PMID- 35402176 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220413 IS - 2219-6803 (Electronic) IS - 2218-676X (Print) IS - 2218-676X (Linking) VI - 11 IP - 3 DP - 2022 Mar TI - Molecular profiling of gene fusions in soft tissue sarcomas by Ion AmpliSeq(TM): a study of 35 cases. PG - 488-499 LID - 10.21037/tcr-22-70 [doi] AB - BACKGROUND: The accurate diagnosis of sarcoma can be difficult as there are over 70 different subtypes. While molecular profiling in soft tissue sarcoma (STS) has gradually been incorporated into routine diagnostics, conventional methods such as fluorescence in situ hybridization (FISH), reverse transcriptase-PCR (RT-PCR), and Sanger sequencing have several drawbacks. By allowing simultaneous analysis of multiple targets and increasing sequencing depth to achieve ultra-sensitivity, next-generation sequencing (NGS) can not only detect common genetic abnormalities without prior assumptions but also identify uncommon or even new variants. METHODS: In this study, the applicability of NGS in assessing STS using the Ion Torrent Proton was evaluated and compared with other methods. A cohort of 35 tissue specimens from STS patients, including alveolar soft-part sarcoma (ASPS), Ewing's sarcoma (ES), synovial sarcoma (SS), dermatofibrosarcoma protuberans (DFSP), and myxoid liposarcoma (MLPS) patients, were subjected to NGS by an Ion AmpliSeqTM Custom panel. RESULTS: A proportion of 97.14% (34/35) were successfully conducted to detect gene fusion positive events and met all criteria for good quality. The concordance between NGS and conventional techniques was 94.12% (32/34). NGS also showed superior results, as Sanger sequencing and FISH in two cases were false negatives, demonstrating the excellent diagnostic utility of NGS for translocation detection in STS. CONCLUSIONS: The results in this study show the potential for NGS to aid in diagnosis and clinical monitoring of STS and warrant additional studies in larger cohorts. CI - 2022 Translational Cancer Research. All rights reserved. FAU - Wei, Rong AU - Wei R AD - Department of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Gao, Feng AU - Gao F AD - Department of Orthopedics, Sixth Clinical Medical College, Shanxi Medical University, Taiyuan, China. FAU - Zeng, Zixin AU - Zeng Z AD - Department of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Gui, Ziwei AU - Gui Z AD - Department of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Shang, Yangwei AU - Shang Y AD - Department of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Shen, Ningning AU - Shen N AD - Department of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Wang, Ziyue AU - Wang Z AD - Department of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Han, Weixia AU - Han W AD - Department of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Shen, Honghong AU - Shen H AD - Department of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Li, Xin AU - Li X AD - Department of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - E, Li AU - E L AD - Department of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Ma, Wenxia AU - Ma W AD - Department of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Wang, Chen AU - Wang C AD - Department of Pathology, Second Hospital of Shanxi Medical University, Taiyuan, China. LA - eng PT - Journal Article PL - China TA - Transl Cancer Res JT - Translational cancer research JID - 101585958 PMC - PMC8990829 OTO - NOTNLM OT - Soft tissue sarcoma (STS) OT - fluorescence in situ hybridization (FISH) OT - gene fusion OT - molecular profiling OT - next generation sequencing COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://tcr.amegroups.com/article/view/10.21037/tcr-22-70/coif). All authors report that the study received technical support from Shanghai Tongshu Biotechnology Co., Ltd. The authors have no other conflicts of interest to declare. EDAT- 2022/04/12 06:00 MHDA- 2022/04/12 06:01 PMCR- 2022/03/01 CRDT- 2022/04/11 05:30 PHST- 2021/12/03 00:00 [received] PHST- 2022/03/14 00:00 [accepted] PHST- 2022/04/11 05:30 [entrez] PHST- 2022/04/12 06:00 [pubmed] PHST- 2022/04/12 06:01 [medline] PHST- 2022/03/01 00:00 [pmc-release] AID - tcr-11-03-488 [pii] AID - 10.21037/tcr-22-70 [doi] PST - ppublish SO - Transl Cancer Res. 2022 Mar;11(3):488-499. doi: 10.21037/tcr-22-70.