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Investigation of the Role of the ras Protooncogene Point Mutation in Human Uveal Melanomas Charles N. Soparker,* Joan M. O'Brien,^ and Daniel M. Albertf Purpose. Genetic alterations have been observed in a wide variety of neoplaslic processes, including Burkitt's lymphoma, chronic myelogenous leukemia, promyelocytic leukemia, and solid tumors of the colon, skin, and breast. The polymerase chain reaction (PCR), dot blotting, and direct double-stranded DNA sequencing were used to assess ras gene activation in human uveal melanomas for three candidate genes: c-Ha-?a.s], c-Ki-ras2, and N-ras at codons 12, 13, and 61. Methods. Samples of 49 human uveal melanomas were obtained. Amplifiable high molecular weight DNA was obtained from 39 of these. PCR amplification of regions centering on three candidate ras genes was performed. PCR-amplified DNA was evaluated by dot blot and doublestranded DNA sequencing utilizing standard methods. Results. No point mutations were identified in screening the c-Ha-ras gene nor were any genetic alterations found in the c-Ki-ra.?2 gene at codons 12 and 13. Only wild-type sequences were found at codon 61. No ras mutations were detected in any uveal melanomas studied. Conclusions. This study provides no evidence to support an association between ras protooncogene mutations and human uveal melanomas at codons 12, 13, or 61. Invest Ophthalmol Vis Sci. 1993;34:2203-2209. irotooncogenes are naturally occurring genes that influence cellular growth and differentiation.1"4 Gene amplification, point mutation, or DNA rearrangement occurring at such important regulatory sites may result in protooncogene "activation" and subsequent instigation of neoplastic change. Unique relationships have been observed between specific protooncogenes and such neoplastic states as Burkitt's lymphoma, chronic myelogenous leukemia, promyelocytic leukemia, colonic cancer, epidermal cancer, and breast cancer.5"9 From the *Departm<mt of Pathology, University of Massachusetts Medical Center, Worcester, and the iDavid G. Cogan Eye Pathology Laboratory, Massachusetts Eye and Ear Infirmary, Boston, Mtussachmelts. Supported by National Eye Institute (Hethesda, MD) grant EY0I917 (DMA). Submitted for publication: Jamiary 15, 1992; accepted January 15, 1992. Proprietary interest allegory: N. Reprint requests: Daniel M. Albert, MD, University of Wisconsin - Madison, Department of Ophthalmology, F4 334 Clinical Science Center, 600 Highland Avenue, Madison, Wl 53792-3220. Among the protooncogenes, the ras family of three highly homologous genes (c-Ha-rasl, c-Ki-ra?2, and N-ras), which share near identity with two virally carried genes (c-Ha-ras and c-Ki-r&y) and a significant sequence homology with the rho (ras homologue)10 genes and the genes encoding the alpha subunits of the transmembrane signal-transducing G proteins. It appears that the three ras genes are activated at different frequencies in different tumor types. In bladder and urinary carcinomas, c-Ha-r&sl is most commonly activated,1112 whereas in lung, pancreatic, and colonic carcinomas c-Ki-ra?2 mutations are more frequent.13"18 N-ras activation predominates in hematopoietic malignancies and also perhaps cutaneous malignant melanomas.19"23 In this study, polymerase chain reaction (PCR),2*25 dot blotting,23 and direct double-stranded DNA sequencing techniques were used to attempt to identify alterations in the base sequences in c-Hz-rasl, Investigative Ophthalmology & Visual Science, June 1993, Vol. 34, No. 7 Copyright © Association for Research in Vision and Ophthalmology Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933173/ on 06/15/2017 2203 Investigative Ophthalmology & Visual Science, June 1993, Vol. 34, No. 7 2204 c-Ki-ras2, and N-ras protooncogenes in 53 human uveal melanomas and 6 cutaneous melanomas at codons 12, 13, and 61. These codons were selected because of the finding that other neoplasms, including cutaneous melanoma, have been associated with activating mutations at these sites. cutaneous melanomas. Of the 43 uveal melanomas used to prepare high molecular weight DNA, 19 were from women and 24, from men. The ages of patients at the time of enucleation ranged from 25-87 yr (mean, 61.7 yr; median, 62 yr). Forty of the melanomas