iScience,
Journal Year:
2021,
Volume and Issue:
24(10), P. 103132 - 103132
Published: Sept. 15, 2021
Transcription
factors
(TFs)
are
essential
mediators
of
epigenetic
regulation
and
modifiers
penetrance.
Studies
from
the
past
decades
have
revealed
a
sub-class
TF
that
is
capable
remodeling
closed
chromatin
states
through
targeting
nucleosomal
motifs.
This
pioneer
factor
(PF)
class
remodeler
ATP
independent
in
its
roles
initiation,
with
nucleosome-motif
recognition
association
repressive
regions.
Increasing
evidence
suggests
fundamental
properties
PFs
can
be
coopted
human
cancers.
We
explore
role
larger
context
tissue-specific
regulation.
Moreover,
we
highlight
an
emerging
chimeric
PF
derived
translocation
partners
disease
associated
rare
tumors.
In
age
site-directed
genome
editing
targeted
protein
degradation,
increasing
our
understanding
will
provide
access
to
next-generation
therapy
for
driven
altered
transcriptional
circuitry.
Journal of Clinical Oncology,
Journal Year:
2022,
Volume and Issue:
40(20), P. 2224 - 2234
Published: March 30, 2022
The
National
Cancer
Institute-Children's
Oncology
Group
Pediatric
MATCH
trial
aimed
to
facilitate
evaluation
of
molecular-targeted
therapies
in
biomarker-selected
cohorts
childhood
and
young
adult
patients
with
cancer
by
screening
tumors
for
actionable
alterations.
Children
and
adolescents
with
rhabdomyosarcoma
(RMS)
comprise
a
heterogeneous
population
variable
overall
survival
rates
ranging
between
approximately
6%
100%
depending
on
defined
risk
factors.
Although
the
stratification
of
patients
has
been
refined
across
five
decades
collaborative
group
studies,
molecular
prognostic
biomarkers
beyond
FOXO1
fusion
status
have
yet
to
be
incorporated
prospectively
in
upfront
risk-based
therapy
assignments.
This
review
describes
evolution
current
stratification,
defines
new
incorporating
novel
biomarkers,
provides
rationale
for
upcoming
Children's
Oncology
Group
RMS
studies.
Histopathology,
Journal Year:
2021,
Volume and Issue:
80(1), P. 98 - 108
Published: Dec. 27, 2021
Rhabdomyosarcomas
comprise
the
single
largest
category
of
soft
tissue
sarcomas
in
children
and
adolescents
United
States,
occurring
4.5
million
people
aged
below
20
years.
Based
on
clinicopathological
features
genetic
abnormalities
identified,
rhabdomyosarcomas
are
classified
into
embryonal,
alveolar,
spindle
cell/sclerosing
pleomorphic
subtypes.
Each
subtype
shows
distinctive
morphology
has
characteristic
abnormalities.
This
review
discusses
evolution
classification
rhabdomyosarcoma
to
present
day,
together
with
a
discussion
key
histomorphological
each
diagnostic
approach
these
tumours.
Journal of Clinical Oncology,
Journal Year:
2022,
Volume and Issue:
40(20), P. 2235 - 2245
Published: April 1, 2022
The
NCI-COG
Pediatric
MATCH
trial
assigns
patients
age
1-21
years
with
relapsed
or
refractory
solid
tumors,
lymphomas,
and
histiocytic
disorders
to
phase
II
studies
of
molecularly
targeted
therapies
on
the
basis
detection
predefined
genetic
alterations.
Patients
tumors
harboring
mutations
fusions
driving
activation
mitogen-activated
protein
kinase
(MAPK)
pathway
were
treated
MEK
inhibitor
selumetinib.
European Journal of Cancer,
Journal Year:
2022,
Volume and Issue:
172, P. 367 - 386
Published: July 12, 2022
Rhabdomyosarcomas
(RMSs)
are
the
most
common
soft
tissue
sarcomas
in
children/adolescents
less
than
18
years
of
age
with
an
annual
incidence
1–2/million.
