Comprehensive analysis of chromosome 8 abnormalities and its prognostic value in patients with uveal melanoma

Introduction. Uveal melanoma ability to metastasize depends on a few prognostic factors. The genetic ones are considered to be the most significant. The role of disorders of the short arm of chromosome 8 (8p), as well as a combination of changes in 8p and the long arm of this chromosome (8q) in the...

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Main Authors: V. A. Yarovaya, A. A. Yarovoy, L. V. Chudakova, I. A. Levashov, A. R. Zaretskiy
Format: Article
Language:Russian
Published: ABV-press 2022-03-01
Series:Успехи молекулярной онкологии
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Online Access:https://umo.abvpress.ru/jour/article/view/417
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author V. A. Yarovaya
A. A. Yarovoy
L. V. Chudakova
I. A. Levashov
A. R. Zaretskiy
author_facet V. A. Yarovaya
A. A. Yarovoy
L. V. Chudakova
I. A. Levashov
A. R. Zaretskiy
author_sort V. A. Yarovaya
collection DOAJ
description Introduction. Uveal melanoma ability to metastasize depends on a few prognostic factors. The genetic ones are considered to be the most significant. The role of disorders of the short arm of chromosome 8 (8p), as well as a combination of changes in 8p and the long arm of this chromosome (8q) in the development of metastatic lesions in this pathology remains insufficiently studied.The study objective – to evaluate the prognostic value of chromosome 8 abnormalities in patients with uveal melanoma.Materials and methods. We analyzed 2 retrospective groups of patients who underwent enucleation for uveal melanoma, statistically homogeneous in the main clinical parameters. Group 1 included patients without signs of metastases (n = 41) with an average follow-up period of 71 months, Group 2 included patients with detected metastases (n = 51) and an average follow-up period of 21 months Chromosome abnormalities were tested by multiplex ligation-dependent probe amplification.Results. Three- and five-year survival in patients with uveal melanoma without 8p deletion were 64 and 54 %, respectively; with 8p deletion significantly lower – 25 and 6 %, respectively. The same survival rates in patients with uveal melanoma with 8q amplification were 43 and 26 %, respectively, whereas in patients without 8q amplification they were significantly higher – 80 and 74 %, respectively. In patients with uveal melanoma harbouring both abnormalities, 3- and 5-year survival rates were 26 and 7 %, whereas isolated 8q amplification was associated with 47 and 35 % survival, respectively. These survival rates differ greatly and significantly: hazard ratio 3,26 (95 % confidence interval 1,86–5,69) and 6,89 (95 % confidence interval 2,67–17,73), respectively (р <0,0001).Conclusion. The findings support comprehensive evaluation of chromosome 8 abnormalities as a substantial part of uveal melanoma prognostication. 8q amplification, 8p deletion, combination of these abnormalities and its role in uveal melanoma malignity should be further discovered. Further research in this direction is needed.
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series Успехи молекулярной онкологии
spelling doaj-art-bd6d8eeedfce4910ae5916a91c7e54dc2025-08-20T03:37:43ZrusABV-pressУспехи молекулярной онкологии2313-805X2413-37872022-03-0191576310.17650/2313-805X-2022-9-1-57-63234Comprehensive analysis of chromosome 8 abnormalities and its prognostic value in patients with uveal melanomaV. A. Yarovaya0A. A. Yarovoy1L. V. Chudakova2I. A. Levashov3A. R. Zaretskiy4S.N. Fedorov MNTC «Eye Microsurgery», Ministry of Health of RussiaS.N. Fedorov MNTC «Eye Microsurgery», Ministry of Health of RussiaN.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaS.N. Fedorov MNTC «Eye Microsurgery», Ministry of Health of RussiaN.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaIntroduction. Uveal melanoma ability to metastasize depends on a few prognostic factors. The genetic ones are considered to be the most significant. The role of disorders of the short arm of chromosome 8 (8p), as well as a combination of changes in 8p and the long arm of this chromosome (8q) in the development of metastatic lesions in this pathology remains insufficiently studied.The study objective – to evaluate the prognostic value of chromosome 8 abnormalities in patients with uveal melanoma.Materials and methods. We analyzed 2 retrospective groups of patients who underwent enucleation for uveal melanoma, statistically homogeneous in the main clinical parameters. Group 1 included patients without signs of metastases (n = 41) with an average follow-up period of 71 months, Group 2 included patients with detected metastases (n = 51) and an average follow-up period of 21 months Chromosome abnormalities were tested by multiplex ligation-dependent probe amplification.Results. Three- and five-year survival in patients with uveal melanoma without 8p deletion were 64 and 54 %, respectively; with 8p deletion significantly lower – 25 and 6 %, respectively. The same survival rates in patients with uveal melanoma with 8q amplification were 43 and 26 %, respectively, whereas in patients without 8q amplification they were significantly higher – 80 and 74 %, respectively. In patients with uveal melanoma harbouring both abnormalities, 3- and 5-year survival rates were 26 and 7 %, whereas isolated 8q amplification was associated with 47 and 35 % survival, respectively. These survival rates differ greatly and significantly: hazard ratio 3,26 (95 % confidence interval 1,86–5,69) and 6,89 (95 % confidence interval 2,67–17,73), respectively (р <0,0001).Conclusion. The findings support comprehensive evaluation of chromosome 8 abnormalities as a substantial part of uveal melanoma prognostication. 8q amplification, 8p deletion, combination of these abnormalities and its role in uveal melanoma malignity should be further discovered. Further research in this direction is needed.https://umo.abvpress.ru/jour/article/view/417ocular oncologymolecular oncologyuveal melanomaprognosticationsurvival rate
spellingShingle V. A. Yarovaya
A. A. Yarovoy
L. V. Chudakova
I. A. Levashov
A. R. Zaretskiy
Comprehensive analysis of chromosome 8 abnormalities and its prognostic value in patients with uveal melanoma
Успехи молекулярной онкологии
ocular oncology
molecular oncology
uveal melanoma
prognostication
survival rate
title Comprehensive analysis of chromosome 8 abnormalities and its prognostic value in patients with uveal melanoma
title_full Comprehensive analysis of chromosome 8 abnormalities and its prognostic value in patients with uveal melanoma
title_fullStr Comprehensive analysis of chromosome 8 abnormalities and its prognostic value in patients with uveal melanoma
title_full_unstemmed Comprehensive analysis of chromosome 8 abnormalities and its prognostic value in patients with uveal melanoma
title_short Comprehensive analysis of chromosome 8 abnormalities and its prognostic value in patients with uveal melanoma
title_sort comprehensive analysis of chromosome 8 abnormalities and its prognostic value in patients with uveal melanoma
topic ocular oncology
molecular oncology
uveal melanoma
prognostication
survival rate
url https://umo.abvpress.ru/jour/article/view/417
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AT ialevashov comprehensiveanalysisofchromosome8abnormalitiesanditsprognosticvalueinpatientswithuvealmelanoma
AT arzaretskiy comprehensiveanalysisofchromosome8abnormalitiesanditsprognosticvalueinpatientswithuvealmelanoma