PMID- 18094413 OWN - NLM STAT- MEDLINE DCOM- 20080304 LR - 20071220 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 13 IP - 24 DP - 2007 Dec 15 TI - EWSR1-CREB1 and EWSR1-ATF1 fusion genes in angiomatoid fibrous histiocytoma. PG - 7322-8 AB - PURPOSE: Angiomatoid fibrous histiocytoma (AFH) is a low-grade mesenchymal neoplasm which usually occurs in children and adolescents. Either FUS-ATF1 or EWSR1-ATF1 have been detected in the few cases published, pointing to the interchangeable role of FUS and EWSR1 in this entity. EWSR1-ATF1 also represents the most frequent genetic alteration in clear cell sarcoma, suggesting the existence of a molecular homology between these two histotypes. We investigated the presence of EWSR1-CREB1, recently found in gastrointestinal clear cell sarcoma, and FUS-CREB1, as well as the already reported FUS-ATF1 and EWSR1-ATF1 in a series of AFH. EXPERIMENTAL DESIGN: Fourteen cases were analyzed by fluorescence in situ hybridization (FISH) on paraffin-embedded tissue sections, using a commercial EWSR1 probe and custom-designed probes for FUS, ATF1, and CREB1. In two cases, four-color FISH was also done. Reverse transcription-PCR for the four hypothetical fusion genes was done in one case, for which frozen material was available. RESULTS: Thirteen cases showed rearrangements of both EWSR1 and CREB1, whereas one case showed the rearrangement of both EWSR1 and ATF1. Four-color FISH confirmed the results in two selected cases. Reverse transcription-PCR showed EWSR1-CREB1 transcript in the case analyzed. CONCLUSION: We identified the presence of either EWSR1-CREB1 or EWSR1-ATF1 in all the cases, strengthening the concept of chromosomal promiscuity between AFH and clear cell sarcoma. Either the occurrence of a second unknown tumor-specific molecular event or, perhaps more likely, divergent differentiation programs of the putatively distinct precursor cells of AFH and clear cell sarcoma might be invoked in order to explain the two different phenotypes. FAU - Rossi, Sabrina AU - Rossi S AD - Department of Pathology, Regional Hospital, Treviso, Italy. FAU - Szuhai, Karoly AU - Szuhai K FAU - Ijszenga, Marije AU - Ijszenga M FAU - Tanke, Hans J AU - Tanke HJ FAU - Zanatta, Lucia AU - Zanatta L FAU - Sciot, Raf AU - Sciot R FAU - Fletcher, Christopher D M AU - Fletcher CD FAU - Dei Tos, Angelo P AU - Dei Tos AP FAU - Hogendoorn, Pancras C W AU - Hogendoorn PC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (CREB1 protein, human) RN - 0 (Cyclic AMP Response Element-Binding Protein) RN - 0 (EWS-ATF1 fusion protein, human) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Transcription Factors) SB - IM MH - Adolescent MH - Adult MH - Base Sequence MH - Child MH - Child, Preschool MH - Cyclic AMP Response Element-Binding Protein/*genetics MH - Female MH - Histiocytoma, Malignant Fibrous/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Oncogene Proteins, Fusion/*genetics MH - Reverse Transcriptase Polymerase Chain Reaction MH - Soft Tissue Neoplasms/*genetics MH - Transcription Factors/*genetics EDAT- 2007/12/21 09:00 MHDA- 2008/03/05 09:00 CRDT- 2007/12/21 09:00 PHST- 2007/12/21 09:00 [pubmed] PHST- 2008/03/05 09:00 [medline] PHST- 2007/12/21 09:00 [entrez] AID - 13/24/7322 [pii] AID - 10.1158/1078-0432.CCR-07-1744 [doi] PST - ppublish SO - Clin Cancer Res. 2007 Dec 15;13(24):7322-8. doi: 10.1158/1078-0432.CCR-07-1744.