were of the mixed cell type, one was of the epithelioid cell type, and two were of the spindle cell tumors.27 MATERIALS AND METHODS PCR Amplification and Fragment Purification The tenets of the Declaration of Helsinki (published in May 1992) were followed. Institutional human experimentation committee approval as exempt (pathologic material) was granted for this research. PCR selective amplification of regions centering on codons 12, 13, and 61 of c-Ha-rarl, c-Ki-ras2, and Nras was performed using a modification of a method previously described.29 Briefly, 200-300 ng of high molecular weight genomic DNA was isolated and protease inactivated by heating at 95°C for 5 min. This DNA was added to 50 n\ of a reaction mixture containing one unit of Taq polymerase (Perkin Elmer-Cetus, Norwalk, CT), 50 mmol/1 KC1, 2 Mg/M' bovine serum albumin, 20 mol/1 Tris, 200 /amol/1 of each of the four nucleotide triphosphates (Pharmacia, Piscataway, NJ), and single-stranded oligonucleotide primer pairs that were synthesized and gel purified in our laboratory or obtained from Clontech (Palo Alto, CA). The reaction mixtures were layered with 40 /A of mineral oil (Fisher Scientific, Fairlawn, NJ) to prevent evaporation during heating. The specific pH, Mg++ concentration, and primer pair concentrations are listed in Table 1 for each protooncogene region amplified. All amplification reactions were conducted using a thermal cycler (EriComp, San Diego, CA). The primary denaturation was performed at 93°C for 20 sec. The final annealing and polymerization were conducted for 1.5 and 4 min, respectively. Isolation of Melanoma High Molecular Weight DNA Forty-nine uveal melanomas were obtained from the enucleated eyes of patients enrolled in the Collaborative Ocular Melanoma Study (COMS),26 and they were classified histopathologically by one of the authors (DMA) at the Massachusetts Eye and Ear Infirmary, according to a modification of the Callender classification system.27 The use of COMS tissue for this study was approved by the COMS Executive Committee. An additional four specimens from uveal melanomas were submitted to the David G. Cogan Eye Pathology Laboratory from sources outside the COMS and similarly examined by light microscopy. Histopathologically diagnosed primary cutaneous malignant melanomas of the nonlentigo malign a type were obtained from six consecutive patients of a single dermatologist. The largest portion of each tissue sample was used for histopathologic diagnosis, but tumor fragments of 5—10 mm3 were taken for DNA isolation. Histologic sections were evaluated to ensure that the tumor fragments contained minimal amounts of contaminating normal stroma or inflammatory cells. The tumor fragments were stored at —70°C or — 196°C, and isolation of high molecular weight DNA was accomplished using standard techniques.28 Amplifiable high molecular weight DNA was isolated from 39 of 49 uveal melanoma tumor fragments received from COMS participants. Adequate DNA for amplification of at least one ras gene was available from four additional uveal melanomas and from six After PCR amplification, the reaction mixtures were extracted with an equal volume of chloroformisoamyl alcohol (24:1 vol/vol) to remove the mineral oil, incubated for 1 hr at 37°C with 500 fig/m\ of proteinase K (Boehringer Mannheim, Indianapolis, IN) to cleave DNA-bound proteins, extracted again with an equal volume of phenol-chloroform (1:1 vol/vol), and then extracted again with an equal volume of chloroform-isoamyl alcohol (24:1 vol/vol) to remove the phenol. The samples were diluted to 1.5 ml with sterile water and then concentrated and purified away from the 20-base pair single-stranded oligonucleotide TABLE l. PCR Amplification Conditions Genomic Region K' 12,1S Kisi Ha ]2 13 Ha61 N,2,IS NB, Annealing Temperature CO 58 50 60 60 56 56 MgCl2 (mmol/l) pH 5' Primer (pmol) 3' Primer (pmol) 2.50 1.50 1.00 1.00 2.00 1.75 8.4 8.5 8.4 8.4 8.4 8.4 20 40 20 20 20 20 20 20 20 20 20 20 Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933173/ on 06/15/2017 Investigation of ras Protooncogene 2205 TABLE 2. ras Gene Primer Sequences Genomic Region Ki6, Ha|2,i3 Ha 6 | N l2 ,13 Amplified Fragment Length (bp) Primer Sequences 5'-ATGACTGAATATAAACTTGT 3'-CTCTATTGTTGGATCATATT 5'-AAGTAGTAATTGATGGAGAA 