PMID- 34354947 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240403 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 11 DP - 2021 TI - YAP1-MAML2 Fusion as a Diagnostic Biomarker for Metaplastic Thymoma. PG - 692283 LID - 10.3389/fonc.2021.692283 [doi] LID - 692283 AB - BACKGROUND: Metaplastic thymoma is a very rare tumor with only a few case reports documented in literature. Hence, its molecular features have not been well explored. MATERIAL AND METHODS: Seventeen specimens of metaplastic thymoma were sequenced and retrospectively analyzed by fluorescence in situ hybridization (FISH) and immunohistochemistry in the study. In addition, seven cases of micronodular thymoma with lymphoid stroma and nine cases of type A thymoma were also investigated. RESULTS: Among these metaplastic thymomas, fifteen cases showed classical histological features, and two cases displayed characteristic micronodular-like growth patterns. DNA and RNA based next-generation sequencing identified and confirmed highly recurrent Yes Associated Protein 1 (YAP1) - Mastermind Like Transcriptional Coactivator 2 (MAML2) translocation (13/17, 76.5%) in metaplastic thymoma but not in micronodular thymoma with lymphoid stroma (0/7, 0%) and type A thymoma (0/9, 0%). In addition, six nonsense mutations were also detected in the metaplastic thymoma. FISH in microdissection specimens indicated that both epithelioid and spindle cell components harbored YAP1-MAML2 gene rearrangements. CONCLUSIONS: Our study explored the genetic alterations in epithelioid and spindle cell components in metaplastic thymoma. Furthermore, YAP1-MAML2 gene rearrangements emerged as a potential diagnostic biomarker helpful for distinguishing metaplastic thymoma from type A and micronodular thymoma with lymphoid stroma. CI - Copyright (c) 2021 Zhao, Zhao, Xiang, Shao, Guo and Han. FAU - Zhao, Jikai AU - Zhao J AD - Department of Pathology, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China. FAU - Zhao, Ruiying AU - Zhao R AD - Department of Pathology, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China. FAU - Xiang, Chan AU - Xiang C AD - Department of Pathology, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China. FAU - Shao, Jinchen AU - Shao J AD - Department of Pathology, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China. FAU - Guo, Lianying AU - Guo L AD - Department of Pathology, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China. FAU - Han, Yuchen AU - Han Y AD - Department of Pathology, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China. LA - eng PT - Journal Article DEP - 20210720 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC8329546 OTO - NOTNLM OT - FISH OT - YAP1-MAML2 OT - biomarker OT - gene rearrangements OT - metaplastic thymoma OT - sequencing COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/08/07 06:00 MHDA- 2021/08/07 06:01 PMCR- 2021/01/01 CRDT- 2021/08/06 06:54 PHST- 2021/04/08 00:00 [received] PHST- 2021/07/07 00:00 [accepted] PHST- 2021/08/06 06:54 [entrez] PHST- 2021/08/07 06:00 [pubmed] PHST- 2021/08/07 06:01 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2021.692283 [doi] PST - epublish SO - Front Oncol. 2021 Jul 20;11:692283. doi: 10.3389/fonc.2021.692283. eCollection 2021.