Gene Expression Profiling Identifies Two Chordoma Subtypes Associated with Distinct Molecular Mechanisms and Clinical

Jiwei Bai1,2,3, Jianxin Shi4, Yazhuo Zhang1,2,3,5

  • 1Beijing Neurosurgical Institute, Capital Medical University, Beijing, China.

Abstract

Insights

This study identified two molecular subtypes of chordoma, a rare bone cancer. These subtypes, linked to specific gene pathways and mutations, may improve prognostication and targeted treatment for chordoma patients.

Area of Science:

  • Oncology
  • Genomics
  • Molecular Biology

Background:

  • Chordoma is a rare bone tumor with a high recurrence rate.
  • Limited treatment options exist for chordoma.
  • Understanding molecular heterogeneity is crucial for improved clinical management.

Purpose of the Study:

  • To identify molecular subtypes of chordoma.
  • To improve clinical management strategies for chordoma.
  • To elucidate subtype-specific tumorigenesis.

Main Methods:

  • RNA sequencing of 48 Chinese skull-base chordoma tumors.
  • Replication of subtype classification using NanoString in 48 North American chordoma patients.
  • Immunohistochemistry (IHC) staining of differentially expressed genes in 312 Chinese chordoma patients.

Main Results:

  • Two major molecular subtypes of chordoma were identified.
  • Subtype 1: associated with somatic mutations and reduced chromatin remodeling gene expression (e.g., PBRM1, SETD2).
  • Subtype 2: characterized by upregulation of epithelial-mesenchymal transition and Sonic Hedgehog pathways; PTCH1 expression linked to survival outcomes.

Conclusions:

  • Findings enhance understanding of chordoma tumorigenesis.
  • Molecular subtypes can inform clinical prognostication.
  • Potential for developing targeted therapeutic options based on identified subtypes.