in a pattern reminiscent of cutaneous and mucosal melanoma but differing markedly from uveal melanoma.
Conclusions:
The presence of NRAS or BRAF mutations in a mutually exclusive pattern in roughly half (47%) of conjunctival melanomas and the pattern of CNAs argue for conjunctival melanoma being closely related to cutaneous and mucosal melanoma but entirely distinct from uveal melanoma. Patients with metastatic conjunctival melanoma should be considered for therapeutic modalities available for metastatic cutaneous and mucosal melanoma including clinical trials of novel agents.
Insights
Genetic analysis of conjunctival melanoma reveals BRAF and NRAS mutations in nearly half of cases. These findings suggest conjunctival melanoma is similar to cutaneous and mucosal melanoma, distinct from uveal melanoma.
Area of Science:
- Ophthalmology
- Oncology
- Genetics
Background:
- Conjunctival melanoma is a rare, aggressive eye tumor with frequent recurrence and metastasis.
- Limited knowledge exists regarding the genetic alterations driving conjunctival melanoma.
- Metastatic conjunctival melanoma has a poor prognosis and limited treatment options.
Purpose of the Study:
- To investigate the genetic landscape of conjunctival melanomas.
- To identify key genetic alterations and compare them to other melanoma subtypes.
Main Methods:
- Genetic analysis of 78 conjunctival melanoma samples.
- Oncogene hotspot array for known cancer mutations.
- Genome-wide copy number alteration analysis.
- Sanger sequencing for targeted mutations.
Main Results:
- BRAF mutations found in 29% of tumors.
- NRAS mutations, previously unrecognized, detected in 18% of tumors.
- Copy number alterations showed patterns similar to cutaneous/mucosal melanoma, distinct from uveal melanoma.
Conclusions:
- BRAF or NRAS mutations occur mutually exclusively in 47% of conjunctival melanomas.
- Genetic profile supports a close relationship to cutaneous and mucosal melanoma, distinct from uveal melanoma.
- Metastatic conjunctival melanoma patients may benefit from therapies used for cutaneous/mucosal melanoma.
Related Concept Videos
Skin Cancer
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
The Ras Gene
Ras is a superfamily...
The Retinoblastoma Gene
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
MAPK Signaling Cascades
Abnormal Proliferation
Rous Sarcoma Virus (RSV) and Cancer
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...

