Angiogenesis-Promoting Gene Patterns in Alveolar Soft Part Sarcoma

作者：Alexander J. Lazar, Parimal Kumar Das, Daniel M. Tuvin, Borys Korchin, Quansheng Zhu, Zeming Jin, Carla L. Warneke, Peter S. Zhang, Vivian S. Hernandez, Dolores H Lopez-Terrada, Peter W. T. Pisters, Raphael E. Pollock, Dina Chelouche Lev · 发表于：Clinical Cancer Research · 年份：2007 · DOI：10.1158/1078-0432.ccr-07-0174 · 被引用次数：104 · 研究领域：Sarcoma Diagnosis and Treatment、Angiogenesis and VEGF in Cancer、Vascular Tumors and Angiosarcomas

PURPOSE: We examined a cohort of patients with alveolar soft part sarcoma (ASPS) treated at our institution and showed the characteristic ASPSCR1-TFE3 fusion transcript in their tumors. Investigation of potential angiogenesis-modulating molecular determinants provided mechanistic and potentially therapeutically relevant insight into the enhanced vascularity characteristic of this unusual tumor. EXPERIMENTAL DESIGN: Medical records of 71 patients with ASPS presenting at the University of Texas M.D. Anderson Cancer Center (1986-2005) were reviewed to isolate 33 patients with formalin-fixed paraffin-embedded material available for study. RNA extracted from available fresh-frozen and formalin-fixed paraffin-embedded human ASPS tumors were analyzed for ASPSCR1-TFE3 fusion transcript expression using reverse transcription-PCR and by angiogenesis oligomicroarrays with immunohistochemical confirmation. RESULTS: Similar to previous studies, actuarial 5- and 10-year survival rates were 74% and 51%, respectively, despite frequent metastasis. ASPSCR1-TFE3 fusion transcripts were identified in 16 of 18 ASPS samples. In the three frozen samples subjected to an angiogenesis oligoarray, 18 angiogenesis-related genes were up-regulated in tumor over adjacent normal tissue. Immunohistochemistry for jag-1, midkine, and angiogenin in 33 human ASPS samples confirmed these results. Comparison with other sarcomas indicates that the ASPS angiogenic signature is unique. CONCLUSION: ASPS is a highly va...