# Project 2: Primary melanoma DNA Methylation profiling for evaluating subtypes and survival

> **NIH NIH P01** · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · 2020 · $170,205

## Abstract

Project Summary/Abstract 
Although it has been established that melanomas frequently have aberrant DNA methylation patterns, it is 
unknown if DNA methylation of primary melanoma defines biologically relevant subclasses or predicts disease- 
specific survival. This project's goals are to identify and characterize DNA methylation-based primary 
melanoma subclasses, and train, test, and validate a CpG signature prognostic for disease-specific survival in 
primary melanoma. Our hypothesis is that DNA methylation in primary melanoma will define subgroups 
(including a poor-prognostic CIMP - `CpG island methylator phenotype' subtype) and that a CpG signature will 
be prognostic for melanoma survival. Illumina Infinium MethylationEPIC (850K) array profiling will be performed 
on the same 1,000 primary melanomas to be utilized throughout this program project. These melanomas will 
be from AJCC stage IIA/IIB/IIC/IIIA/IIIB patients, including 500 from patients who died due to melanoma within 
5 years and 500 from those who lived at least 5 years matched on stage. In Aim 1, using data from the 1,000 
primary melanomas, we will identify methylation-based melanoma subclasses, characterized by 5-year survival 
and other outcomes, demographic factors, centrally reviewed histopathological features, a CD3/CD8/FOXP3 
immune profile, PD1 and PDL1 protein expression, somatic mutations, copy number alterations, and mRNA 
and miRNA expression data. Further characterization will determine if the subclasses are associated with 
biologically relevant DNA methylation signatures that our group and others have previously produced from 
independent datasets. In Aim 2 using statistical modeling, we will train a primary melanoma CpG signature 
prognostic for death from melanoma within 5 years (the primary outcome) using 660 of the primary melanomas 
and test it using 340 of the primary melanomas. We will determine whether this CpG survival signature adds 
information to AJCC staging. As secondary outcomes, we will also develop signatures for recurrence within 5 
years, sentinel lymph node (SLN) positivity, and distant recurrence after negative SLN biopsy. In Aim 3, we will 
technically validate DNA methylation levels of CpGs/genes in the survival signature using quantitative 
methylation-specific polymerase chain reaction (PCR). For select markers, we will quantitatively measure their 
protein expression differences using multiplexed immunohistochemistry, comparing primary melanomas from 
patients alive and those who died within 5 years of diagnosis and assess the function of the most prognostic 
targets in Project 3. Our goal is to identify and characterize DNA methylation-based primary melanoma 
subclasses and discover and validate a CpG signature prognostic for survival from melanoma that adds 
information to AJCC staging. We will initiate application of the signature to a clinically viable assay prognostic 
for survival. This project should allow identification of melanom...

## Key facts

- **NIH application ID:** 9938490
- **Project number:** 5P01CA206980-04
- **Recipient organization:** UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR
- **Principal Investigator:** NANCY E. THOMAS
- **Activity code:** P01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $170,205
- **Award type:** 5
- **Project period:** — → —

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9938490

## Citation

> US National Institutes of Health, RePORTER application 9938490, Project 2: Primary melanoma DNA Methylation profiling for evaluating subtypes and survival (5P01CA206980-04). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9938490. Licensed CC0.

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