CDKN2A in Melanoma: Recent Advances
DOI:
https://doi.org/10.58445/rars.2501Keywords:
melanoma, CDKN2A, p14, p16, skin cancer, cell cycle signaling, pathologyAbstract
Melanoma is a skin cancer that accounts for 1% of total skin cancers, with a strikingly high mortality rate that accounts for 80% of deaths amongst skin cancer patients. Melanoma is a skin cancer driven by melanocyte mutations inducing uncontrolled cellular division. One specific gene, CDKN2A, is commonly associated with melanoma. CDKN2A codes for two proteins termed p14 and p16, each involved in their respective molecular pathways. Both, p14 and p16 affect the cell cycle, but in unique ways which can lead to the uncontrolled proliferation of mutated melanocytes and melanoma pathogenesis. Emerging therapeutic and molecular screening techniques have been used to detect CDKN2A mutations to evaluate potential genetic mechanisms driving melanoma pathology across patients. In this review, I present a brief history of melanoma, examine a select number of disease associated genetic mutations, and describe how these mutations affect downstream signaling pathways involving p14 and p16 leading to melanoma formation. I conclude with a discussion synthesizing historical and emergent biochemical signaling findings in mutant CDKN2A to evaluate future potential targeted therapeutic strategies.
References
Ali, M. L., Roky, A. H., Azad, S. M. A. K., Shaikat, A. H., Meem, J. N., Hoque, E., Ahasan, A. M. F., Islam, M. M., Arif, M. S. R., Mostaq, M. S., Mahmud, M. Z., Amin, M. N., & Mahmud, M. A. (2024). Autophagy as a targeted therapeutic approach for skin cancer: Evaluating natural and synthetic molecular interventions. Cancer Pathogenesis and Therapy, 2(4), 231–245. https://doi.org/10.1016/j.cpt.2024.01.002
A Phase II/III Trial of Nivolumab, Ipilimumab, and GM-CSF in Patients with Advanced Melanoma. (2016, June 23). https://www.cancer.gov/about-cancer/treatment/clinical-trials/search/v?id=NCI-2014-02674
Burgstaller-Muehlbacher, S., Marko, M., Müller, C., Wendt, J., Pehamberger, H., & Okamoto, I. (2015). Novel CDKN2A mutations in Austrian melanoma patients. Melanoma Research, 25(5), 412–420. https://doi.org/10.1097/CMR.0000000000000179
Chudnovsky, Y., Khavari, P. A., & Adams, A. E. (2005). Melanoma genetics and the development of rational therapeutics. The Journal of Clinical Investigation, 115(4), 813–824. https://doi.org/10.1172/JCI24808
Clinical Trial: NCT02645149 - My Cancer Genome. (n.d.). Retrieved February 23, 2025, from https://www.mycancergenome.org/content/clinical_trials/NCT02645149/
Connell, E., Gerard, É., Oules, B., Brunet-Possenti, F., Lamoureux, A., Bonnefille, H., Mary-Prey, S., Carrasquilla, A., Mouret, S., Kramkimel, N., Lesage, C., Stoebner, P.-E., Bartoli, A., Monestier, S., Correard, F., Gros, A., Jeanson, A., Ouafik, L. ’houcine, Gaudy-Marqueste, C., … Malissen, N. (2024). Molecularly matched targeted therapy: a promising approach for refractory metastatic melanoma. The Oncologist, 29(9), e1180–e1188. https://doi.org/10.1093/oncolo/oyae085
Danishevich, A., Bilyalov, A., Nikolaev, S., Khalikov, N., Isaeva, D., Levina, Y., Makarova, M., Nemtsova, M., Chernevskiy, D., Sagaydak, O., Baranova, E., Vorontsova, M., Byakhova, M., Semenova, A., Galkin, V., Khatkov, I., Gadzhieva, S., & Bodunova, N. (2023). CDKN2A gene mutations: Implications for hereditary cancer syndromes. Biomedicines, 11(12). https://doi.org/10.3390/biomedicines11123343
Davis, L. E., Shalin, S. C., & Tackett, A. J. (2019). Current state of melanoma diagnosis and treatment. Cancer Biology & Therapy, 20(11), 1366–1379. https://doi.org/10.1080/15384047.2019.1640032
Eckerle Mize, D., Bishop, M., Resse, E., & Sluzevich, J. (2009). Familial atypical multiple mole melanoma syndrome. In Cancer Syndromes. National Center for Biotechnology Information (US). https://www.ncbi.nlm.nih.gov/books/NBK7030/
Hasan, N., Nadaf, A., Imran, M., Jiba, U., Sheikh, A., Almalki, W. H., Almujri, S. S., Mohammed, Y. H., Kesharwani, P., & Ahmad, F. J. (2023). Skin cancer: understanding the journey of transformation from conventional to advanced treatment approaches. Molecular Cancer, 22(1), 168. https://doi.org/10.1186/s12943-023-01854-3
Helgadottir, H., Ghiorzo, P., van Doorn, R., Puig, S., Levin, M., Kefford, R., Lauss, M., Queirolo, P., Pastorino, L., Kapiteijn, E., Potrony, M., Carrera, C., Olsson, H., Höiom, V., & Jönsson, G. (2020). Efficacy of novel immunotherapy regimens in patients with metastatic melanoma with germline CDKN2A mutations. Journal of Medical Genetics, 57(5), 316–321. https://doi.org/10.1136/jmedgenet-2018-105610
