Transcriptional Changes of DNA Replication and Repair Factors Over Uveal Melanoma Subtypes

Background Uncontrolled replication is a process common to all cancers facilitated by the summation of changes accumulated as tumors progress. The aim of this study was to examine small groups of genes with known biology in replication and repair at the transcriptional and genomic levels, correlating alterations with survival in Uveal Melanoma tumor progression. Selected components of Pre-Replication, Pre-Initiation, and Replisome Complexes, DNA Damage Response and Mismatch Repair have been observed. Methods We have generated two groups for each gene examined above and below the average alteration level, and compared relative expression and survival across TCGA UVM subtypes based on somatic copy number alteration supported by DNA methylation and mRNA/miRNA/lncRNA expression. Significance between subtypes monosomic or disomic for chromosome 3 was determined by Fisher’s exact test. Kaplan Meier survival distribution based on disease specific survival was compared by log-rank test. Results Specific genes with significant alteration include MCM2 MCM4 and MCM5 of the Minichromosome Maintenance helicase complex, CDC45, MCM10, CIZ1, PCNA, FEN1, LIG1, POLD1, POLE, HUS1, CHECK1, ATRIP, MLH3, and MSH6. We found evidence of Exon 4 skipping in CIZ1 previously identified as a cancer variant and reportedly used as an early serum biomarker in lung cancer, accompanied by evidence of instability of a mononucleotide repeat in Intron 3. Mismatch Repair protein MLH3 was found to have splicing variations with deletions to both Exon 5 and Exon 7 simultaneously. PCNA, FEN1, and LIG1 had increased relative expression levels not due to their mutation or to copy number variation. Conclusion We have observed differences in relative and differential expression that support the concept that selected replication and repair genes and their products are causally involved in the origin and progression of uveal melanoma, suggesting specific avenues for early biomarker identification and also therapeutic approach.