3'-AGAAAGCCCGCCCCAGTCCT 5'-ATGACGGAATATAAGCTGGT 3'-CGCCAGGCTCACCTCTATA 5'-AGGTGGTCATTGATGGGGAG 3'-AGGAAGCCCTCCCCGGTGCG 5'-ATGACTGAGTACAAACTGGT 3'-CTCTATGGTGGGATCATATr 5'-CAAGTGGTTATAGATGGTGA 3'-AGGAAGCCTTCGCCTGTCCT primers by centrifugation in Ventricon-30 columns (Amicon Grace, Danvers, MA) using a SS fixed-angle rotor (Sorvall, E. I. DuPont de Nemours, Wilmington, DE) at room temperature at 5000 X g for 20 min. The final concentrates were evaporated dry and then resuspended in 50 jd of 10 mmol/1 Tris HC1 (pH 7.5) and 1 mmol/1 ethylenediaminetetraacetic acid (EDTA). Then 2 pi of this final solution was analyzed for purity and approximate quantitation by gel electrophoresis in 2% agarose (International Biotechnologies, New Haven, CT). 5'-Phosphorus-32 Labeling of Oligonucleotide Probes Single-stranded oligonucleotides representing all possible point mutations at each of the nine pertinent raj genetic locations were obtained from Clontech and were end labeled with 7-phosphorus-32-adenosine triphosphate, using a modification of previously described methods.28 We heated 100 ng of each oligonucleotide representing a putative mutation at a single ras genetic location to 60°C for 5 min to allow full denaturation. The oligonucleotides were phosphorylated using T4 polynucleotide kinase (US Biochemicals, Cleveland, OH) with 5 ^1 of 7-phosphorus-32-labeled adenosine triphosphate (specific activity, 6000 Ci/mmol/1; New England Nuclear, Wilmington, MA) by incubation for 20 min at 37°C in a final volume of 50 ^1 in 50 mmol/1 Tris HCI (pH 7.5), 10 mmol/1 MgCI2, 5 mmol/1 dithiothreitol, and 0.1 mmol/1 spermidine. Labeled probes were then purified from contaminant free 7-phosphorus-32-labeled adenosine triphosphate by gel filtration.28 They were evaporation concentrated and examined for purity by thin-layer chromatography in 0.3 mol/l KPO4 (pH 7.5). Dot Blotting Then 45 ix\ of tumor fragment PCR-amplified DNA (prepared as described) was brought to a volume of 475 M! (in 400 mmol/1 NaOH and 25 mmol/1 EDTA) heated at 95°C for 2 min and then placed on ice for 10 111 109 117 109 111 110 min after addition of 475 MI of 4°C Tris HCI, pH 7.4. Dot blotting using a dot blot manifold (Schleicher and Schuell, Keene, NH) was performed by applying 100 lA of each DNA solution to Zeta-probe membranes (BioRad, Richmond, CA) with a vacuum applied. Each well was rinsed twice with 200 jul of 20X SSPE (containing 20 mmol/1 EDTA, 3 mol/l NaCl, and 200 mmol/1 NaH2PO4, pH 7.4). The filters were then baked at 80°C under vacuum for 4 hr. Nine identical blots were carried out in 5X SSPE and 5X Denhardt's (containing 0.1% Ficoll (Sigma Chemical, St. Louis, MO) 400, 0.1% polyvinylpyrrolidone, and 0.1% bovine serum albumin) with 0.5% sodium dodecyl sulfate and 100 mmol/1 sodium pyrophosphate, pH 7.5, for 2 and 12 hr, respectively. Hybridization was were performed through addition of either a wild-type ras sequence probe at a final concentration of 5 X 106 cpm/ ml or a mixture of mutant sequence probes for a specific ras genetic location, each at a concentration of 5 X 10 6 cpm/ml. After hybridization, a preliminary wash was performed at room temperature for 20 min using 1 mol/l NaCl and 0.1 mol/l sodium citrate (pH 7.0), followed by another wash at room temperature for 20 min in Solution T (3 mol/l tetramethyl ammonium chloride, 50 mmol/1 Tris HCI [pH 8.0], 2 mmol/1 EDTA, and 0.1% sodium dodecyl sulfate). The filters were then washed twice in a shaking water bath at 63°C for 40 min in Solution T. A final rinse was performed in 1 mol/l NaCl and 0.1 mol/l sodium citrate (pH 7.0). The blots were exposed to XAR film (Eastman Kodak, Rochester, NY) at —70°C with intensifying screens for 0.5 and 24 hr. Filters hybridized with putative mutant probes were heated in 0.1% sodium dodecyl sulfate and 5 mmol/1 EDTA (pH 8.0) at 80°C for 60 min, autoradiographed to ensure all radioactive labels had been stripped, and rehybridized with wild-type probe. Direct Double-Stranded Sequencing Direct bidirectional sequencing of double-stranded PCR-amplified DNA was performed through modifica- Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933173/ on 06/15/2017 Investigative Ophthalmology & Visual Science, June 1993, Vol. 34, No. 7 2206 tion of standard phosphorus-32-labeling methods.30 Samples for direct sequencing