Comprehensive Molecular Characterization of a Large Series of Calcified Chondroid Mesenchymal Neoplasms Widening Their Morphologic Spectrum - Archive ouverte HAL
Article Dans Une Revue American Journal of Surgical Pathology Année : 2024

Comprehensive Molecular Characterization of a Large Series of Calcified Chondroid Mesenchymal Neoplasms Widening Their Morphologic Spectrum

Clément Benard
  • Fonction : Auteur
François Le Loarer
  • Fonction : Auteur
Anne Gomez-Mascard
  • Fonction : Auteur
Rihab Azmani
  • Fonction : Auteur
Jeremy Garcia
  • Fonction : Auteur
Raul Perret
  • Fonction : Auteur
Gonzague de Pinieux
  • Fonction : Auteur
Elodie Miquelestorena-Standley
  • Fonction : Auteur
Noelle Weingertner
  • Fonction : Auteur
Alexandra Meurgey
  • Fonction : Auteur
Audrey Michot
  • Fonction : Auteur
Nathalene Truffaux
  • Fonction : Auteur
Nicolas Macagno
  • Fonction : Auteur
Corinne Bouvier
  • Fonction : Auteur

Résumé

Recently, FN1 fusions to receptor tyrosine kinase genes have been identified in soft tissue tumors with calcified chondroid matrix named calcifying chondroid mesenchymal neoplasms (CCMNs). We collected 33 cases of CCMN from the French network for soft tissue and bone tumors. We performed whole-exome RNA sequencing, expression analysis, and genome-wide DNA methylation profiling in 33, 30, and 20 cases of CCMN compared with a control group of tumors, including noncalcified tenosynovial giant cell tumor (TGCT). Among them, 15 cases showed morphologic overlap with soft tissue chondroma, 8 cases with tophaceous pseudogout, and 10 cases with chondroid TGCT. RNA-sequencing revealed a fusion of FN1 in 76% of cases (25/33) with different 5′ partners, including most frequently FGFR2 (14 cases), TEK or FGFR1 . Among CCMN associated with FGFR1 fusions, 2 cases had overexpression of FGF23 without tumor-induced osteomalacia. Four CCMN had PDGFRA::USP8 fusions; 3 of which had histologic features of TGCT and were located in the hip, foot, and temporomandibular joint (TMJ). All cases with FN1::TEK fusion were located at TMJ and had histologic features of TGCT with or without chondroid matrix. They formed a distinct cluster on unsupervised clustering analyses based on whole transcriptome and genome-wide methylome data. Our study confirms the high prevalence of FN1 fusions in CCMN. In addition, through transcriptome and methylome analyses, we have identified a novel subgroup of tumors located at the TMJ, exhibiting TGCT-like features and FN1::TEK fusions.

Domaines

Cancer
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Dates et versions

hal-04676573 , version 1 (23-08-2024)

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Citer

Clément Benard, François Le Loarer, Anne Gomez-Mascard, Rihab Azmani, Jeremy Garcia, et al.. Comprehensive Molecular Characterization of a Large Series of Calcified Chondroid Mesenchymal Neoplasms Widening Their Morphologic Spectrum. American Journal of Surgical Pathology, 2024, 48 (8), pp.991-1004. ⟨10.1097/PAS.0000000000002260⟩. ⟨hal-04676573⟩
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