EWSR1-PBX3: A novel gene fusion in myoepithelial tumors Journal Article


Authors: Agaram, N. P.; Chen, H. W.; Zhang, L.; Sung, Y. S.; Panicek, D.; Healey, J. H.; Nielsen, G. P.; Fletcher, C. D. M.; Antonescu, C. R.
Article Title: EWSR1-PBX3: A novel gene fusion in myoepithelial tumors
Abstract: The genetics of myoepithelial tumors (ME) of soft tissue and bone have recently been investigated, with EWSR1-related gene fusions being seen in approximately half of the tumors. The fusion partners of EWSR1 so far described include POU5F1, PBX1, ZNF444 and, in a rare case, ATF1. We investigated by RNA sequencing an index case of EWSR1-rearranged ME of the tibia, lacking a known fusion partner, and identified a novel EWSR1-PBX3 fusion. The fusion was further validated by reverse transcriptase polymerase chain reaction and fluorescence in situ hybridization (FISH). To evaluate if this is a recurrent event, an additional cohort of 22 EWSR1-rearranged ME cases lacking a fusion partner were screened by FISH for abnormalities in PBX3 gene. Thus, two additional cases were identified showing an EWSR1-PBX3 gene fusion. One of them was also intraosseous involving the ankle, while the other occurred in the soft tissue of the index finger. The morphology of the EWSR1-PBX3 fusion positive cases showed similar findings, with nests or sheets of epithelioid to spindle cells in a partially myxoid to collagenous matrix. All three cases showed expression of S100 and EMA by immunohistochemistry. In summary, we report a novel EWSR1-PBX3 gene fusion in a small subset of ME, thereby expanding the spectrum of EWSR1-related gene fusions seen in these tumors. This gene fusion seems to occur preferentially in skeletal ME, with two of the three study cases occurring in intraosseous locations.
Journal Title: Genes Chromosomes and Cancer
Volume: 54
Issue: 2
ISSN: 1045-2257
Publisher: Wiley Periodicals, Inc  
Date Published: 2015-02-01
Start Page: 63
End Page: 71
Language: English
DOI: 10.1002/gcc.22216
PROVIDER: scopus
PMCID: PMC4268355
PUBMED: 25231231
DOI/URL:
Notes: Export Date: 2 January 2015 -- Source: Scopus
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MSK Authors
  1. David M Panicek
    134 Panicek
  2. Narasimhan P Agaram
    190 Agaram
  3. Cristina R Antonescu
    895 Antonescu
  4. John H Healey
    547 Healey
  5. Lei Zhang
    194 Zhang
  6. Yun Shao Sung
    124 Sung
  7. Hsiao-Wei Chen
    30 Chen