PMID- 23761323 OWN - NLM STAT- MEDLINE DCOM- 20140204 LR - 20130828 IS - 1098-2264 (Electronic) IS - 1045-2257 (Linking) VI - 52 IP - 10 DP - 2013 Oct TI - Comprehensive genetic analysis identifies a pathognomonic NAB2/STAT6 fusion gene, nonrandom secondary genomic imbalances, and a characteristic gene expression profile in solitary fibrous tumor. PG - 873-86 LID - 10.1002/gcc.22083 [doi] AB - Solitary fibrous tumor (SFT) is a mesenchymal neoplasm displaying variable morphologic and clinical features. To identify pathogenetically important genetic rearrangements, 44 SFTs were analyzed using a variety of techniques. Chromosome banding and fluorescence in situ hybridization (FISH) showed recurrent breakpoints in 12q13, clustering near the NAB2 and STAT6 genes, and single nucleotide polymorphism array analysis disclosed frequent deletions affecting STAT6. Quantitative real-time PCR revealed high expression levels of the 5'-end of NAB2 and the 3'-end of STAT6, which at deep sequencing of enriched DNA corresponded to NAB2/STAT6 fusions. Subsequent reverse-transcriptase PCR (RT-PCR) analysis identified a NAB2/STAT6 fusion in 37/41 cases, confirming that this fusion gene underlies the pathogenesis of SFT. The hypothesis that the NAB2/STAT6 fusions will result in altered properties of the transcriptional co-repressor NAB2--a key regulator of the early growth response 1 (EGR1) transcription factor - was corroborated by global gene expression analysis; SFTs showed deregulated expression of EGR1 target genes, as well as of other, developmentally important genes. We also identified several nonrandom secondary changes, notably loss of material from 13q and 14q. As neither chromosome banding nor FISH analysis identify more than a minor fraction of the fusion-positive cases, and because multiple primer combinations are required to identify all possible fusion transcripts by RT-PCR, alternative diagnostic markers might instead be found among deregulated genes identified at global gene expression analysis. Indeed, using immunohistochemistry on tissue microarrays, the top up-regulated gene, GRIA2, was found to be differentially expressed also at the protein level. CI - Copyright (c) 2013 Wiley Periodicals, Inc. FAU - Mohajeri, Arezoo AU - Mohajeri A AD - Department of Clinical Genetics, University and Regional Laboratories, Lund University, Lund, Sweden. FAU - Tayebwa, Johnbosco AU - Tayebwa J FAU - Collin, Anna AU - Collin A FAU - Nilsson, Jenny AU - Nilsson J FAU - Magnusson, Linda AU - Magnusson L FAU - von Steyern, Fredrik Vult AU - von Steyern FV FAU - Brosjo, Otte AU - Brosjo O FAU - Domanski, Henryk A AU - Domanski HA FAU - Larsson, Olle AU - Larsson O FAU - Sciot, Raf AU - Sciot R FAU - Debiec-Rychter, Maria AU - Debiec-Rychter M FAU - Hornick, Jason L AU - Hornick JL FAU - Mandahl, Nils AU - Mandahl N FAU - Nord, Karolin H AU - Nord KH FAU - Mertens, Fredrik AU - Mertens F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130612 PL - United States TA - Genes Chromosomes Cancer JT - Genes, chromosomes & cancer JID - 9007329 RN - 0 (NAB2 protein, human) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Repressor Proteins) RN - 0 (STAT6 Transcription Factor) RN - 0 (STAT6 protein, human) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Female MH - High-Throughput Nucleotide Sequencing MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Oncogene Proteins, Fusion/*genetics MH - Polymerase Chain Reaction MH - Polymorphism, Single Nucleotide MH - Repressor Proteins/*genetics MH - STAT6 Transcription Factor/*genetics MH - Solitary Fibrous Tumors/*genetics MH - Transcriptome MH - Young Adult OTO - NOTNLM OT - The Swedish Cancer Foundation OT - and the Medical Faculty of Lund University OT - the Gunnar Nilsson Cancer Foundation OT - the IngaBritt and Arne Lundberg Foundation OT - the National Research Council of Sweden OT - the Swedish Childhood Cancer Foundation EDAT- 2013/06/14 06:00 MHDA- 2014/02/05 06:00 CRDT- 2013/06/14 06:00 PHST- 2013/05/14 00:00 [received] PHST- 2013/05/14 00:00 [revised] PHST- 2013/05/16 00:00 [accepted] PHST- 2013/06/14 06:00 [entrez] PHST- 2013/06/14 06:00 [pubmed] PHST- 2014/02/05 06:00 [medline] AID - 10.1002/gcc.22083 [doi] PST - ppublish SO - Genes Chromosomes Cancer. 2013 Oct;52(10):873-86. doi: 10.1002/gcc.22083. Epub 2013 Jun 12.