| ID | Sequence | Length | GC content |
|---|---|---|---|
| GAGAGCAGGCAGCGGGCGGCGGGGAGCAGCAUGGAGCCGGCGGCGGGGA… | 978 nt | 0.5818 | |
| GAGAGCAGGCAGCGGGCGGCGGGGAGCAGCAUGGAGCCGGCGGCGGGGA… | 1175 nt | 0.5821 | |
| AGAUGCUCCGCGGCUGUCGUGAAGGUUAAAACCGAAAAUAAAAAUGGGC… | 1302 nt | 0.5545 | |
| ACCUCUGGUGCCAAAGGGCGGCGCAGCGGCUGCCGAGCUCGGCCCUGGA… | 1052 nt | 0.5827 | |
| GAGAGCAGGCAGCGGGCGGCGGGGAGCAGCAUGGAGCCGGCGGCGGGGA… | 1252 nt | 0.5767 |
This gene generates several transcript variants which differ in their first exons. At least three alternatively spliced variants encoding distinct proteins have been reported, two of which encode structurally related isoforms known to function as inhibitors of CDK4 kinase. The remaining transcript includes an alternate first exon located 20 Kb upstream of the remainder of the gene; this transcript contains an alternate open reading frame (ARF) that specifies a protein which is structurally unrelated to the products of the other variants. This ARF product functions as a stabilizer of the tumor suppressor protein p53 as it can interact with, and sequester, the E3 ubiquitin-protein ligase MDM2, a protein responsible for the degradation of p53. In spite of the structural and functional differences, the CDK inhibitor isoforms and the ARF product encoded by this gene, through the regulatory roles of CDK4 and p53 in cell cycle G1 progression, share a common functionality in cell cycle G1 control. This gene is frequently mutated or deleted in a wide variety of tumors, and is known to be an important tumor suppressor gene. [provided by RefSeq, Sep 2012] CIViC Summary for CDKN2A Gene CDKN2A loss has been shown to be a significant event in a number of cancer types. While no targeted therapeutic has been engaged in clinical trials, the prognostic impact has been studied by a number of meta-analyses. In majority of cases CDKN2A is inactivated by homozygous deletions. One of the mechanisms by which loss of CDKN2A can occur is by hypermethylation of the promoter region for the gene. However, the prognostic impact of promoter hypermethylation has been relatively ambiguous. Many studies have suggesting poorer prognostic outcome for patients with hypermethylation in colorectal, liver, and younger lung cancer patients. This being said, there is still research to be done before this becomes a widely-accepted prognostic indicator. Additionally, CDKN2A (p16) expression is a surrogate marker for HPV infection. As such, CDKN2A expression is prognostic in Oropharyngeal and probably also non-oropharyngeal head and neck squamous cell carcinomas.
A study in human ovarian cancer samples identified the CDKN2A as a tumor suppressor gene, with its promoter noted to be hypermethylated, and it was included in the DNA methylation dimension of a multi-dimensional module (md-module 119) that was part of the bladder cancer pathway [Zhang et al. DOI:10.1093/nar/gks725].