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BIOMARKER:

EWSR1-FLI1 fusion

i
Other names: FLI1, Fli-1 Proto-Oncogene ETS Transcription Factor, Friend Leukemia Integration 1 Transcription Factor, Friend Leukemia Virus Integration 1, Transcription Factor ERGB, EWSR2, SIC-1, Ewing Sarcoma Breakpoint Region, Proto-Oncogene Fli-1, BDPLT21, EWSR1, EWS RNA Binding Protein 1, Ewing Sarcoma Breakpoint Region 1, RNA-Binding Protein EWS, EWS, Ewings Sarcoma EWS-Fli1 (Type 1) Oncogene, Ewing Sarcoma Breakpoint Region 1 Protein, EWS RNA-Binding Protein Variant 6, EWS Oncogene, BK984G1.4, EWS-FLI1
Entrez ID:
Related biomarkers:
28d
Impaired neutrophil-mediated cell death drives Ewing's Sarcoma in the background of Down syndrome. (PubMed, Front Oncol)
In this context, the tumour underwent genome-wide near haploidisation resulting in a massive overexpression of pro-inflammatory cytokines. Recruitment of defective neutrophils fostered rapid evolution of this EWS.
Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • MPO (Myeloperoxidase)
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EWSR1-FLI1 fusion
2ms
Clinicopathological characteristics and genetic features of young and senior Ewing sarcoma patients. (PubMed, Diagn Pathol)
Clinicopathological characteristics and genetic features in young and senior EwS patients differed significantly. Targeting cell cycle dysregulation based on age subgroup may be a potential therapeutic strategy for Ewing sarcoma.
Journal
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CCND1 (Cyclin D1) • CDK4 (Cyclin-dependent kinase 4) • EWSR1 (EWS RNA Binding Protein 1) • STAG2 (Stromal Antigen 2) • ERG (ETS Transcription Factor ERG) • CHEK1 (Checkpoint kinase 1) • EPHA3 (EPH receptor A3) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • SLIT2 (Slit Guidance Ligand 2)
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CCND1 amplification • CDK4 amplification • STAG2 mutation • CCND1 expression • EWSR1-FLI1 fusion • CCND1-H • EPHA3 mutation • CHEK1 expression
10ms
Dynamic network curvature analysis of gene expression reveals novel potential therapeutic targets in sarcoma. (PubMed, Sci Rep)
In confirmation of the validity of this method, hierarchical clustering revealed the characteristic EWSR1-FLI1 fusion in Ewing sarcoma. Furthermore, assessing the effects of in silico edge perturbations and simulated gene knockouts as quantified by changes in curvature, we found non-trivial gene associations not previously identified.
Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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EWSR1-FLI1 fusion
1year
Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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EWSR1-FLI1 fusion
over1year
DEEP SEQUENCING OF A CASE OF MULTIFOCAL LCH THAT DEVELOPED AFTER EWING SARCOMA (ASPHO 2023)
Multi-focal LCH developing after Ewing sarcoma treatment has previously not been reported in the literature. Deep sequencing of both tumors showed biologically distinct mechanisms that led to development of Ewing sarcoma and subsequent multi-focal bone LCH. More studies need to be performed to understand if these distinct tumors are arising from common lineage progenitor cells or represent an unfortunate secondary primary tumor.
Clinical • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • BRAF (B-raf proto-oncogene) • MYD88 (MYD88 Innate Immune Signal Transduction Adaptor) • EWSR1 (EWS RNA Binding Protein 1) • STAG2 (Stromal Antigen 2) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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BRAF V600E • BRAF V600 • MYD88 mutation • MYD88 L265P • STAG2 mutation • EWSR1-FLI1 fusion
over1year
Integrative immune-genomic comparison of canonical Ewing sarcoma with Ewing-like mimics identifies potential targets for personalized therapies (AACR 2023)
Our study shows that NGS could efficiently facilitate the definitive diagnosis of ES and its mimics. We also revealed a diverse immune-genomic landscape of these SRCS, indicative of potential therapeutic opportunities targeting HRD and immune check-point in specific subtypes of these sarcoma entities.
PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • ALK (Anaplastic lymphoma kinase) • TP53 (Tumor protein P53) • HRD (Homologous Recombination Deficiency) • CDKN2A (Cyclin Dependent Kinase Inhibitor 2A) • JAK2 (Janus kinase 2) • PD-1 (Programmed cell death 1) • MTAP (Methylthioadenosine Phosphorylase) • PTCH1 (Patched 1) • CDKN2B (Cyclin Dependent Kinase Inhibitor 2B) • EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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PD-L1 expression • TP53 mutation • HRD • ALK fusion • EWSR1-FLI1 fusion
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OncoScreen Plus®
over1year
Ganglioside SSEA4 in Ewing sarcoma: A marker of tumor cells with highly aggressive features and a potential immune target (AACR 2023)
SSEA4-specific CAR T cells specifically interacted with SSEA4 positive EwS cells in a strictly antigen-dependent manner, resulting in effective tumor cell lysis in vitro. We conclude that targeting of SSEA4 with CAR T cells or alternative immune therapeutics could be an attractive strategy to eliminate tumor cell subsets with high propensity to drive disease progression in EwS and therefore deserves further evaluation towards clinical translation.
Tumor cell
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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EWSR1-FLI1 fusion
almost2years
Primary Cutaneous Ewing Sarcoma of the Scalp With Metastasis to the Lung: An Unusual Manifestation During Pregnancy. (PubMed, Am J Dermatopathol)
Also, despite its rarity, PCES should be included in the differential diagnosis of small, round, blue cell tumors at cutaneous sites. Our case also exemplifies common biases in medical decision-making, including premature closure and anchoring bias which can result in misdiagnosis or diagnostic delay and associated delay in appropriate management.
Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • CD99 (CD99 Molecule)
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EWSR1-FLI1 fusion
2years
Primary Extraosseous Ewing Sarcoma of the Rectum: A Rare Clinical Presentation Mimicking a Prolapsed Hemorrhoid (CAP 2022)
Primary superficial Ewing sarcoma is extremely rare, and this is only the second molecularly confirmed case of rectal origin. Further studies are needed to better understand the clinical behavior of rare rectal and superficial Ewing sarcomas compared with their more common bone and deep soft tissue counterparts.
Clinical
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EWSR1 (EWS RNA Binding Protein 1) • PTPRC (Protein Tyrosine Phosphatase Receptor Type C) • SOX10 (SRY-Box 10) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • CD99 (CD99 Molecule) • SYP (Synaptophysin)
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EWSR1-FLI1 fusion
2years
Primary Extraosseous Ewing Sarcoma of the Rectum: A Rare Clinical Presentation Mimicking a Prolapsed Hemorrhoid (CAP 2022)
Primary superficial Ewing sarcoma is extremely rare, and this is only the second molecularly confirmed case of rectal origin. Further studies are needed to better understand the clinical behavior of rare rectal and superficial Ewing sarcomas compared with their more common bone and deep soft tissue counterparts.
Clinical
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EWSR1 (EWS RNA Binding Protein 1) • PTPRC (Protein Tyrosine Phosphatase Receptor Type C) • SOX10 (SRY-Box 10) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • CD99 (CD99 Molecule) • SYP (Synaptophysin)
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EWSR1-FLI1 fusion
2years
Validation of PRKCB Immunohistochemistry as a Biomarker for the Diagnosis of Ewing Sarcoma. (PubMed, Fetal Pediatr Pathol)
PRKCB IHC is sensitive (98%) and specific (96%) in detecting EWSR1 rearranged ES. PRKCB is a reliable antibody for diagnosing ES in routine practice.
Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • PRKCB (Protein Kinase C Beta)
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EWSR1-FLI1 fusion
2years
A rare radiotherapy-sensitive primitive neuroectodermal tumor with APC gene amplification in an adult: a case report and literature review. (PubMed, J Int Med Res)
Although the patient received multidisciplinary treatment including chemotherapy regimens of etoposide plus cisplatin; focal radiotherapy focusing on the cerebrum, lung, and kidneys; and a subsequent palliative gastrointestinal operation, he eventually died of multiple organ functional failure. This patient with APC gene amplification showed excellent sensitivity to radiotherapy for intrapulmonary and intracranial lesions, suggesting that APC gene amplification may be related to radiotherapy sensitivity. However, further clinical research is needed.