were selected randomly to confirm dot blot analysis. Identical primers used for PCR amplification were used for sequencing the approximately 100-base pair PCR products in both directions. We end labeled 40 ng of primer with 30 /tCi phosphorus-32 using T4 polynucleotide kinase as described. This was ethanol precipitated and resuspended in 7 yul of water. The primer and PCR-amplified template (1:10 vol/vol) were used to initiate T7 DNA polymerase activity (US Biochemical). Sequence analysis was performed on an 8% polyacrylamide sequencing gel.28 RESULTS Ten of the 53 uveal melanomas (23.3%) could not be amplified (seven mixed cell and three spindle cell) and, therefore, were dropped from the study. Not all tumor fragments yielded undegraded, high molecular weight genomic DNA amenable to amplification at all nine ras genetic locations (Table 3). No point mutations were found in screening the c-Ha-rasl gene of 23 uveal melanomas, nor were any genetic alterations found in the c-Ki-ras2 gene at codons 12 and 13 of 36 uveal melanomas or at codon 61 of the 39 uveal melanomas. Similarly, investigation of the N-ras gene at codons 12 and 13 of 33 uveal melanomas revealed only wild-type sequences. Figure 2 shows representative dot blot analysis of three uveal melanomas and one cutaneous melanoma. Of six cutaneous melanomas, only one showed a point mutation at codon 12 of the N-ras gene. This malignant melanoma contained no wild-type sequences for the N-ras gene at codon 12. Direct sequence analysis of this mutation revealed guanine to adenine substitution, which would result in a glycine to aspartate change in the protein product. Random partial or complete bidirectional sequence analysis of the domains of interest in nine other melanomas confirmed the dot blot analysis. TABLE 3. ras Gene Locations Ki| 2 Ha, N 12 N,, Ki13 Ha, GGAGCT GGCGCCGGC GGAGCA GGAGCAGGT • • • • • • • • • • • • GGT AGT CGT TGT GAT GCT GTT GGAGCTGGT • • • GGCGCC • • • GGC AGC CGC TGC GAC GCC GGCGTAGGCAA GTGGGCAA GGTGTTGGGAA GTTGGGAA g'y Wild-type ser arg cys asp ala val ACAGCAGGT • • • GAGGAGTA ACAGCTGGA • • • GAAGAGTA CAA Ha 61 Wild-type GTAGGCAA GGTGTGGGCAA GTC Wei gly ser arg cys asp ala val GAA CCA CGA CTA CAC CAT ACCGCCGGC • • • GAGGAGTA CAG AAG GAG CCG CGG CTG CAC CAT gin glu pro arg leu his his Wild-type gin lys glu pro arg Wild-type leu his his Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933173/ on 06/15/2017 Investigation of ras Protooncogene „ # AGE (vrs) 1 2 3 4 5 6 7 8 9 10 59 71 84 54 81 78 62 36 87 64 SEX 12 13 14 15 16 17 18 73 68 58 37 41 34 61 F M M M F F M M F M F F F M F M F M 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 1C 2C 3C 4C 5C 6C 82 60 62 62 68 81 25 62 74 70 46 58 64 66 43 64 60 67 69 56 54 60 61 66 F F M M M F F F F M F M F F M M M M F M M M M M 1 1 5 5 2207 CELL TYPE I I I I I IS B I IOP B K12 K13I K61I N12I N13I N61 H12 H13 H61 Y/// ///A '//// Y//A, I I I I I IS I I I IS I I I I I I I I I I I I I IO I B I I I I I I V/A Y/A S//A Y//A Y//s///A OVA, Y///<///A y//A OY/. Y/A Y//A V/A Y//AY/// y/A i wm S//AY/A ///A Y/MY/// Y//A Y//A '/A ///A Y/A ///A Y//A Y/As//AY//A Y/// '/A ••i ///A Y/// A/A/t Y//A Y//A, '/A ,«... Y/// A//A Y//A< ff/// Y//A <//!//. Y/A Y/A-.... . -x \-*~- FIGURE l. Sequence analysis of human melanoma ras genes at codons 12, 13, and 61. PCRamplified DNA from uveal melanoma tumors (No. 1,16, and 29) and cutaneous melanoma (No. 2C) in the regions of codons 12, 13, and 61 of Ki-2, cHa-rasl, and N-ras are shown dot blotted on nylon 66 membranes and probed with phosphorus-32-labeled oligonucleotides. Wild-type panels represent amplified DNA hybridized to wild-type sequences, and mutant panels represent hybridization with all possible sequences resulting from point mutations at the codon of interest. DISCUSSION Among eukaryotic cells, ras protooncogenes are ubiquitous and putatively subserve a directing function in cellular growth and maturation.31 Activating point mutations in these genes have been reported in association with a wide range of human neoplasms including as many as 5-24% of cutaneous melanomas,23'32 33% of pulmonary adenocarcinomas,29 50% of colonic car- cinomas,14-16'30 and greater than 90% of pancreatic adenocarcinomas.13 In view of the association of ras genetic mutations with numerous malignant processes, we