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Transcriptomic Stratification Reveals an FRS2-Associated, Proliferation-Independent Phenotype in MDM2-High Sarcomas
Takao Sakai1, Hisaki Aiba1, Makoto Yamaguchi1
1Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan.
Current Oncology (Toronto, Ont.)
|July 27, 2026
Summary
MDM2-amplified sarcomas may have underestimated metastatic risk. Fibroblast growth factor receptor substrate 2 (FRS2) correlates with MDM2 but not proliferation, indicating potential for aggressive behavior assessment.
Area of Science:
- Oncology
- Genomics
- Molecular Biology
Background:
- Murine Double Minute 2 (MDM2) amplification is a target for sarcoma therapy.
- Limited efficacy of MDM2 inhibitor monotherapy necessitates identifying additional prognostic factors.
Purpose of the Study:
- Investigate the relationship between MDM2 expression and the Complexity Index in SARComas (CINSARC) signature.
- Evaluate the prognostic implications of MDM2 and CINSARC in soft tissue sarcomas.
- Explore the role of fibroblast growth factor receptor substrate 2 (FRS2) in MDM2-high sarcomas.
Main Methods:
- Analysis of the public GSE21050 dataset (310 soft tissue sarcomas).
- Correlation analysis of MDM2 expression, CINSARC signature, and metastasis-free survival.
- Assessment of FRS2 expression in relation to MDM2 and CINSARC.
Main Results:
- MDM2-low/CINSARC-low subgroup exhibited favorable metastasis-free survival.
- MDM2-high/CINSARC-low subgroup showed unfavorable metastasis-free survival, similar to MDM2-high/CINSARC-high.
- FRS2 expression positively correlated with MDM2 but not CINSARC, independent of proliferation.
Conclusions:
- Proliferation-based risk assessment may underestimate metastatic risk in some MDM2-high sarcomas.
- FRS2 may serve as a marker for aggressive behavior in sarcomas, independent of tumor proliferation.
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