PMID- 36232302 OWN - NLM STAT- MEDLINE DCOM- 20221017 LR - 20221019 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 23 IP - 19 DP - 2022 Sep 20 TI - mRNA Capture Sequencing and RT-qPCR for the Detection of Pathognomonic, Novel, and Secondary Fusion Transcripts in FFPE Tissue: A Sarcoma Showcase. LID - 10.3390/ijms231911007 [doi] LID - 11007 AB - We assess the performance of mRNA capture sequencing to identify fusion transcripts in FFPE tissue of different sarcoma types, followed by RT-qPCR confirmation. To validate our workflow, six positive control tumors with a specific chromosomal rearrangement were analyzed using the TruSight RNA Pan-Cancer Panel. Fusion transcript calling by FusionCatcher confirmed these aberrations and enabled the identification of both fusion gene partners and breakpoints. Next, whole-transcriptome TruSeq RNA Exome sequencing was applied to 17 fusion gene-negative alveolar rhabdomyosarcoma (ARMS) or undifferentiated round cell sarcoma (URCS) tumors, for whom fluorescence in situ hybridization (FISH) did not identify the classical pathognomonic rearrangements. For six patients, a pathognomonic fusion transcript was readily detected, i.e., PAX3-FOXO1 in two ARMS patients, and EWSR1-FLI1, EWSR1-ERG, or EWSR1-NFATC2 in four URCS patients. For the 11 remaining patients, 11 newly identified fusion transcripts were confirmed by RT-qPCR, including COPS3-TOM1L2, NCOA1-DTNB, WWTR1-LINC01986, PLAA-MOB3B, AP1B1-CHEK2, and BRD4-LEUTX fusion transcripts in ARMS patients. Additionally, recurrently detected secondary fusion transcripts in patients diagnosed with EWSR1-NFATC2-positive sarcoma were confirmed (COPS4-TBC1D9, PICALM-SYTL2, SMG6-VPS53, and UBE2F-ALS2). In conclusion, this study shows that mRNA capture sequencing enhances the detection rate of pathognomonic fusions and enables the identification of novel and secondary fusion transcripts in sarcomas. FAU - Decock, Anneleen AU - Decock A AUID- ORCID: 0000-0002-1091-0927 AD - OncoRNALab, Center for Medical Genetics, Department of Biomolecular Medicine, Ghent University, 9000 Ghent, Belgium. AD - Cancer Research Institute Ghent (CRIG), 9000 Ghent, Belgium. FAU - Creytens, David AU - Creytens D AUID- ORCID: 0000-0002-6064-1673 AD - Cancer Research Institute Ghent (CRIG), 9000 Ghent, Belgium. AD - Department of Pathology, Ghent University Hospital, 9000 Ghent, Belgium. AD - Department of Diagnostic Sciences, Ghent University, 9000 Ghent, Belgium. FAU - Lefever, Steve AU - Lefever S AD - OncoRNALab, Center for Medical Genetics, Department of Biomolecular Medicine, Ghent University, 9000 Ghent, Belgium. AD - Cancer Research Institute Ghent (CRIG), 9000 Ghent, Belgium. FAU - Van der Meulen, Joni AU - Van der Meulen J AUID- ORCID: 0000-0002-1916-2769 AD - OncoRNALab, Center for Medical Genetics, Department of Biomolecular Medicine, Ghent University, 9000 Ghent, Belgium. AD - Cancer Research Institute Ghent (CRIG), 9000 Ghent, Belgium. AD - Molecular Diagnostics Ghent University Hospital (MDG), Ghent University Hospital, 9000 Ghent, Belgium. FAU - Anckaert, Jasper AU - Anckaert J AUID- ORCID: 0000-0001-8144-4639 AD - OncoRNALab, Center for Medical Genetics, Department of Biomolecular Medicine, Ghent University, 9000 Ghent, Belgium. AD - Cancer Research Institute Ghent (CRIG), 9000 Ghent, Belgium. FAU - De Ganck, Ariane AU - De Ganck A AUID- ORCID: 0000-0002-6120-1987 AD - Biogazelle, 9052 Zwijnaarde, Belgium. FAU - Deleu, Jill AU - Deleu J AUID- ORCID: 0000-0003-0921-6003 AD - OncoRNALab, Center for Medical Genetics, Department of Biomolecular Medicine, Ghent University, 9000 Ghent, Belgium. AD - Cancer Research Institute Ghent (CRIG), 9000 Ghent, Belgium. FAU - De Wilde, Bram AU - De Wilde B AD - OncoRNALab, Center for Medical Genetics, Department of Biomolecular Medicine, Ghent University, 9000 Ghent, Belgium. AD - Cancer Research Institute Ghent (CRIG), 9000 Ghent, Belgium. AD - Department of Internal Medicine and Pediatrics, Ghent University Hospital, 9000 Ghent, Belgium. FAU - Fierro, Carolina AU - Fierro C AD - Biogazelle, 