Diagnosis of melanoma and solar lentigo by nucleic acid analysis
The present invention provides methods for diagnosing melanoma and/or solar lentigo in a subject by analyzing nucleic acid molecules obtained from the subject. The present invention also provides methods for distinguishing melanoma from solar lentigo and/or dysplastic nevi and/or normal pigmented skin. The methods include analyzing expression or mutations in epidermal samples, of one or more skin markers. The methods can include the use of a microarray to analyze gene or protein profiles from a sample.
1. A method of detecting melanoma in a human subject comprising:
(a) obtaining a sample of a skin lesion suspected of comprising melanoma from a human subject, wherein the skin lesion sample comprises or is suspected of comprising a nucleic acid molecule expressed from C6orf218;
(b) detecting the presence of a nucleic acid molecule expressed from C6orf218 in the skin lesion sample, whereby the presence of a nucleic acid molecule expressed from C6orf218 in the skin lesion sample in an amount that is greater than the presence of C6orf218 in a non-melanoma sample is indicative of melanoma in the skin lesion sample, wherein detecting the presence of a nucleic acid molecule expressed from C6orf218 is by application of a detectably labeled probe that hybridizes to a nucleic acid molecule expressed from C6orf218; and
(c) characterizing the skin lesion as having melanoma or not having melanoma.
2. The method of claim 1 , wherein the nucleic acid molecule is RNA.
3. The method of claim 1 , further comprising amplifying the nucleic acid molecule.
4. The method of claim 1 , wherein the nucleic acid molecule or an amplification product thereof, is quantified using quantitative real-time PCR.
5. The method of claim 1 , further comprising amplifying the nucleic acid molecule and quantifying the amplification product using quantitative real-time PCR.
6. The method of claim 1 , wherein the skin lesion sample is obtained by applying an adhesive tape to a target area of skin in a manner sufficient to isolate the skin lesion sample adhering to the adhesive tape.
7. The method of claim 1 , wherein the skin lesion sample is obtained from a biopsy taken at the site of the skin lesion.
8. The method of claim 6 , wherein the tape comprises a rubber adhesive on a polyurethane film.
9. The method of claim 6 , wherein about one to ten adhesive tapes or one to ten applications of a tape are applied and removed from the skin.
10. The method of claim 6 , wherein about one to eight adhesive tapes or one to eight applications of a tape are applied and removed from the skin.
11. The method of claim 6 , wherein about one to five adhesive tapes or one to five applications of a tape are applied and removed from the skin.
12. The method of claim 6 , wherein the method further comprises taking a biopsy of the target area of the skin.
13. The method of claim 1 , wherein the detecting is performed in situ.
14. The method of claim 1 , further comprising determining a treatment regimen.
15. A method for diagnosing melanoma in a subject, comprising:
(a) obtaining a sample of a skin lesion suspected of comprising melanoma from a subject, wherein the skin lesion sample comprises or is suspected of comprising a nucleic acid molecule expressed from C6orf218;
(b) detecting the presence of a nucleic acid molecule expressed from C6orf218 in the skin lesion sample, wherein detecting the presence of a nucleic acid molecule expressed from C6orf218 is by application of a detectably labeled probe that hybridizes to a nucleic acid molecule expressed from C6orf218; and
(c) comparing the presence of a nucleic acid molecule expressed from C6orf218 in the skin lesion sample to the presence of C6orf218 in a non-melanoma sample, whereby the increased presence of a nucleic acid molecule expressed from C6orf218 in the skin lesion sample as compared to the non-melanoma sample is indicative of melanoma, thereby diagnosing the skin lesion as having melanoma.
16. The method of claim 15 , further comprising determining a treatment regimen.
17. The method of claim 15 , wherein the presence of a nucleic acid molecule expressed from C6orf218 in the non-melanoma skin sample is contained with a database.
18. The method of claim 15 , wherein the analyzing step is carried out using a computer.