Review • Journal
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APC (APC Regulator Of WNT Signaling Pathway) • EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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EWSR1-FLI1 fusion
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cisplatin • etoposide IV
2years
TK216 targets microtubules in Ewing sarcoma cells. (PubMed, Cell Chem Biol)
Using reconstituted microtubule (MT) polymerization in vitro and cell-based chemical probe competition assays, we demonstrate that TK216 acts as an MT destabilizing agent. This work defines the mechanism of cytotoxicity of TK216, explains the synergy observed with vincristine, and calls for a reexamination of ongoing clinical trials with TK216.
Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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EWSR1-FLI1 fusion
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vincristine • ONCT-216
over2years
Establishment and characterization of a novel patient-derived Ewing sarcoma cell line, NCC-ES2-C1. (PubMed, Hum Cell)
We screened the anti-tumor effects of 214 anti-cancer drugs in NCC-ES2-C1 cells and found that the drugs which effectively reduced the proliferation of NCC-ES2-C1 cells. We concluded that NCC-ES2-C1 cells are a useful resource to study functions of the EWSR1-FLI1 fusion gene, investigate phenotypic changes caused by genes and proteins, and evaluate the anti-tumor effects of novel drugs.
Preclinical • Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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EWSR1-FLI1 fusion
over2years
Upregulation of the Mevalonate Pathway through EWSR1-FLI1/EGR2 Regulatory Axis Confers Ewing Cells Exquisite Sensitivity to Statins. (PubMed, Cancers (Basel))
Finally, we further show that statins impair tumor growth in different Ewing PDX models. Altogether, the data show that statins, which are off-patent, well-tolerated, and inexpensive compounds, should be strongly considered in the therapeutic arsenal against this deadly childhood disease.
Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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EWSR1-FLI1 fusion
over2years
Function of Ewing sarcoma EWSR1 protein in the maintenance of chromosome stability (AACR 2022)
Currently, we are in a process of elucidating the molecular mechanism of EWSR1 knockdown dependent mitigation of mitotic arrest. Successful completion of the study may shed light on how/whether haploinsufficiency of EWSR1 contributes to the molecular pathogenesis of Ewing sarcoma.
Clinical
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TP53 (Tumor protein P53) • EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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TP53 mutation • EWSR1-FLI1 fusion
over2years
Identification, characterization, and targeting of desmoplastic small round cell tumor cancer stem cell-like cells (AACR 2022)
CCK-8 assay demonstrated an increased chemoresistance for tumorspheres versus normal adherent culture especially for doxorubicin, which was confirmed by reduction in PARP cleavage...BLK knockdown reduced CSC-like properties including abrogation of tumorsphere formation and reduction in the levels of SOX2 and NANOG. Together, this work for the first time identifies a CSC-like population in DSRCT and BLK as a potential DSRCT CSC target.
WT1 (WT1 Transcription Factor) • EWSR1 (EWS RNA Binding Protein 1) • SOX2 • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • NANOG (Nanog Homeobox)
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EWSR1-FLI1 fusion • EWSR1-WT1 fusion
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doxorubicin hydrochloride
over2years
Genomic characterization of PDX models from rare cancer patients in the NCI Patient-Derived Models Repository (AACR 2022)
Comprehensive genomic characterization of NCI PDMR models generated from rare cancers solves an unmet need in the community. It will serve as a valuable resource for translational researchers interested in pre-clinical drug development and discovery.
