PMID- 32352245 OWN - NLM STAT- MEDLINE DCOM- 20210701 LR - 20210701 IS - 2056-4538 (Electronic) IS - 2056-4538 (Linking) VI - 6 IP - 3 DP - 2020 Jul TI - Endometrial stromal sarcomas with BCOR-rearrangement harbor MDM2 amplifications. PG - 178-184 LID - 10.1002/cjp2.165 [doi] AB - Recently a novel subtype of endometrial stromal sarcoma (ESS) defined by recurrent genomic alterations involving BCOR has been described (HGESS-BCOR). We identified a case of HGESS-BCOR with a ZC3H7B-BCOR gene fusion, which harbored an amplification of the MDM2 locus. This index case prompted us to investigate MDM2 amplification in four additional cases of HGESS-BCOR. Tumors were analyzed for MDM2 amplification by array-based profiling of copy number alterations (CNAs) and fluorescence in situ hybridization (FISH), as well as for MDM2 expression by immunohistochemistry (IHC). Additionally, a cohort of other mesenchymal uterine neoplasms, including 17 low-grade ESS, 6 classical high-grade ESS with YWHAE-rearrangement, 16 uterine tumors resembling ovarian sex cord tumors, 7 uterine leiomyomas and 8 uterine leiomyosarcomas, was analyzed for CNAs in MDM2. Copy number profiling identified amplification of the 12q15 region involving the MDM2 locus in all five HGESS-BCOR. Subsequent validation analyses of three tumors confirmed MDM2 amplification using MDM2 FISH. Accordingly, IHC showed MDM2 overexpression in all analyzed cases. None of the other uterine neoplasms in our series, including tumors that are in the histopathological differential diagnoses of HGESS-BCOR, showed copy number gains of MDM2. Together, our results indicate that HGESS-BCOR carries MDM2 amplifications, which has diagnostic implications and could potentially be used for targeted therapies in these clinically aggressive tumors. CI - (c) 2020 The Authors. The Journal of Pathology: Clinical Research published by The Pathological Society of Great Britain and Ireland and John Wiley & Sons Ltd. FAU - Kommoss, Felix Kf AU - Kommoss FK AUID- ORCID: 0000-0003-0876-9087 AD - Department of Pathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany. FAU - Chang, Kenneth Te AU - Chang KT AD - Department of Pathology and Laboratory Medicine, KK Women's and Children's Hospital, Singapore, Singapore. FAU - Stichel, Damian AU - Stichel D AD - Department of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany. AD - Clinical Cooperation Unit Neuropathology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany. FAU - Banito, Ana AU - Banito A AD - Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany. AD - Pediatric Soft Tissue Sarcoma Research Group, German Cancer Research Center (DKFZ), Heidelberg, Germany. FAU - Jones, David Tw AU - Jones DT AD - Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany. AD - Pediatric Glioma Research Group, German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Heidelberg, Germany. FAU - Heilig, Christoph E AU - Heilig CE AD - German Cancer Consortium (DKTK), Heidelberg, Germany. AD - Division of Translational Medical Oncology, DKFZ and NCT Heidelberg, Heidelberg, Germany. FAU - Frohling, Stefan AU - Frohling S AD - German Cancer Consortium (DKTK), Heidelberg, Germany. AD - Division of Translational Medical Oncology, DKFZ and NCT Heidelberg, Heidelberg, Germany. FAU - Sahm, Felix AU - Sahm F AD - Department of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany. AD - Clinical Cooperation Unit Neuropathology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany. FAU - Stenzinger, Albrecht AU - Stenzinger A AD - Department of Pathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany. FAU - Hartmann, Wolfgang AU - Hartmann W AUID- ORCID: 0000-0002-7609-5021 AD - Division of Translational Pathology, Gerhard Domagk Institute of Pathology, University Hospital Munster, Munster, Germany. FAU - Mechtersheimer, Gunhild AU - Mechtersheimer G AD - Department of Pathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany. FAU - Sinn, Hans-Peter AU - Sinn HP AD - Department of Pathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany. FAU - Schmidt, Dietmar AU - Schmidt D AD - MVZ fur Histologie, Zytologie und Molekulare Diagnostik Trier GmbH, Trier, Germany. FAU - Kommoss, Friedrich AU - Kommoss F AD - Institute of Pathology, Medizin Campus Bodensee, Friedrichshafen, Germany. FAU - von Deimling, Andreas AU - von Deimling A AD - Department of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany. AD - Clinical Cooperation Unit Neuropathology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany. FAU - Koelsche, Christian AU - Koelsche C AD - Department of Pathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200430 PL - England TA - J Pathol Clin Res JT - The journal of pathology. Clinical research JID - 101658534 RN - 0 (BCOR protein, human) RN - 0 (Biomarkers, Tumor) RN - 0 (Proto-Oncogene Proteins) RN - 0 (RNA-Binding Proteins) RN - 0 (Repressor Proteins) RN - 0 (ZC3H7B protein, human) RN - EC 2.3.2.27 (MDM2 protein, human) RN - EC 2.3.2.27 (Proto-Oncogene Proteins c-mdm2) SB - IM MH - Biomarkers, Tumor/genetics MH - Cohort Studies MH - Endometrial Neoplasms/diagnosis/genetics/pathology MH - Female MH - Gene Fusion MH - Gene Rearrangement MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Proto-Oncogene Proteins/*genetics MH - Proto-Oncogene Proteins c-mdm2/*genetics MH - RNA-Binding Proteins/genetics MH - Repressor Proteins/*genetics MH - Sarcoma, Endometrial Stromal/*genetics/pathology MH - *Uterine Neoplasms/diagnosis/genetics/pathology PMC - PMC7339170 OTO - NOTNLM OT - BCOR OT - MDM2 OT - YWHAE OT - amplification OT - endometrial stromal sarcoma OT - neoplasm OT - uterine EDAT- 2020/05/01 06:00 MHDA- 2021/07/02 06:00 PMCR- 2020/04/30 CRDT- 2020/05/01 06:00 PHST- 2020/01/27 00:00 [received] PHST- 2020/03/07 00:00 [revised] PHST- 2020/03/12 00:00 [accepted] PHST- 2020/05/01 06:00 [pubmed] PHST- 2021/07/02 06:00 [medline] PHST- 2020/05/01 06:00 [entrez] PHST- 2020/04/30 00:00 [pmc-release] AID - CJP2165 [pii] AID - 10.1002/cjp2.165 [doi] PST - ppublish SO - J Pathol Clin Res. 2020 Jul;6(3):178-184. doi: 10.1002/cjp2.165. Epub 2020 Apr 30.