# The Genetics of Ocular Melanoma

> **NIH NIH R01** · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · 2024 · $596,016

## Abstract

PROJECT SUMMARY/ABSTRACT
Uveal melanoma (UM) is the second most common form of melanoma and the most common primary cancer of
the eye, resulting not only in vision loss, but in metastatic death in up to half of patients. There are no effective
treatment options once the tumor metastasizes and patients usually die within a few months of diagnosis despite
systemic therapy. UMs harbor activating oncogenic mutations in GNAQ, GNA11 or CYSLTR2 that occur early
in tumor formation and that are unrelated to metastatic risk. We showed that over 80% of class 2 UMs harbor
loss of function mutations of BAP1 and that recurrent mutations altering R625 of SF3B1 are found in tumors with
slower rates of metastasis. Mutations in EIF1AX are associated with tumors with minimal chance of metastasis.
The presence of BAP1, SF3B1 and EIF1AX mutations, are nearly always mutually exclusive. However, overlaid
on this are genomic rearrangements that include gain of chromosomes 8q and 6p, and loss of chromosomes 1p,
6q and 8p. Our studies of these karyotypic/copy number alterations in UM have identified a critical chromatin
modifier mapping to chromosome 6q (PHF10) and candidate genes in other regions of recurrent chromosomal
alteration. The consequences of these changes in the development of UM are poorly understood. To extend and
refine our copy number studies we will now will perform long-read single molecule sequencing of DNA and RNA
isolated from primary UMs with different driver mutations and CNAs. In Aims 1 and 2 we will perform long-read
single molecule sequencing (SMRT) to develop detailed maps of the structural variations (SVs) of the genomes
of these tumors, identifying and characterizing critical breakpoints, gene fusions and tumor specific isoforms.
Besides obtaining insights into the generation of chromosomal alterations we will validate and refine focal
deletions and identify critical isoforms in such regions. Functional analyses in cell lines will examine the
consequences of gene fusions and isoforms highly correlated with copy number changes. In parallel and in Aim
3 we will use the power of fly genetics to investigate the consequence of major alterations in UM in D.
Melanogaster. We will first generate and characterize flies with loss of function mutations in the BAP1 ortholog
calypso, and generate activating mutations of the GNAQ ortholog GαQ so that the combined effect of loss of
calypso and activation of GαQ can be investigated. We will focus on larval eye discs and wing discs that
represented well-ordered epithelial monolayers and examine the the phenotypic, signaling and epigenomic
changes that arise from these mutations. The fly model is capable of addressing the functional relevance of the
genomic insights from all three Aims by performing rapid genetic interactions. In the future, candidate UM drivers
identified from Aims 1-2 will be tested for the ability to modify the cancer-like phenotypes we see in our two hit
GαQ and calypso fly model. Genetic s...

## Key facts

- **NIH application ID:** 10807007
- **Project number:** 5R01CA161870-11
- **Recipient organization:** ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
- **Principal Investigator:** Anne Mary Bowcock
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $596,016
- **Award type:** 5
- **Project period:** 2011-07-01 → 2026-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10807007

## Citation

> US National Institutes of Health, RePORTER application 10807007, The Genetics of Ocular Melanoma (5R01CA161870-11). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10807007. Licensed CC0.

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