Clinical • MSi-H Biomarker
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TP53 (Tumor protein P53) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • MSI (Microsatellite instability) • HRD (Homologous Recombination Deficiency) • NOTCH1 (Notch 1) • EWSR1 (EWS RNA Binding Protein 1) • TFE3 (Transcription Factor Binding To IGHM Enhancer 3) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • SS18 (SS18 Subunit Of BAF Chromatin Remodeling Complex) • SSX1 (SSX Family Member 1)
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MSI-H/dMMR • PIK3CA mutation • HRD • EWSR1-FLI1 fusion • TFE3 fusion
over2years
Detection of EWSR1 fusions in CCOC by targeted RNA-seq. (PubMed, Oral Surg Oral Med Oral Pathol Oral Radiol)
These results demonstrate that targeted RNA-seq is a valuable tool to detect fusions in FFPE samples of rare tumors such as CCOC and CCC. The results also confirm the observations that CCOC is driven by fusions between EWSR1 and CREB family transcription factors, including ATF1 and CREM. To our knowledge, this is the second report of CCOC with an EWSR1-CREM translocation.
Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • ATF1 (Activating Transcription Factor 1)
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EWSR1-FLI1 fusion
almost3years
Peripheral-type primitive neuroectodermal tumor of the ovary with EWSR1-FLI1 fusion transcript: a case report and brief review of literature. (PubMed, Rom J Morphol Embryol)
Due to the rarity of these tumors, there are no standard therapeutic guidelines and treatment consists of surgery, various chemotherapy regimens and/or radiotherapy. In this article, we report the case of a 30-year-old female with peripheral-type PNET (pPNET) of the ovary featuring Ewing sarcoma breakpoint region 1-Friend leukemia integration 1 (EWSR1-FLI1) fusion transcript, confirmed by next-generation sequencing (NGS).
Clinical • Review • Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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EWSR1-FLI1 fusion
3years
Clinical • Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
|
EWSR1-FLI1 fusion
over3years
EWSR1 rearrangement in papillary thyroid microcarcinoma is related to classic morphology and the presence of small-cell phenotype. (PubMed, Bosn J Basic Med Sci)
EWSR1-FLI1 fusion is not rare in m-PTC and it is associated with the acquisition of small-cell phenotype. The EWSR1 gene rearrangement is a frequent event in m-PTC and is related to the classical pattern of m-PTC.
Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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EWSR1-FLI1 fusion
over3years
Selective inhibition of HDAC6 regulates expression of the oncogenic driver EWSR1-FLI1 through the EWSR1 promoter in Ewing sarcoma. (PubMed, Oncogene)
Notably, a combination treatment of a selective HDAC6 and doxorubicin (a DNA damage agent used as a standard therapy of EWS patients) dramatically inhibits tumor growth in two EWS murine xenograft models. These results could lead to suitable and promising therapeutic alternatives for patients with EWS.
Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • HDAC6 (Histone Deacetylase 6)
|
EWSR1-FLI1 fusion
|
doxorubicin hydrochloride
over3years
Primary Extra-Osseous Ewing Sarcoma of the Thyroid: A Case Report and Review of the Literature. (PubMed, Head Neck Pathol)
Molecular analysis revealed a EWSR1-FLI1 fusion transcript supporting the diagnosis of a primary extra-osseous ES of the thyroid. The patient received adjuvant chemotherapy and has no evidence of recurrent disease.
Clinical • Review • Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • TP63 (Tumor protein 63)
|
EWSR1-FLI1 fusion
over3years
STAG2 mutations alter CTCF-anchored loop extrusion, reduce cis-regulatory interactions and EWSR1-FLI1 activity in Ewing sarcoma. (PubMed, Cancer Cell)
Down-modulation of cis-mediated EWSR1-FLI1 activity, observed in STAG2-LOF conditions, is associated with enhanced migration and invasion properties of Ewing cells previously observed in EWSR1-FLI1 cells. Our study illuminates a process whereby STAG2-LOF fine-tunes the activity of an oncogenic transcription factor through altered CTCF-anchored loop extrusion and cis-mediated enhancer mechanisms.
Journal
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EWSR1 (EWS RNA Binding Protein 1) • STAG2 (Stromal Antigen 2) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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STAG2 mutation • EWSR1-FLI1 fusion
over3years
[VIRTUAL] GENOMIC ANALYSIS AND PRECISION THERAPY FOR RECURRENT AND RESISTANT SARCOMA (ASPHO 2021)
Genomic sequencing of refractory/relapsed sarcomas showed a low mutation burden. RNA analysis resulted in identification of potential novel therapeutic targets. Further analysis of patient molecular subgroups and therapeutic strategies is ongoing.
