@article{a68a19b78eb3499692dd25a7789a297f,
title = "Novel MAPK/AKT-impairing germline NRAS variant identified in a melanoma-prone family",
abstract = "While several high-penetrance melanoma risk genes are known, variation in these genes fail to explain melanoma susceptibility in a large proportion of high-risk families. As part of a melanoma family sequencing study, including 435 families from Mediterranean populations we identified a novel NRAS variant (c.170A > C, p.D57A) in an Italian melanoma-prone family. This variant is absent in exomes in gnomAD, ESP, UKBiobank, and the 1000 Genomes Project, as well as in 11,273 Mediterranean individuals and 109 melanoma-prone families from the US and Australia. This variant occurs in the GTP-binding pocket of NRAS. Differently from other RAS activating alterations, NRAS D57A expression is unable to activate MAPK-pathway both constitutively and after stimulation but enhances EGF-induced PI3K-pathway signaling in serum starved conditions in vitro. Consistent with in vitro data demonstrating that NRAS D57A does not enrich GTP binding, molecular modeling suggests that the D57A substitution would be expected to impair Mg2 + binding and decrease nucleotide-binding and GTPase activity of NRAS. While we cannot firmly establish NRAS c.170A > C (p.D57A) as a melanoma susceptibility variant, further investigation of NRAS as a familial melanoma gene is warranted.",
keywords = "Familial cancer, In vitro characterization, Melanoma, Molecular modeling, NRAS gene, Rare variant",
author = "{MelaNostrum Consortium} and Brown, {Kevin M.} and Mai Xu and Michael Sargen and Hyunbum Jang and Mingzhen Zhang and Tongwu Zhang and Bin Zhu and Kristie Jones and Jung Kim and Laura Mendoza and Hayward, {Nicholas K.} and Tucker, {Margaret A.} and Goldstein, {Alisa M.} and Yang, {Xiaohong Rose} and Stewart, {Douglas R.} and Belynda Hicks and Dario Consonni and Pesatori, {Angela C.} and Fargnoli, {Maria Concetta} and Ketty Peris and Alex Stratigos and Chiara Menin and Paola Ghiorzo and Susana Puig and Eduardo Nagore and Thorkell Andresson and Ruth Nussinov and Donato Calista and Landi, {Maria Teresa}",
note = "Funding Information: This research was supported [in part] by the Intramural Research Program of the NIH, National Cancer Institute, Division of Cancer Epidemiology and Genetics (ZIACP010201 for KMB, ZIACP101231 for MTL, and ZIACP010144 for MS; https://dceg.cancer.gov/ ) and Center for Cancer Research (ZIABC010442 for RN; https://ccr.cancer.gov/ ) and the National Health and Medical Research Council of Australia (1117663 for NKH; https://www.nhmrc.gov.au ). This project has been funded in whole or in part with federal funds from the National Cancer Institute, National Institutes of Health, under contract HHSN26120080001E. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government. Funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Publisher Copyright: {\textcopyright} 2021, This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.",
year = "2021",
doi = "10.1007/s10689-021-00267-9",
language = "English",
journal = "Familial Cancer",
issn = "1389-9600",
publisher = "Springer Netherlands",
}