Genomic and transcriptomic landscape of conjunctival melanoma

Katarina Cisarova1,2, Marc Folcher3,4, Ikram El Zaoui1

  • 1Department of Computational Biology, University of Lausanne, Lausanne, Switzerland.

Plos Genetics
|December 31, 2020
PubMed

Insights

Conjunctival melanoma (CJM), a rare eye cancer, shares genomic similarities with skin melanoma, including high mutation rates and UV light damage signatures. This study provides the first comprehensive genomic and transcriptomic classification of CJM.

Area of Science:

  • Ophthalmology
  • Oncology
  • Genomics

Background:

  • Conjunctival melanoma (CJM) is a rare, aggressive eye cancer originating from melanocytes, with limited genomic characterization compared to cutaneous melanoma (CM).
  • Understanding CJM's genomic landscape is crucial for developing targeted therapies and improving patient outcomes.

Purpose of the Study:

  • To comprehensively characterize the genomic and transcriptomic features of conjunctival melanoma.
  • To establish a genomic classification for CJM and identify potential new driver genes.

Main Methods:

  • Whole-exome (WES) and whole-genome sequencing (WGS) were performed on 14 tumor-normal pairs.
  • RNA sequencing was conducted on 11 tumor tissues.
  • Analysis included mutation load, mutational signatures, gene expression, and identification of candidate oncogenes.

Main Results:

  • CJM exhibits a high mutation load (~500 exonic mutations) and a UV-induced mutational signature, implicating sunlight in its development.
  • Genomic classification based on TCGA's CM subclasses (BRAF, NF1, RAS, triple wild-type) is applicable to CJM.
  • Transcriptomic analysis revealed subtypes enriched for immune or epithelial-associated genes.
  • Somatic mutations in ACSS3 were detected in seven tumors, with overexpression enhancing cell proliferation, suggesting ACSS3 as a potential oncogene.

Conclusions:

  • This study provides the first unbiased genomic and transcriptomic classification of conjunctival melanoma.
  • CJM shares significant molecular similarities with cutaneous melanoma.
  • ACSS3 is identified as a potential novel oncogene in conjunctival melanoma tumorigenesis.

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