Tumor Mutational Burden
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TP53 (Tumor protein P53) • TMB (Tumor Mutational Burden) • MYC (V-myc avian myelocytomatosis viral oncogene homolog) • RB1 (RB Transcriptional Corepressor 1) • WT1 (WT1 Transcription Factor) • EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • FOXO1 (Forkhead box O1) • HMGA2 (High mobility group AT-hook 2) • SS18 (SS18 Subunit Of BAF Chromatin Remodeling Complex)
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TP53 mutation • Chr del(17p) • MYC amplification • TMB-L • RB1 deletion • EWSR1-FLI1 fusion
over3years
Current Status of Management and Outcome for Patients with Ewing Sarcoma. (PubMed, Cancers (Basel))
Surgical treatment and radiotherapy have their pros and cons, which may give rise to different treatment strategies in different centers around the world. This review article discusses some of these controversies and reproduces the highlights from recent publications with regard to diagnostics, systemic treatment, and surgical treatment of Ewing sarcoma.
Clinical • Review • Journal • IO biomarker
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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EWSR1-FLI1 fusion
over3years
[VIRTUAL] Patient-derived models of rare cancers in the National Cancer Institute’s patient-derived models repository (AACR 2021)
Also of clinical relevance, of two mesothelioma models available, one carries an NF2 driver mutation and the other BAP1 and LATS2 and a PDX model for Hurthle cell carcinoma has wide-spread loss of heterozygosity (LOH 80%). Models for other rare cancers are in development, including four cholangiocarcinoma PDXs with histopathologic confirmation that are currently being expanded for molecular characterization and distribution.
Clinical
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CDKN2A (Cyclin Dependent Kinase Inhibitor 2A) • NF1 (Neurofibromin 1) • BAP1 (BRCA1 Associated Protein 1) • EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • STAT6 (Signal transducer and activator of transcription 6)
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NF1 mutation • CDKN2A deletion • BAP1 mutation • EWSR1-FLI1 fusion
almost4years
Cross-contamination Meets Misclassification: Awakening of CHP-100 from Sleeping Beauty Sleep - a Reviewed Model for Ewing's Sarcoma. (PubMed, Int J Cancer)
Neither the time of the cross-contamination event with IMR-32 is known nor was the final classification as a model for EFTs available with an associated STR profile. After a long road of errors and confusion, authentic CHP-100 is now characterized as a type II EWSR1-FLI1 fusion model 44?years after its establishment.
Journal
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MYCN (MYCN Proto-Oncogene BHLH Transcription Factor) • EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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MYCN amplification • EWSR1-FLI1 fusion
almost4years
Extraskeletal Ewing's Sarcoma with CD7 Positivity and T-cell Receptor/Immunoglobulin Rearrangement Masquerading as T-lymphoblastic Lymphoma. (PubMed, Fetal Pediatr Pathol)
The child underwent EES therapy with good initial response, but had a subcutaneous relapse at 22 months. In addition to typical genetic alterations, Ewing sarcoma can also express CD7 and TCR/Ig rearrangement, which are not limited to lymphoma.
Journal
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • CD7 (CD7 Molecule)
|
EWSR1-FLI1 fusion
4years
[VIRTUAL] Sino-nasal Ewing family tumour – a morphomolecular case report of a “small round blue cell tumour” (ECP 2020)
EWSR1 translocation can also be seen in anaplastic myoepithelial carcinoma but EWSR1-FLI1 fusion is specific to EFT and is present in 85% of cases. Conclusion This report raises awareness of sinonasal EFT, a rare entity which has a wide differential diagnosis, and demonstrates the use of molecular analysis as an adjunct to traditional histology, histochemistry and IHC to reach a definitive diagnosis.
Clinical
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SMARCB1 (SWI/SNF Related, Matrix Associated, Actin Dependent Regulator Of Chromatin, Subfamily B, Member 1) • EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • TP63 (Tumor protein 63)
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EWSR1-FLI1 fusion