PMID- 33072748 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201020 IS - 2296-634X (Print) IS - 2296-634X (Electronic) IS - 2296-634X (Linking) VI - 8 DP - 2020 TI - Intratumoral Translocation Positive Heterogeneity in Pediatric Alveolar Rhabdomyosarcoma Tumors Correlates to Patient Survival Prognosis. PG - 564136 LID - 10.3389/fcell.2020.564136 [doi] LID - 564136 AB - Alveolar rhabdomyosarcoma (ARMS) is characterized by one of three translocation states: t(2;13) (q35;q14) producing PAX3-FOXO1, t(1;13) (p36;q14) producing PAX7-FOXO1, or translocation-negative. Tumors with t(2;13) are associated with greater disease severity and mortality than t(1;13) positive or translocation negative patients. Consistent with this fact, previous work concluded that a molecular analysis of RMS translocation status is essential for the accurate determination of prognosis and diagnosis. However, despite this knowledge, most diagnoses rely on histology and in some cases utilize fluorescence in situ hybridization (FISH) probes unable to differentiate between translocation products. Along these same lines, diagnostic RT-PCR analysis, which can differentiate translocation status, is unable to determine intratumoral translocation heterogeneity, making it difficult to determine if heterogeneity exists and whether correlations exist between this heterogeneity and patient outcomes. Using newly developed FISH probes, we demonstrate that intratumoral heterogeneity exists in ARMS tumors with respect to the presence or absence of the translocation product. We found between 3 and 98% of cells within individual tumor samples contained a translocation event with a significant inverse correlation (R (2) = 0.66, p = 0.001) between the extent of intratumoral translocation heterogeneity and failure-free survival of patients. Taken together, these results provide additional support for the inclusion of the molecular analysis of these tumors and expand on this idea to support determining the extent of intratumoral translocation heterogeneity in the diagnosis of ARMS to improve diagnostic and prognostic indicators for patients with these tumors. CI - Copyright (c) 2020 Gleditsch, Penas, Mercer, Umrigar, Briscoe, Stark, Tsien and Hollenbach. FAU - Gleditsch, Katrina AU - Gleditsch K AD - Department of Genetics, Louisiana State University Health Sciences Center, New Orleans, LA, United States. AD - Division of Pediatric Hematology/Oncology, Children's Hospital of New Orleans, New Orleans, LA, United States. FAU - Penas, Jorge AU - Penas J AD - Department of Genetics, Louisiana State University Health Sciences Center, New Orleans, LA, United States. FAU - Mercer, Danielle AU - Mercer D AD - Department of Genetics, Louisiana State University Health Sciences Center, New Orleans, LA, United States. FAU - Umrigar, Ayesha AU - Umrigar A AD - Department of Genetics, Louisiana State University Health Sciences Center, New Orleans, LA, United States. FAU - Briscoe, James AU - Briscoe J AD - Department of Genetics, Louisiana State University Health Sciences Center, New Orleans, LA, United States. FAU - Stark, Matthew AU - Stark M AD - Department of Pathology, Children's Hospital of New Orleans, New Orleans, LA, United States. FAU - Tsien, Fern AU - Tsien F AD - Department of Genetics, Louisiana State University Health Sciences Center, New Orleans, LA, United States. FAU - Hollenbach, Andrew D AU - Hollenbach AD AD - Department of Genetics, Louisiana State University Health Sciences Center, New Orleans, LA, United States. LA - eng PT - Journal Article DEP - 20200918 PL - Switzerland TA - Front Cell Dev Biol JT - Frontiers in cell and developmental biology JID - 101630250 PMC - PMC7530338 OTO - NOTNLM OT - Alveolar rhabdomyosarcoma OT - Pax3-FOXO1 OT - molecular genetics OT - prognostic outcome OT - tumor heterogeneity EDAT- 2020/10/20 06:00 MHDA- 2020/10/20 06:01 PMCR- 2020/01/01 CRDT- 2020/10/19 05:59 PHST- 2020/05/20 00:00 [received] PHST- 2020/09/01 00:00 [accepted] PHST- 2020/10/19 05:59 [entrez] PHST- 2020/10/20 06:00 [pubmed] PHST- 2020/10/20 06:01 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fcell.2020.564136 [doi] PST - epublish SO - Front Cell Dev Biol. 2020 Sep 18;8:564136. doi: 10.3389/fcell.2020.564136. eCollection 2020.