PMID- 36325821 OWN - NLM STAT- MEDLINE DCOM- 20230123 LR - 20231111 IS - 1600-0560 (Electronic) IS - 0303-6987 (Linking) VI - 50 IP - 2 DP - 2023 Feb TI - A novel method to assess copy number variation in melanoma: Droplet digital PCR for precise quantitation of the RREB1 gene in formalin-fixed, paraffin-embedded melanocytic neoplasms, a proof-of-concept study. PG - 169-177 LID - 10.1111/cup.14352 [doi] AB - BACKGROUND: Melanocytic neoplasms can be challenging to diagnose. One well-established diagnostic aid is the detection of copy number variation (CNV) in a few key genetic loci using conventional methods such as fluorescence in situ hybridization (FISH) and chromosomal microarray (CMA). Droplet digital polymerase chain reaction (ddPCR) is a novel, cost-effective, rapid, and automated method to detect CNV. METHODS: We perform the first investigation of ddPCR to assay Ras-responsive element-binding protein-1 (RREB1), the most common CNV in melanoma using formalin-fixed, paraffin-embedded (FFPE) melanocytic lesion samples; CMA data are used as the gold standard. Archival samples from 2013 to 2021 were analyzed, including 153 data points from 39 FFPE samples representing 34 patients. Benign, borderline, malignant, and metastatic melanocytic neoplasms were examined. RESULTS: ddPCR showed a sensitivity and specificity of 93.8% and 95.7% using one reference gene, and 87.5% and 100% using a different reference gene for RREB1 gain detection. CONCLUSIONS: Here we show that ddPCR can provide inexpensive, rapid, and robust data on the commonest copy number alteration in melanoma. Future development and validation could provide a useful ancillary tool in the diagnosis of challenging melanocytic lesions. CI - (c) 2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - O'Hern, Keegan AU - O'Hern K AUID- ORCID: 0000-0003-1036-4601 AD - Dartmouth Geisel School of Medicine, Hanover, New Hampshire, USA. FAU - Barney, Rachael AU - Barney R AD - Clinical Genomics and Advanced Technology Laboratory, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA. AD - Department of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA. FAU - Chambers, Meagan AU - Chambers M AD - Dartmouth Geisel School of Medicine, Hanover, New Hampshire, USA. FAU - Baker, Catherine AU - Baker C AD - Dartmouth Geisel School of Medicine, Hanover, New Hampshire, USA. FAU - Stevanovic, Mirjana AU - Stevanovic M AD - Dartmouth Geisel School of Medicine, Hanover, New Hampshire, USA. FAU - Tsongalis, Gregory J AU - Tsongalis GJ AD - Clinical Genomics and Advanced Technology Laboratory, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA. AD - Department of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA. FAU - Hughes, Edward AU - Hughes E AD - Clinical Genomics and Advanced Technology Laboratory, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA. AD - Department of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA. FAU - Sriharan, Aravindhan AU - Sriharan A AD - Department of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA. LA - eng GR - P30 CA023108/CA/NCI NIH HHS/United States GR - 5P30CA023108-37/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20221122 PL - United States TA - J Cutan Pathol JT - Journal of cutaneous pathology JID - 0425124 RN - 1HG84L3525 (Formaldehyde) RN - 0 (RREB1 protein, human) RN - 0 (DNA-Binding Proteins) RN - 0 (Transcription Factors) SB - IM MH - Humans MH - *DNA Copy Number Variations MH - Paraffin Embedding MH - In Situ Hybridization, Fluorescence/methods MH - *Melanoma/diagnosis/genetics MH - Polymerase Chain Reaction/methods MH - Formaldehyde MH - DNA-Binding Proteins/genetics MH - Transcription Factors/genetics OTO - NOTNLM OT - RREB1 OT - droplet digital PCR OT - melanocytic nevus OT - melanoma EDAT- 2022/11/04 06:00 MHDA- 2023/01/24 06:00 CRDT- 2022/11/03 04:33 PHST- 2022/10/11 00:00 [revised] PHST- 2022/08/15 00:00 [received] PHST- 2022/10/31 00:00 [accepted] PHST- 2022/11/04 06:00 [pubmed] PHST- 2023/01/24 06:00 [medline] PHST- 2022/11/03 04:33 [entrez] AID - 10.1111/cup.14352 [doi] PST - ppublish SO - J Cutan Pathol. 2023 Feb;50(2):169-177. doi: 10.1111/cup.14352. Epub 2022 Nov 22.