Recurrent loss of chromosome 22 and SMARCB1 deletion in extra-axial chordoma: A clinicopathological and molecular analysis Journal Article


Authors: Wen, X.; Cimera, R.; Aryeequaye, R.; Abhinta, M.; Athanasian, E.; Healey, J.; Fabbri, N.; Boland, P.; Zhang, Y.; Hameed, M.
Article Title: Recurrent loss of chromosome 22 and SMARCB1 deletion in extra-axial chordoma: A clinicopathological and molecular analysis
Abstract: Extra-axial chordoma is a rare neoplasm of extra-axial skeleton and soft tissue that shares identical histomorphologic and immunophenotypic features with midline chordoma. While genetic changes in conventional chordoma have been well-studied, the genomic alterations of extra-axial chordoma have not been reported. It is well known that conventional chordoma is a tumor with predominantly non-random copy number alterations and low mutational burden. Herein we describe the clinicopathologic and genomic characteristics of six cases of extra-axial chordoma, with genome-wide high-resolution single nucleotide polymorphism array, fluorescence in situ hybridization and targeted next-generation sequencing (NGS) analysis. The patients presented at a mean age of 33 years (range: 21–54) with a female to male ratio of 5:1. Four cases were histologically conventional type, presented with bone lesions and three of them had local recurrence. Two cases were poorly differentiated chordomas, presented with intra-articular soft tissue masses and both developed distant metastases. All cases showed brachyury positivity and the two poorly differentiated chordomas showed in addition loss of INI-1 expression by immunohistochemical analysis. Three of four extra-axial conventional chordomas showed simple genome with loss of chromosome 22 or a heterozygous deletion of SMARCB1. Both poorly differentiated chordomas demonstrated a complex hyperdiploid genomic profile with gain of multiple chromosomes and homozygous deletion of SMARCB1. Our findings show that heterozygous deletion of SMARCB1 or the loss of chromosome 22 is a consistent abnormality in extra-axial chordoma and transformation to poorly differentiated chordoma is characterized by homozygous loss of SMARCB1 associated with genomic complexity and instability such as hyperdiploidy. © 2021 Wiley Periodicals LLC.
Keywords: smarcb1; ini1; extra-axial chordoma; extra-axial poorly differentiated chordoma
Journal Title: Genes Chromosomes and Cancer
Volume: 60
Issue: 12
ISSN: 1045-2257
Publisher: Wiley Periodicals, Inc  
Date Published: 2021-12-01
Start Page: 796
End Page: 807
Language: English
PMCID: PMC8511200
DOI: 10.1002/gcc.22992
PROVIDER: scopus
PUBMED: 34392582
DOI/URL:
Notes: Article reversed the name of author: Abhinita Mohanty; and misspelled the name as "Abhinta"-- Source: Scopus
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MSK Authors
  1. Meera Hameed
    281 Hameed
  2. Patrick J Boland
    160 Boland
  3. John H Healey
    547 Healey
  4. Nicola Fabbri
    64 Fabbri
  5. Abhinita Subhadarshin Mohanty
    39 Mohanty
  6. Robert Sime Cimera
    28 Cimera
  7. Yanming Zhang
    199 Zhang
  8. Xiaoyun Wen
    1 Wen