Helgadottir, H., Höiom, V., Tuominen, R., Nielsen, K., Jönsson, G., Olsson, H., & Hansson, J. (2016). Germline CDKN2A mutation status and survival in familial melanoma cases. Journal of the National Cancer Institute, 108(11), djw135. https://doi.org/10.1093/jnci/djw135
Kreuger, I. Z. M., Slieker, R. C., van Groningen, T., & van Doorn, R. (2023). Therapeutic strategies for targeting CDKN2A loss in melanoma. The Journal of Investigative Dermatology, 143(1), 18–25.e1. https://doi.org/10.1016/j.jid.2022.07.016
Laud, K., Marian, C., Avril, M. F., Barrois, M., Chompret, A., Goldstein, A. M., Tucker, M. A., Clark, P. A., Peters, G., Chaudru, V., Demenais, F., Spatz, A., Smith, M. W., Lenoir, G. M., Bressac-de Paillerets, B., & French Hereditary Melanoma Study Group. (2006). Comprehensive analysis of CDKN2A (p16INK4A/p14ARF) and CDKN2B genes in 53 melanoma index cases considered to be at heightened risk of melanoma. Journal of Medical Genetics, 43(1), 39–47. https://doi.org/10.1136/jmg.2005.033498
Leachman, S. A., Lucero, O. M., Sampson, J. E., Cassidy, P., Bruno, W., Queirolo, P., & Ghiorzo, P. (2017). Identification, genetic testing, and management of hereditary melanoma. Cancer Metastasis Reviews, 36(1), 77–90. https://doi.org/10.1007/s10555-017-9661-5
Liu, J., Peng, Y., & Wei, W. (2022). Cell cycle on the crossroad of tumorigenesis and cancer therapy. Trends in Cell Biology, 32(1), 30–44. https://doi.org/10.1016/j.tcb.2021.07.001
McFadden, J. R., Syku, M., Barney, R. E., Stevanovic, M., Chaudhari, A. S., O’Hern, K. J., Chambers, M., Baker, C. M., LeBlanc, R. E., Doan, L., Tsongalis, G. J., Hughes, E. G., & Sriharan, A. (2023). A novel method to detect copy number variation in melanoma: Droplet digital PCR for quantitation of the CDKN2A gene, a proof-of-concept study. The American Journal of Dermatopathology, 45(7), 454–462. https://doi.org/10.1097/DAD.0000000000002436
Mercadante, A. A., & Kasi, A. (2025). Genetics, cancer cell cycle phases. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK563158/
Norris, W. (1857). Eight cases of melanosis: with pathological and therapeutical remarks on that disease. Longman, Brown, Green, Longmans, and Roberts. https://archive.org/details/b22343908
Palmieri, G., Ombra, M., Colombino, M., Casula, M., Sini, M., Manca, A., Paliogiannis, P., Ascierto, P. A., & Cossu, A. (2015). Multiple molecular pathways in melanomagenesis: Characterization of therapeutic targets. Frontiers in Oncology, 5, 183. https://doi.org/10.3389/fonc.2015.00183
Rebecca, V. W., Sondak, V. K., & Smalley, K. S. M. (2012). A brief history of melanoma: from mummies to mutations. Melanoma Research, 22(2), 114–122. https://doi.org/10.1097/CMR.0b013e328351fa4d
Saginala, K., Barsouk, A., Aluru, J. S., Rawla, P., & Barsouk, A. (2021). Epidemiology of melanoma. Medical Sciences (Basel, Switzerland), 9(4), 63. https://doi.org/10.3390/medsci9040063
Toussi, A., Mans, N., Welborn, J., & Kiuru, M. (2020). Germline mutations predisposing to melanoma. Journal of Cutaneous Pathology, 47(7), 606–616. https://doi.org/10.1111/cup.13689
Ward, W. H., Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA, Lambreton, F., Goel, N., Yu, J. Q., Farma, J. M., Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA, Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA, Department of Diagnostic Imaging, Fox Chase Cancer Center, Philadelphia, PA, USA, & Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA. (2017). Clinical presentation and staging of melanoma. In Cutaneous Melanoma: Etiology and Therapy (pp. 79–89). Codon Publications. https://doi.org/10.15586/codon.cutaneousmelanoma.2017.ch6
Waseh, S., & Lee, J. B. (2023). Advances in melanoma: epidemiology, diagnosis, and prognosis. Frontiers in Medicine, 10, 1268479. https://doi.org/10.3389/fmed.2023.1268479
Williams, R. T., Barnhill, L. M., Kuo, H.-H., Lin, W.-D., Batova, A., Yu, A. L., & Diccianni, M. B. (2014). Chimeras of p14ARF and p16: functional hybrids with the ability to arrest growth. PloS One, 9(2), e88219. https://doi.org/10.1371/journal.pone.0088219
Winnard, P. T., Jr, Pathak, A. P., Dhara, S., Cho, S. Y., Raman, V., & Pomper, M. G. (2008). Molecular imaging of metastatic potential. Journal of Nuclear Medicine: Official Publication, Society of Nuclear Medicine, 49 Suppl 2(Suppl 2), 96S – 112S. https://doi.org/10.2967/jnumed.107.045948
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