Short report
CDKN2A mutations in Spanish cutaneous malignant melanoma families
and patients with multiple melanomas and other neoplasia
Anna Ruiza, Susana Puigb, Josep Malvehyb, Conxi Lázaroa, Michael Lyncha, Anna M Gimenez-Arnauc, Lluis Puigd, Julian Sánchez-Conejoe, Xavier Estivilla, Teresa Castelb
a Medical and
Molecular Genetics Centre-IRO, Hospital Duran i Reynals, Avia
Castelldefels, Km 2.7, L'Hospitalet de Llobregat, 08907 Barcelona,
Catalonia, Spain, b Dermatology Service, Hospital
Clínic, Barcelona, Catalonia, Spain, c Dermatology Service, Hospital
del Mar, Barcelona, Catalonia, Spain, d Dermatology
Service, Hospital de Sant Pau, Barcelona, Catalonia, Spain, e Dermatology Service, Hospital Virgen del
Rocio, Sevilla, Spain
Correspondence to: Dr Estivill.
Received 5 August 1998;
Revised version accepted for publication 28 January 1999
The CDKN2A gene has been implicated in cutaneous malignant
melanoma (CMM) in about 40% of families with linkage to chromosome 9p21, while a small proportion of families have mutations in the CDK4
gene. In order to estimate the importance of these genes in the
predisposition to CMM in Spanish families and patients we have
analysed, by SSCA, a total of 56 subjects belonging to 34 CMM families,
and nine patients with multiple CMM and other neoplasia. We have
detected germline CDKN2A mutations in six out of the 34 families
(17%). A frameshift mutation (358delG) and four missense mutations
(G59V, G101W (two cases), D84Y, and R87W) were identified. Five CMM
patients from different families (14%) carried the A148T variant,
which is known not to affect p16 activity. No mutations were detected
in the patients with multiple CMM or other neoplasms. We have not found
mutations either in exon 1
of the CDKN2A gene or in exon 2A of CDK4.
Linkage analysis of the 9p21 region showed exclusion for one of the
families for CMM and for four families for CMM/dysplastic naevi. This
study indicates a small role for CDKN2A in Spanish CMM families and
suggests that other genes are also responsible for CMM predisposition.
Keywords: cutaneous malignant melanoma; CDKN2A; p16; CDK4
© 1999 by J Med Genet
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