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Published on: May 18, 2018
Receptor tyrosine kinase pathway analysis sheds light on similarities between clear-cell sarcoma and metastatic
Tiziana Negri1, Silvia Brich, Elena Conca
1Laboratory of Molecular Pathology, Department of Pathology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Abstract:
To highlight possible similarities and differences in receptor tyrosine kinase (RTK) and downstream signalling activation profiles between clear-cell sarcomas (CCS) and metastatic melanomas (MM), frozen, and paired-matched fixed samples of six CCS with EWSR1 rearrangement (EWSR1+), five CCS without EWSR1 rearrangement (EWSR1-), and seven MM were investigated by means of biochemical, immunohistochemical, FISH, molecular analyses, and immunofluorescence confocal microscopy. Fixed samples of a further 10 CCS and 14 MM were investigated by means of sequencing for BRAF, NRAS, and KRAS mutations and FISH analyses for the gain of chromosomes 22 and 8. RTK analysis of all CCS/MM samples showed activation of short-form (sf) recepteur d'origine nantais (RON) RTK and of PDGFRB, MET, and HER3. Analysis of downstream signaling revealed consistent phosphorylation patterns of PI3K/AKT, RSK, and the mTOR targets S6 and 4EBP1. Analysis of frozen and fixed material from 21 CCS and 21 MM showed the presence of the V600E BRAF mutation in 2/12 EWSR1+ and 3/9 EWSR1- CCS and 9/21 MM and demonstrated a significant (P < 0.001) correlation between the gain of chromosomes 22 and 8 and EWSR1- CCS. Our results show that BRAF mutation can also be present in CCS and support the proposed aberration of chromosomes 22 and 8 as a possibly useful nonrandom hallmark of EWSR1- CCS. Besides, they broaden the spectrum of the similarities of RTK pathway activation between CCS and MM, thus suggesting that new drugs found to be active in melanoma and RON inhibitors could have a role in CCS treatment. © 2011 Wiley Periodicals, Inc.
Insights
Clear-cell sarcoma (CCS) and metastatic melanoma (MM) share similar receptor tyrosine kinase (RTK) pathway activation. BRAF mutations and chromosome aberrations in EWSR1- CCS suggest potential therapeutic targets, including RON inhibitors.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Clear-cell sarcoma (CCS) and metastatic melanoma (MM) are distinct malignancies.
- Understanding their molecular signaling pathways can reveal therapeutic vulnerabilities.
Purpose of the Study:
- To compare receptor tyrosine kinase (RTK) and downstream signaling activation profiles between CCS and MM.
- To identify potential therapeutic targets for CCS based on similarities with MM.
Main Methods:
- Investigated frozen and fixed samples from CCS (with and without EWSR1 rearrangement) and MM using biochemical, immunohistochemical, FISH, molecular analyses, and immunofluorescence microscopy.
- Sequenced BRAF, NRAS, and KRAS mutations and performed FISH for chromosome 22 and 8 gains in additional samples.
Main Results:
- Both CCS and MM showed activation of short-form recepteur d'origine nantais (RON) RTK, PDGFRB, MET, and HER3.
- Consistent downstream signaling phosphorylation patterns of PI3K/AKT, RSK, and mTOR targets (S6, 4EBP1) were observed.
- BRAF V600E mutation was found in a subset of CCS (EWSR1+ and EWSR1-), and a significant correlation between chromosome 22 and 8 gains and EWSR1- CCS was identified.
Conclusions:
- BRAF mutations can occur in CCS, and chromosome 22/8 aberrations may serve as a hallmark for EWSR1- CCS.
- Similarities in RTK pathway activation between CCS and MM suggest that therapies effective in melanoma, particularly RON inhibitors, could be beneficial for CCS treatment.
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