PMID- 31589790 OWN - NLM STAT- MEDLINE DCOM- 20201005 LR - 20210302 IS - 1098-2264 (Electronic) IS - 1045-2257 (Print) IS - 1045-2257 (Linking) VI - 59 IP - 3 DP - 2020 Mar TI - A molecular study of synovial chondromatosis. PG - 144-151 LID - 10.1002/gcc.22812 [doi] AB - Synovial chondromatosis (SC) is a rare benign cartilaginous neoplasm in which recurrent fibronectin 1 (FN1) and activin receptor 2A (ACVR2A) gene rearrangements have been recently reported. Triggered by a case of malignant transformation in SC (synovial chondrosarcoma) showing a novel KMT2A-BCOR gene fusion by targeted RNA sequencing, we sought to evaluate the molecular abnormalities in a cohort of 27 SC cases using a combined methodology of fluorescence in situ hybridization (FISH) and/or targeted RNA sequencing. Results showed that FN1 and /or ACVR2A gene rearrangements were noted in 18 cases (67%), with an FN1-ACVR2A fusion being confirmed in 15 (56%) cases. Two cases showed only FN1 gene rearrangement, without other abnormalities. A novel FN1-NFATc2 gene fusion was noted in one case by RNA sequencing. The remaining nine cases showed no abnormalities in FN1 and ACVR2A genes. No additional cases showed BCOR gene alterations. In conclusion, this study confirms that FN1-ACVR2A fusion is the leading pathogenetic event in SC, at even higher frequency than previously reported. FISH methodology emerges as an appropriate tool in the identification of FN1 and ACVR2A gene abnormalities, which can be used in challenging cases. Further studies are needed to determine the recurrent potential of BCOR abnormalities in this disease. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Agaram, Narasimhan P AU - Agaram NP AUID- ORCID: 0000-0002-6991-2310 AD - Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York. FAU - Zhang, Lei AU - Zhang L AD - Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York. 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 - Sung, Yun-Shao AU - Sung YS AD - Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York. FAU - Panicek, David M AU - Panicek DM AD - Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York. FAU - Hameed, Meera AU - Hameed M AD - Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York. FAU - Healey, John H AU - Healey JH AD - Orthopaedic Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York. FAU - Antonescu, Cristina R AU - Antonescu CR AUID- ORCID: 0000-0002-9717-8205 AD - Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York. LA - eng GR - P30-CA008748/CA/NCI NIH HHS/United States GR - P30 CA008748/CA/NCI NIH HHS/United States GR - P50 CA217694/CA/NCI NIH HHS/United States GR - P50 CA140146-01/CA/NCI NIH HHS/United States GR - P50 CA140146/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20191018 PL - United States TA - Genes Chromosomes Cancer JT - Genes, chromosomes & cancer JID - 9007329 RN - 0 (BCOR protein, human) RN - 0 (FN1 protein, human) RN - 0 (Fibronectins) RN - 0 (KMT2A protein, human) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Repressor Proteins) RN - 149025-06-9 (Myeloid-Lymphoid Leukemia Protein) RN - EC 2.1.1.43 (Histone-Lysine N-Methyltransferase) RN - EC 2.7.11.30 (Activin Receptors, Type II) RN - EC 2.7.11.30 (activin receptor type II-A) SB - IM MH - Activin Receptors, Type II/genetics/metabolism MH - Adolescent MH - Adult MH - Aged MH - Biopsy MH - Chondromatosis, Synovial/*diagnosis/*etiology/surgery MH - Chondrosarcoma/diagnosis/etiology/metabolism/surgery MH - *Disease Susceptibility MH - Female MH - Fibronectins/genetics/metabolism MH - Gene Fusion MH - Genetic Predisposition to Disease MH - Histone-Lysine N-Methyltransferase/genetics/metabolism MH - Humans MH - In Situ Hybridization, Fluorescence MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Myeloid-Lymphoid Leukemia Protein/genetics/metabolism MH - Oncogene Proteins, Fusion/genetics/metabolism MH - Proto-Oncogene Proteins/genetics/metabolism MH - Radiography MH - Repressor Proteins/genetics/metabolism MH - Young Adult PMC - PMC7147082 MID - NIHMS1564831 OTO - NOTNLM OT - ACVR2A OT - FN1 OT - BCOR OT - KMT2A OT - synovial chondromatosis COIS- Conflicts of interest: none EDAT- 2019/10/08 06:00 MHDA- 2020/10/06 06:00 PMCR- 2021/03/01 CRDT- 2019/10/08 06:00 PHST- 2019/09/12 00:00 [received] PHST- 2019/09/25 00:00 [revised] PHST- 2019/09/26 00:00 [accepted] PHST- 2019/10/08 06:00 [pubmed] PHST- 2020/10/06 06:00 [medline] PHST- 2019/10/08 06:00 [entrez] PHST- 2021/03/01 00:00 [pmc-release] AID - 10.1002/gcc.22812 [doi] PST - ppublish SO - Genes Chromosomes Cancer. 2020 Mar;59(3):144-151. doi: 10.1002/gcc.22812. Epub 2019 Oct 18.