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Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Solid Tumour Section Short Communication Soft tissue tumors: t(2;2)(p23;q35) in alveolar rhabdomyosarcoma Frederic G Barr Department of Pathology and Laboratory Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA (FGB) Published in Atlas Database: July 2010 Online updated version : http://AtlasGeneticsOncology.org/Tumors/t22p23q35AlvRhabdoID5445.html DOI: 10.4267/2042/45009 This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 France Licence. © 2011 Atlas of Genetics and Cytogenetics in Oncology and Haematology NCOA1 Clinics and pathology Location 2p23 Protein Nuclear receptor transcriptional coactivator - p160 family. Phenotype / cell stem origin Alveolar rhabdomyosarcoma (ARMS). Epidemiology Occurs in a small subset of ARMS cases (<5%). There are five reported cases. PAX3 Pathology Location 2q35 Note The NCOA2 gene (encoding another member of the p160 family of transcriptional coactivators) is located at 8q13 and involved in the variant t(2;8). Protein Transcription factor - paired box (PAX) family. No information available. Cytogenetics Cytogenetics Morphological Of the five reported cases, cytogenetics was only performed on one case and demonstrated a normal karyotype. Result of the chromosomal anomaly Cytogenetics Molecular Several of these cases were detected using fluorescence in situ hybridization analysis by the finding of PAX3 rearrangement without evidence of a PAX3-FOXO1 fusion or FOXO1 rearrangement. Other cases were detected by directly assaying cases with a PAX3NCOA1 fusion-specific RT-PCR assay. Hybrid Gene Description Based on the cloned cDNA, there appears to be two possible scenarios for formation of fusion genes. In some cases, the translocation apparently breaks within PAX3 intron 6 and NCOA1 intron 12 (type 1), and in other cases the translocation breaks within PAX3 intron 7 and NCOA1 intron 11 (type 2). Transcript The type 1 fusion transcript consists of the first six PAX3 exons fused to the last nine NCOA1 exons Genes involved and proteins Note A variant t(2;8)(q35;q13) translocation has been identified, both in ARMS and in cases of embryonal rhabdomyosarcoma. Atlas Genet Cytogenet Oncol Haematol. 2011; 15(4) 385 Soft tissue tumors: t(2;2)(p23;q35) in alveolar rhabdomyosarcoma Barr FG Generation of chimeric genes by the 2;2 translocation in ARMS. The exons of the wild-type and fusion genes are shown as boxes above each map and the translocation breakpoint distributions are shown as line segments below the map of the wild-type genes. (from exon 13 onward) and the type 2 fusion transcript consists of the first seven PAX3 exons fused to the last ten NCOA1 exons (from exon 12 onward). References Barr FG. Gene fusions involving PAX and FOX family members in alveolar rhabdomyosarcoma. Oncogene. 2001 Sep 10;20(40):5736-46 Fusion Protein Description The type 1 fusion gene encodes a 894 amino acid fusion protein and the type 2 fusion gene encodes a 1026 amino acid fusion protein. The fusion proteins encode novel transcription factors with the PAX3 DNA binding domain and the NCOA1 transcriptional activation domains. Oncogenesis Transcription dysregulation. At the cellular level there is evidence of alterations in control of growth, resulting in transformation of recipient cells (NIH3T3) in culture. Atlas Genet Cytogenet Oncol Haematol. 2011; 15(4) Xu J, Li Q. Review of the in vivo functions of the p160 steroid receptor coactivator family. Mol Endocrinol. 2003 Sep;17(9):1681-92 Wachtel M, Dettling M, Koscielniak E, Stegmaier S, Treuner J, Simon-Klingenstein K, Bühlmann P, Niggli FK, Schäfer BW. Gene expression signatures identify rhabdomyosarcoma subtypes and detect a novel t(2;2)(q35;p23) translocation fusing PAX3 to NCOA1. Cancer Res. 2004 Aug 15;64(16):5539-45 Nishio J, Althof PA, Bailey JM, Zhou M, Neff JR, Barr FG, Parham DM, Teot L, Qualman SJ, Bridge JA. Use of a novel FISH assay on paraffin-embedded tissues as an adjunct to diagnosis of alveolar rhabdomyosarcoma. Lab Invest. 2006 Jun;86(6):547-56 386 Soft tissue tumors: t(2;2)(p23;q35) in alveolar rhabdomyosarcoma Barr FG Buckingham M, Relaix F. The role of Pax genes in the development of tissues and organs: Pax3 and Pax7 regulate muscle progenitor cell functions. Annu Rev Cell Dev Biol. 2007;23:645-73 transcriptional coactivator family. Cancer. 2010 Mar;49(3):224-36 Chromosomes Williamson D, Missiaglia E, de Reyniès A, Pierron G, Thuille B, Palenzuela G, Thway K, Orbach D, Laé M, Fréneaux P, Pritchard-Jones K, Oberlin O, Shipley J, Delattre O. Fusion gene-negative alveolar rhabdomyosarcoma is clinically and molecularly indistinguishable from embryonal rhabdomyosarcoma. J Clin Oncol. 2010 May 1;28(13):2151-8 Mercado GE, Barr FG. Fusions involving PAX and FOX genes in the molecular pathogenesis of alveolar rhabdomyosarcoma: recent advances. Curr Mol Med. 2007 Feb;7(1):47-61 Xu J, Wu RC, O'Malley BW. Normal and cancer-related functions of the p160 steroid receptor co-activator (SRC) family. Nat Rev Cancer. 2009 Sep;9(9):615-30 This article should be referenced as such: Barr FG. Soft tissue tumors: t(2;2)(p23;q35) in alveolar rhabdomyosarcoma. Atlas Genet Cytogenet Oncol Haematol. 2011; 15(4):385-387. Sumegi J, Streblow R, Frayer RW, Dal Cin P, Rosenberg A, Meloni-Ehrig A, Bridge JA. Recurrent t(2;2) and t(2;8) translocations in rhabdomyosarcoma without the canonical PAX-FOXO1 fuse PAX3 to members of the nuclear receptor Atlas Genet Cytogenet Oncol Haematol. 2011; 15(4) Genes 387