sought to investigate the possibility that ras oncogene activation might also be related to the development of uveal melanoma. We used a selective DNA amplification technique, searching for ras genetic point mutations in 53 uveal melanomas. We were unable to amplify ras protooncogenes from ten tumors Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933173/ on 06/15/2017 Investigative Ophthalmology & Visual Science, June 1993, Vol. 34, No. 7 2208 #1 #16 #29 #2C MUTANT WILD-TYPE MUTANT WILD-TYPE MUTANT WILD-TYPE MUTANT WILD-TYPE Ha 12 Ha13 Ha61 Kl 1 2 • a P • D H 13 '61 9 M 12 13 '61 FIGURE 2. Dot-blot analysis of three uveal melanomas (#1, # 16, #29) and one cutaneous melanoma (#2C) showing point mutations only in the cutaneous lesion. but could evaluate approximately 75% of the ras genetic domains of interest in the remaining tumors. Of the uveal melanomas studied, no ras protooncogene mutations were detected. We did observe an N-ras guanine to adenine point mutation at codon 61 in one of six cutaneous melanomas studied. This finding was consistent in frequency, substitution type, and location with previously described mutations in cutaneous malignant melanomas.23 It is possible that we missed existing mutations in the melanomas studied. However, partial direct sequencing of randomly selected ras protooncogenes from ten melanomas supported the findings of our screening techniques. In addition, we were able to demonstrate wild-type sequences for ever)' dot blot domain amplified. Thus, for mutations to have been missed, we would have to postulate that the initial tumor DNA isolate contained both wild-type and mutant sequences and that either the PCR amplification or the tetramethyl ammonium chloride-washed hybridization was selective for the wild-type over the mutant sequence. Neither of these hypotheses seems likely, yet we must be cautious regarding dot blot analysis when assessing a negative result. In summary, this study provides no evidence to support a frequent association between ras protooncogene mutations and premetastatic human mixed cell uveal melanomas atcodons 12,13, or 61. Although we suspect it is unlikely, mutant p21 ras gene products could still play a role in the development of epithelioid or spindle cell choroidal melanomas or could play a role in late metastatic disease, neither of which was not specifically investigated in this study. Activating mutations at other ras protooncogene codons also cannot be excluded by this investigation. Key Words ras, oncogene, uvea, melanoma, mutation A cknowledgments The authors thank Drs. T. Dryja and D. Yandell for their helpful discussions, G. Cowley for his technical advice, and S. Hairston for her thoughtful contributions. The tissue was provided through the Collaborative Ocular Melanoma Center Pathology Center, Daniel M. Albert, MD, Director. (The Pathology Center is supported by a grant from the National Eye Institute (NEI U01 EY06485).) References 1. Bourne HR, Sanders DA, McCormick F. The GTPase superfamily: Conserved structure and molecular mechanism. Nature. 1992;349:117-127. 2. Aaronson S. Growth factors and cancer. Science. 1991;254:1146-1153. 3. Weinberg RA. Oncogenes and the Molecular Origins of Cancer. Cold Spring Harbor, NY: Cold Spring Harbor Laboratory; 1989. 4. Hall A. Signal transduction through small GTPases: A tale of two GAPs. Cell. 1992;69:389-391. 5. Brodeur GM, Segeer RC, Schwab M, Vannus HE, Bishop JM. Amplification of N-wyc in untreated human neuroblastomas correlates with advanced disease stage. Science. 1984; 224:1121-1124. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933173/ on 06/15/2017 2209 Investigation of ras Protooncogene 6. deKlein A, van Kessel AG, Grosveld G, et al. 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Cancer Res. 1988; 48:5738-5741. 30. Vogelstein B, Feason ER, Hamilton SR, et al. Genetic alterations during colorectal tumor development. N Engl J Med. 1988;319:525-532. 31. Lowy DR, Willumsen BM. The ras gene family. Cancer Surv. 1986; 5:275-289. 32. Albino AP, Nanus DM, Mentle IR, et al. Analysis of ras oncogenes in malignant melanoma and precursor lesions: Correlation of point mutations with differentiation phenotype. Oncogene. 1989;4:1363-1374. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933173/ on 06/15/2017