PMID- 31469468 OWN - NLM STAT- MEDLINE DCOM- 20200416 LR - 20200416 IS - 1098-2264 (Electronic) IS - 1045-2257 (Linking) VI - 59 IP - 2 DP - 2020 Feb TI - Detection of CSF1 rearrangements deleting the 3' UTR in tenosynovial giant cell tumors. PG - 96-105 LID - 10.1002/gcc.22807 [doi] AB - Tenosynovial giant cell tumors (TGCTs) are characterized by rearrangements of CSF1, thought to drive overexpression of macrophage colony-stimulating factor (CSF1), thereby promoting tumor growth and recruitment of non-neoplastic mononuclear and multinucleated inflammatory cells. While fusions to collagen promoters have been described, the mechanism of CSF1 overexpression has been unclear in a majority of cases. Two cohorts of TGCT were investigated for CSF1 rearrangements using fluorescence in situ hybridization (FISH) and either RNA-seq or DNA-seq with Sanger validation. The study comprised 39 patients, including 13 localized TGCT, 21 diffuse TGCT, and five of unspecified type. CSF1 rearrangements were identified by FISH in 30 cases: 13 translocations, 17 3' deletions. Sequencing confirmed CSF1 breakpoints in 28 cases; in all 28 the breakpoint was found to be downstream of exon 5, replacing or deleting a long 3' UTR containing known miRNA and AU-rich element negative regulatory sequences. We also confirmed the presence of CBL exon 8-9 mutations in six of 21 cases. In conclusion, TGCT in our large cohort were characterized by variable alterations, all of which led to truncation of the 3' end of CSF1, instead of the COL6A3-CSF1 fusions previously reported in some TGCTs. The diversity of fusion partners but consistent integrity of CSF1 functional domains encoded by exons 1-5 support a hypothesis that CSF1 overexpression results from transcription of a truncated form of CSF1 lacking 3' negative regulatory sequences. The presence of CBL mutations affecting the linker and RING finger domain suggests an alternative mechanism for increased CSF1/CSF1R signaling in some cases. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Ho, Julie AU - Ho J AD - Genetic Pathology Evaluation Centre, University of British Columbia, Vancouver, British Columbia, Canada. FAU - Peters, Thomas AU - Peters T AD - Novartis Institute for Biomedical Research, Basel, Switzerland. FAU - Dickson, Brendan C AU - Dickson BC AUID- ORCID: 0000-0003-2269-6216 AD - Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada. FAU - Swanson, David AU - Swanson D AD - Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada. FAU - Fernandez, Anita AU - Fernandez A AD - Novartis Institute for Biomedical Research, Basel, Switzerland. FAU - Frova-Seguin, Aurelie AU - Frova-Seguin A AD - Novartis Institute for Biomedical Research, Basel, Switzerland. FAU - Valentin, Marie-Anne AU - Valentin MA AD - Novartis Institute for Biomedical Research, Basel, Switzerland. FAU - Schramm, Ursula AU - Schramm U AD - Novartis Institute for Biomedical Research, Basel, Switzerland. FAU - Sultan, Marc AU - Sultan M AD - Novartis Institute for Biomedical Research, Basel, Switzerland. FAU - Nielsen, Torsten O AU - Nielsen TO AD - Genetic Pathology Evaluation Centre, University of British Columbia, Vancouver, British Columbia, Canada. FAU - Demicco, Elizabeth G AU - Demicco EG AUID- ORCID: 0000-0003-4144-8824 AD - Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190912 PL - United States TA - Genes Chromosomes Cancer JT - Genes, chromosomes & cancer JID - 9007329 RN - 0 (3' Untranslated Regions) RN - 0 (CSF1 protein, human) RN - 81627-83-0 (Macrophage Colony-Stimulating Factor) SB - IM MH - 3' Untranslated Regions MH - Adult MH - Aged MH - Cohort Studies MH - Exons MH - Female MH - Giant Cell Tumor of Tendon Sheath/diagnosis/*genetics/metabolism MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Macrophage Colony-Stimulating Factor/*genetics/metabolism MH - Male MH - Middle Aged MH - Translocation, Genetic OTO - NOTNLM OT - 3' UTR OT - CBL OT - CSF1 OT - pigmented villonodular synovitis OT - tenosynovial giant cell tumor EDAT- 2019/08/31 06:00 MHDA- 2020/04/17 06:00 CRDT- 2019/08/31 06:00 PHST- 2019/07/17 00:00 [received] PHST- 2019/08/25 00:00 [revised] PHST- 2019/08/26 00:00 [accepted] PHST- 2019/08/31 06:00 [pubmed] PHST- 2020/04/17 06:00 [medline] PHST- 2019/08/31 06:00 [entrez] AID - 10.1002/gcc.22807 [doi] PST - ppublish SO - Genes Chromosomes Cancer. 2020 Feb;59(2):96-105. doi: 10.1002/gcc.22807. Epub 2019 Sep 12.