A novel nfix-stat6 gene fusion in solitary fibrous tumor

Solitary fibrous tumor is a rare subtype of soft-tissue sarcoma with a wide spectrum of histopathological features and clinical behaviors, ranging from mildly to highly aggressive tumors. The defining genetic driver alteration is the gene fusion NAB2-STAT6, resulting from a paracentric inversion wit...

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Detalles Bibliográficos
Autores: Moura, David S., Díaz-Martín, Juan|||0000-0002-3985-6434, Bagué Rosell, Sílvia|||0000-0001-9980-7231, Orellana Fernández, Ruth|||0000-0003-1260-7064, Sebio, Ana|||0000-0003-3333-2370, Mondaza Hernandez, Jose Lucinio|||0000-0002-5642-3796, Salguero-Aranda, Carmen, Rojo, Federico|||0000-0001-9989-0290, Hindi, Nadia|||0000-0002-5864-762X, Fletcher, Christopher D.M., Martín-Broto, Javier|||0000-0001-7350-6916
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:271890
Acceso en línea:https://ddd.uab.cat/record/271890
https://dx.doi.org/urn:doi:10.3390/ijms22147514
Access Level:acceso abierto
Palabra clave:Solitary fibrous tumor
Gene fusion
STAT6
NFIX-STAT6
Descripción
Sumario:Solitary fibrous tumor is a rare subtype of soft-tissue sarcoma with a wide spectrum of histopathological features and clinical behaviors, ranging from mildly to highly aggressive tumors. The defining genetic driver alteration is the gene fusion NAB2-STAT6, resulting from a paracentric inversion within chromosome 12q, and involving several different exons in each gene. STAT6 (sig-nal transducer and activator of transcription 6) nuclear immunostaining and/or the identification of NAB2-STAT6 gene fusion is required for the diagnostic confirmation of solitary fibrous tumor. In the present study, a new gene fusion consisting of Nuclear Factor I X (NFIX), mapping to 19p13.2 and STAT6, mapping to 12q13.3 was identified by targeted RNA-Seq in a 74-year-old female patient diagnosed with a deep-seated solitary fibrous tumor in the pelvis. Histopathologically, the neo-plasm did not display nuclear pleomorphism or tumor necrosis and had a low proliferative index. A total of 378 unique reads spanning the NFIXexon8-STAT6exon2 breakpoint with 55 different start sites were detected in the bioinformatic analysis, which represented 59.5% of the reads intersecting the genomic location on either side of the breakpoint. Targeted RNA-Seq results were validated by RT-PCR/ Sanger sequencing. The identification of a new gene fusion partner for STAT6 in solitary fibrous tumor opens intriguing new hypotheses to refine the role of STAT6 in the sarcomatogenesis of this entity.