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Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Solid Tumour Section Short Communication t(2;22)(q34;q12) in angiomatoid fibrous histiocytoma Jean-Loup Huret Genetics, Dept Medical Information, University of Poitiers, CHU Poitiers Hospital, F-86021 Poitiers, France (JLH) Published in Atlas Database: December 2009 Online updated version : http://AtlasGeneticsOncology.org/Tumors/t0222q34q12AngioID5670.html DOI: 10.4267/2042/44878 This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 France Licence. © 2010 Atlas of Genetics and Cytogenetics in Oncology and Haematology Clinics and pathology Genes involved and proteins Disease CREB1 Angiomatoid fibrous histiocytoma is a rare soft-tissue tumour of low metastatic potential (local recurrence below 15% of cases, and metastases occur in less than 2% of patients), often located in the extremities; it is mostly found in children and young adults. Surgical excision is the treatment of choice. Location 2q33 Protein Contains a KID domain (kinase inductible domain), a basic motif (DNA binding) and a leucine-zipper for dimerization, like ATF1. Stimulates transcription by binding the cAMP response element TGACGTCA (CRE). Transcription factor. Epidemiology Twenty two cases of angiomatoid fibrous histiocytoma with a (2;22)(q34;q12) have so far been described; there were 13 male and 9 female patients, aged 16 years (median, range 3-38) (Antonescu et al., 2007; Rossi et al., 2007; Shao et al., 2009). EWSR1 Location 22q12 Protein From N-term to C-term: a transactivation domain (TAD) containing multiple degenerate hexapeptide repeats, 3 arginine/glycine rich domains (RGG regions), a RNA recognition motif, and a RanBP2 type Zinc finger. Role in transcriptional regulation for specific genes and in mRNA splicing. Pathology Cases presented either a spindle or a mixed spindle and small cell morphology; there was no case of pure small cell morphology; one case showed pleomorphism; however, the prognosis in this later case has been as good as that of other cases. Cytogenetics Result of the chromosomal anomaly Cytogenetics Morphological The t(2;22)(q34;q12) appears to be the most frequent anomaly in angiomatoid fibrous histiocytoma, while the t(12;22)(q13;q12) (5' EWSR1 - 3' ATF1), and the t(12;16)(q13;p11) (5' FUS- 3' ATF1) are rarer. Atlas Genet Cytogenet Oncol Haematol. 2010; 14(10) Hybrid Gene Description 5' EWSR1 - 3' CREB1. EWSR1 exon 7 is fused in frame to CREB1 exon 7 in all cases so far studied. 994 t(2;22)(q34;q12) in angiomatoid fibrous histiocytoma Huret JL Rossi S, Szuhai K, Ijszenga M, Tanke HJ, Zanatta L, Sciot R, Fletcher CD, Dei Tos AP, Hogendoorn PC. EWSR1-CREB1 and EWSR1-ATF1 fusion genes in angiomatoid fibrous histiocytoma. Clin Cancer Res. 2007 Dec 15;13(24):7322-8 Fusion Protein Description Fusion of the N terminal transactivation domain of EWSR1 to the DNA binding domain of CREB1. Shao L, Singh V, Cooley L. Angiomatoid fibrous histiocytoma with t(2;22)(q33;q12.2) and EWSR1 gene rearrangement. Pediatr Dev Pathol. 2009 Mar-Apr;12(2):143-6 References This article should be referenced as such: Antonescu CR, Dal Cin P, Nafa K, Teot LA, Surti U, Fletcher CD, Ladanyi M. EWSR1-CREB1 is the predominant gene fusion in angiomatoid fibrous histiocytoma. Genes Chromosomes Cancer. 2007 Dec;46(12):1051-60 Atlas Genet Cytogenet Oncol Haematol. 2010; 14(10) Huret JL. t(2;22)(q34;q12) in angiomatoid fibrous histiocytoma. Atlas Genet Cytogenet Oncol Haematol. 2010; 14(10):994-995. 995