9052 Zwijnaarde, Belgium. FAU - Kuersten, Scott AU - Kuersten S AD - Illumina, San Diego, CA 92122, USA. FAU - Luypaert, Manuel AU - Luypaert M AUID- ORCID: 0000-0003-3966-849X AD - Biogazelle, 9052 Zwijnaarde, Belgium. FAU - Rottiers, Isabelle AU - Rottiers I AD - Cancer Research Institute Ghent (CRIG), 9000 Ghent, Belgium. AD - Department of Pathology, Ghent University Hospital, 9000 Ghent, Belgium. FAU - Schroth, Gary P AU - Schroth GP AD - Illumina, San Diego, CA 92122, USA. FAU - Steyaert, Sandra AU - Steyaert S AD - Biogazelle, 9052 Zwijnaarde, Belgium. FAU - Vanderheyden, Katrien AU - Vanderheyden K AD - OncoRNALab, Center for Medical Genetics, Department of Biomolecular Medicine, Ghent University, 9000 Ghent, Belgium. FAU - Vanden Eynde, Eveline AU - Vanden Eynde E AD - OncoRNALab, Center for Medical Genetics, Department of Biomolecular Medicine, Ghent University, 9000 Ghent, Belgium. AD - Cancer Research Institute Ghent (CRIG), 9000 Ghent, Belgium. FAU - Verniers, Kimberly AU - Verniers K AD - OncoRNALab, Center for Medical Genetics, Department of Biomolecular Medicine, Ghent University, 9000 Ghent, Belgium. AD - Cancer Research Institute Ghent (CRIG), 9000 Ghent, Belgium. FAU - Verreth, Joke AU - Verreth J AD - OncoRNALab, Center for Medical Genetics, Department of Biomolecular Medicine, Ghent University, 9000 Ghent, Belgium. FAU - Van Dorpe, Jo AU - Van Dorpe J AUID- ORCID: 0000-0001-8175-2930 AD - Cancer Research Institute Ghent (CRIG), 9000 Ghent, Belgium. AD - Department of Pathology, Ghent University Hospital, 9000 Ghent, Belgium. AD - Department of Diagnostic Sciences, Ghent University, 9000 Ghent, Belgium. FAU - Vandesompele, Jo AU - Vandesompele J AUID- ORCID: 0000-0001-6274-0184 AD - OncoRNALab, Center for Medical Genetics, Department of Biomolecular Medicine, Ghent University, 9000 Ghent, Belgium. AD - Cancer Research Institute Ghent (CRIG), 9000 Ghent, Belgium. AD - Biogazelle, 9052 Zwijnaarde, Belgium. LA - eng PT - Journal Article DEP - 20220920 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (AP1B1 protein, human) RN - 0 (Adaptor Protein Complex 1) RN - 0 (Adaptor Protein Complex beta Subunits) RN - 0 (BRD4 protein, human) RN - 0 (Cell Cycle Proteins) RN - 0 (Nuclear Proteins) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (RNA, Messenger) RN - 0 (Transcription Factors) RN - 63231-63-0 (RNA) RN - 9BZQ3U62JX (Dithionitrobenzoic Acid) SB - IM MH - Adaptor Protein Complex 1/genetics MH - Adaptor Protein Complex beta Subunits MH - Cell Cycle Proteins/genetics MH - Dithionitrobenzoic Acid MH - Humans MH - In Situ Hybridization, Fluorescence MH - Nuclear Proteins/genetics MH - Oncogene Proteins, Fusion/genetics MH - RNA MH - RNA, Messenger/genetics MH - Reverse Transcriptase Polymerase Chain Reaction MH - *Sarcoma/diagnosis/genetics/pathology MH - *Soft Tissue Neoplasms/pathology MH - Transcription Factors/genetics PMC - PMC9569610 OTO - NOTNLM OT - RT-qPCR OT - alveolar rhabdomyosarcoma OT - formalin-fixed paraffin-embedded (FFPE) tissue OT - fusion gene OT - fusion transcript OT - mRNA capture sequencing OT - sarcoma OT - undifferentiated round cell sarcoma COIS- C.F. is an employee, A.D.G., M.L. and S.S. are former employees, and J.V. (Jo Vandesompele) is co-founder and CSO at Biogazelle, a CRO providing RNA sequencing services. G.S. and S.K. are employees of Illumina, providing the TruSight RNA Pan-Cancer Panel. The other authors declare no potential conflict of interest. The sponsors had no role in the design, execution, interpretation, or writing of the study. EDAT- 2022/10/15 06:00 MHDA- 2022/10/18 06:00 PMCR- 2022/09/20 CRDT- 2022/10/14 02:06 PHST- 2022/08/09 00:00 [received] PHST- 2022/09/12 00:00 [revised] PHST- 2022/09/12 00:00 [accepted] PHST- 2022/10/14 02:06 [entrez] PHST- 2022/10/15 06:00 [pubmed] PHST- 2022/10/18 06:00 [medline] PHST- 2022/09/20 00:00 [pmc-release] AID - ijms231911007 [pii] AID - ijms-23-11007 [pii] AID - 10.3390/ijms231911007 [doi] PST - epublish SO - Int J Mol Sci. 2022 Sep 20;23(19):11007. doi: 10.3390/ijms231911007.