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Molecular profiling of prognostic biomarkers in Melanoma

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POSTER_Beatriz Correia.pdf548.44 KBAdobe PDF Download

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Abstract(s)

Cutaneous melanoma (CM) is the most aggressive and deadliest form of skin cancer (1). Its development is influenced by the genetic background, genetic mutations and environmental factors. The three most frequent mutations of CM appear in BRAF gene, which leads to uncontrolled cell growth, in NRAS gene, that disrupts normal cell signaling, and in TERT promoter, that increases telomerase activity and play a crucial role in tumor progression, influencing melanoma aggressiveness and patient outcome (2, 3). Despite advances in treatment, the prognosis of patients with advanced-stage remains poor (4). This work aims to improve prognosis determination by correlating identified molecular alterations with clinicopathological data. The analysis is being conducted on primary tumors collected at Hospital dos Capuchos. The study currently includes 29 samples collected between 2023 and 2024, 18 from male subjects and 11 from female subjects, with an average age of 69. Most of the melanomas were located on the trunk, and the most common diagnoses were nodular melanoma and superficial spreading melanoma. The mean Breslow thickness of the series is 3.78 mm, and 46% of samples have a mitotic index greater than 1. The samples were subjected to histopathological evaluation, followed by PCR and sequencing techniques, to identify the three mutations. Subsequent statistical analysis will be performed to assess the correlation between these genetic changes and clinicopathological features, with a focus on determining their impact on patient outcomes. The work is still ongoing, but the results will provide further information about the three mutations and their corresponding aggressiveness, as well as how the coexistence of different mutations influences patient prognosis. This study underlines the significance of molecular profiling in the prognosis assessment of melanoma patients, and it will provide a foundation for further research on molecular-based prognosis models.

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Keywords

Melanoma Mutations BRAF gene NRAS gene TERT promoter

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Citation

Jesus, M., Correia, B., Costa, C., João, A., Lopes, J. M., Barata, C., Soares, P., & Pópulo, H. (2025). Molecular profiling of prognostic biomarkers in Melanoma. Livro de Resumos do 18o Encontro de Investigação Jovem da U.Porto, 1061–1062. https://www.up.pt/ijup/wp-content/uploads/sites/892/2025/06/Livro-de-Resumos_IJUP-2025.pdf

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Universidade do Porto

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Without CC licence