46 research outputs found

    In Vitro Behavior and UV response of melanocytes derived from carriers of CDKN2A mutations and MC1R variants.

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    Co-inheritance of germline mutation in cyclin-dependent kinase inhibitor 2A (CDKN2A) and loss-of-function (LOF) melanocortin 1 receptor (MC1R) variants is clinically associated with exaggerated risk for melanoma. To understand the combined impact of these mutations, we established and tested primary human melanocyte cultures from different CDKN2A mutation carriers, expressing either wild-type MC1R or MC1R LOF variant(s). These cultures expressed the CDKN2A product p16 (INK4A) and functional MC1R. Except for 32ins24 mutant melanocytes, the remaining cultures showed no detectable aberrations in proliferation or capacity for replicative senescence. Additionally, the latter cultures responded normally to ultraviolet radiation (UV) by cell cycle arrest, JNK, p38, and p53 activation, hydrogen peroxide generation, and repair of DNA photoproducts. We propose that malignant transformation of melanocytes expressing CDKN2A mutation and MC1R LOF allele(s) requires acquisition of somatic mutations facilitated by MC1R genotype or aberrant microenvironment due to CDKN2A mutation in keratinocytes and fibroblasts. This article is protected by copyright. All rights reserved

    Caracterización Clínica e Histopatológica del Carcinoma Baso celular

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    Introduction: The basaloma also known as basal cell carcinoma is the most frequent case of skin cancer. It can be seen mostly in face, nose and forehead.Objective: To identify the clinical and histopathological characteristics of basal cell carcinoma in patients who underwent surgery at the Maxillo Facial Service of the Celia Sánchez Manduley University Hospital in Manzanillo, during the period from September to December 2016.Methodological Design: It was carried out a descriptive and observant study to identify the clinical and histopathological characteristics of the basal cell carcinoma in patients that were treated in the Maxillofacial Service of the Clinical-Surgical Hospital ´´ Celia Sánchez Manduley´´, between the months of September and December of 2016. The sample had 60 patients.Results: The basal cell carcinoma predominated in males (55%) mostly between the ages of 60 and 80 years (68,67%). This disease was most frequently presented in white people (75%); located mainly in the cheeks (43%), with a size between one and two centimeters. These lesions presented a low diagnosis error with only a two percentage.Conclusions: The research reveal a high frequency of this disease in elderly people mostly men, with a bigger tendency to be located in the facial regions sun exposed. It was also confirmed that these lesions were detected and treated in early stages. Their diagnosis and treatment are performed with a small margin of error.Introducción: el basaloma, también llamado carcinoma de células basales y carcinoma basocelular, es la forma más frecuente de cáncer de piel y se puede encontrar principalmente en cara, nariz y frente.Objetivo: identificar las características clínicas e histopatológicas del carcinoma basocelular en pacientes que fueron operados en el Servicio de Máxilo Facial del Hospital Universitario Celia Sánchez Manduley de Manzanillo, en el período comprendido entre los meses de septiembre a diciembre de 2016.Material y Métodos: se realizó un estudio observacional, descriptivo y de corte transversal para identificar las características clínicas e histopatológicas del carcinoma basocelular en pacientes que fueron operados en el Servicio de Máxilo Facial del Hospital Clínico-quirúrgico Celia Sánchez Manduley de Manzanillo, en el período comprendido entre los meses de septiembre a diciembre de 2016. La muestra estuvo constituida por 60 pacientes.Resultados:  el carcinoma basocelular predominó en el sexo masculino (55%) sobre todo en las edades de 60 a 80 años (68,67%). Esta lesión se presentó con mayor frecuencia en personas de piel blanca (75%); localizándose principalmente en las mejillas (43%) con un tamaño predominante de 1 a 2 cm. Esta lesión presentó bajo error diagnóstico con solo el 2%. Conclusiones: la investigación reveló una alta frecuencia de la enfermedad en personas de edad avanzada sobre todo en hombres, con mayor tendencia a presentarse en regiones faciales expuestas al sol. También se constató que las lesiones son detectadas y tratadas en un estado incipiente. Su diagnóstico y tratamiento se realzan con un margen de error muy pequeño

    Germline MC1R status influences somatic mutation burden in melanoma

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    The major genetic determinants of cutaneous melanoma risk in the general population are disruptive variants (R alleles) in the melanocortin 1 receptor (MC1R) gene. These alleles are also linked to red hair, freckling, and sun sensitivity, all of which are known melanoma phenotypic risk factors. Here we report that in melanomas and for somatic C>T mutations, a signature linked to sun exposure, the expected single-nucleotide variant count associated with the presence of an R allele is estimated to be 42% (95% CI, 15-76%) higher than that among persons without an R allele. This figure is comparable to the expected mutational burden associated with an additional 21 years of age. We also find significant and similar enrichment of non-C>T mutation classes supporting a role for additional mutagenic processes in melanoma development in individuals carrying R alleles

    Precision medicine driven by cancer systems biology

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    Molecular insights from genome and systems biology are influencing how cancer is diagnosed and treated. We critically evaluate big data challenges in precision medicine. The melanoma research community has identified distinct subtypes involving chronic sun-induced damage and the mitogen-activated protein kinase driver pathway. In addition, despite low mutation burden, non-genomic mitogen-activated protein kinase melanoma drivers are found in membrane receptors, metabolism, or epigenetic signaling with the ability to bypass central mitogen-activated protein kinase molecules and activating a similar program of mitogenic effectors. Mutation hotspots, structural modeling, UV signature, and genomic as well as non-genomic mechanisms of disease initiation and progression are taken into consideration to identify resistance mutations and novel drug targets. A comprehensive precision medicine profile of a malignant melanoma patient illustrates future rational drug targeting strategies. Network analysis emphasizes an important role of epigenetic and metabolic master regulators in oncogenesis. Co-occurrence of driver mutations in signaling, metabolic, and epigenetic factors highlights how cumulative alterations of our genomes and epigenomes progressively lead to uncontrolled cell proliferation. Precision insights have the ability to identify independent molecular pathways suitable for drug targeting. Synergistic treatment combinations of orthogonal modalities including immunotherapy, mitogen-activated protein kinase inhibitors, epigenetic inhibitors, and metabolic inhibitors have the potential to overcome immune evasion, side effects, and drug resistance

    A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

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