Abstract Background & Aims: Inherited genetic variants involved in the etiology of melanoma predispose towards elevated risk of disease, but known allele variants only account for a limited fraction of family history-associated melanoma cases. Hence, there is a need to determine contributing allele variants associated with augmented risk and surrogate biomarkers, which can be used to discern family history-associated melanoma. Methods: Using data from the Nurses’ Health Study cohort, family history was defined as having one or more immediate family members diagnosed with melanoma. Secondary confirmation of melanoma cases were reviewed by pathology reports and tumor blocks collected by mail from across the United States. Genomic interrogation was accomplished through evaluating formalin-fixed paraffin-embedded tissues from 78 primary cutaneous invasive melanoma cases, using expression profiling on either a 6K or whole-genome (24K) Illumina gene chip. Gene Set Enrichment Analysis was performed separately for each batch to determine the differentially enriched pathways and key contributing genes. Results: The CXC chemokine receptor 4 (CXCR4) pathway was consistently up-regulated within cases of familial melanoma in both platforms. Leading edge analysis showed four genes from the CXCR4 pathway, including MAPK1, PLCG1, CRK, and PTK2, were among the core members that contributed to the enrichment of this pathway. There was no association between the enrichment of CXCR4 pathway and NRAS, BRAF status, or Breslow thickness of the primary melanoma cases. Conclusion: We found that the CXCR4 pathway may constitute a novel susceptibility pathway associated with family history of melanoma in first-degree relatives. Citation Format: Wenqing LI, Jiali Han, Hans Widlund, Mick Correll, Yaoyu Wang, John Quackenbush, Martin Mihm, Alvaro Laga Canales, Todd Golub, Yujin Hoshida, David Hunter, George Murphy, Thomas Kupper, Abrar Qureshi. CXCR4 pathway associated with family history of melanoma. [abstract]. In: Proceedings of the 104th Annual Meeting of the American Association for Cancer Research; 2013 Apr 6-10; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2013;73(8 Suppl):Abstract nr 1347. doi:10.1158/1538-7445.AM2013-1347
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