PT - JOURNAL ARTICLE AU - JOHN WEN-CHENG CHANG AU - JIA-JUAN HSIEH AU - CHIAO-EN WU AU - ABNER HERBERT LIM AU - CEDRIC CHUAN-YOUNG NG AU - BIN TEAN TEH AU - JASON YONGSHENG CHAN TI - Genomic Landscapes of Acral Melanomas in East Asia AID - 10.21873/cgp.20243 DP - 2021 Jan 01 TA - Cancer Genomics - Proteomics PG - 83--92 VI - 18 IP - 1 4099 - http://cgp.iiarjournals.org/content/18/1/83.short 4100 - http://cgp.iiarjournals.org/content/18/1/83.full SO - Cancer Genomics Proteomics2021 Jan 01; 18 AB - Background/Aim: Acral melanomas (AM) represent a rare subgroup of melanomas with poor clinical outcomes and are enriched in Asian populations. Recent advances in next generation sequencing have provided opportunities to apply precision medicine to AM. Patients and Methods: Here, we present a series of 13 patients with melanomas from Taiwan and Singapore, including 8 patients with AM profiled using whole exome sequencing and summarize the recent studies on the genomic landscape of AM. Results: We identified mutually exclusive mutations in BRAF, NRAS, HRAS, NF1 and KIT in 6 AM cases. In addition, recurrent copy number gains in CCND1 and CDK4, as well as recurrent deletions in CDKN2A/CDKN2B, ATM and RAD51 were observed, supporting the potential use of CDK4/6 or PARP inhibitors in the treatment of these patients. Conclusion: The genomic landscape of AM provides an important resource for applying novel targeted therapies in this rare disease.