Inter/intra-tumour
heterogeneity
raise
challenges
clinical,
pathological
and
biological
research
studies.
Risk
stratification
European
North
American
clinical
trials
previously
relied
on
clinico-pathological
features,
but
now,
incorporates
PAX3/7-FOXO1-fusion
gene
status
place
alveolar
histology.
International
working
groups
propose
a
coordinated
approach
through
INternational
Soft
Tissue
SaRcoma
ConsorTium
to
evaluate
specific
genetic
abnormalities
generate
integrate
molecular
data
related
patients
RMS
across
different
trial
settings.
We
review
relevant
present
consensus
view
what
features
should
be
assessed.
In
particular,
we
recommend
assessment
MYOD1-LR122R
mutation
for
risk
escalation,
as
it
has
been
associated
poor
outcomes
spindle/sclerosing
rare
classic
embryonal
histopathology.
The
prospective
analyses
fusion
genes
beyond
PAX3/7-FOXO1
will
new
linked
TP53
mutations
CDK4
amplification
may
confirm
their
prognostic
value.
Pathogenic/likely
pathogenic
germline
variants
other
cancer
predisposition
also
DNA/RNA
profiling
tumours
at
diagnosis/relapse
serial
plasma
samples
is
recommended
where
possible
validate
potential
biomarkers,
identify
biomarkers
assess
how
liquid
biopsy
can
have
greatest
benefit.
Together
development
molecularly-derived
therapeutic
strategies
that
review,
synchronised
international
expected
enhance
progress
towards
improved
treatment
assignment,
management
RMS.
Science Advances,
Journal Year:
2023,
Volume and Issue:
9(6)
Published: Feb. 8, 2023
Rhabdomyosarcoma
(RMS)
is
a
group
of
pediatric
cancers
with
features
developing
skeletal
muscle.
The
cellular
hierarchy
and
mechanisms
leading
to
developmental
arrest
remain
elusive.
Here,
we
combined
single-cell
RNA
sequencing,
mass
cytometry,
high-content
imaging
resolve
intratumoral
heterogeneity
patient-derived
primary
RMS
cultures.
We
show
that
the
aggressive
alveolar
(aRMS)
subtype
contains
plastic
muscle
stem-like
cells
cycling
progenitors
drive
tumor
growth,
subpopulation
differentiated
lost
its
proliferative
potential
correlates
better
outcomes.
While
chemotherapy
eliminates
progenitors,
it
enriches
aRMS
for
cells.
screened
drugs
hijacking
toward
clinically
favorable
subpopulations
identified
combination
RAF
MEK
inhibitors
potently
induces
myogenic
differentiation
inhibits
growth.
Overall,
our
work
provides
insights
into
states
underlying
aggressiveness,
chemoresistance,
progression
identifies
RAS
pathway
as
promising
therapeutic
target.
Genes Chromosomes and Cancer,
Journal Year:
2024,
Volume and Issue:
63(4)
Published: April 1, 2024
The
wide
application
of
RNA
sequencing
in
clinical
practice
has
allowed
the
discovery
novel
fusion
genes,
which
have
contributed
to
a
refined
molecular
classification
rhabdomyosarcoma
(RMS).
Most
fusions
RMS
result
aberrant
transcription
factors,
such
as
PAX3/7::FOXO1
alveolar
(ARMS)
and
involving
VGLL2
or
NCOA2
infantile
spindle
cell
RMS.
However,
recurrent
driving
oncogenic
kinase
activation
not
been
reported
Triggered
by
an
index
case
unclassified
(overlapping
features
between
ARMS
sclerosing
RMS)
with
FGFR1::ANK1
fusion,
we
reviewed
our
files
for
cases
harboring
FGFR1-related
fusions.
One
additional
FGFR1::TACC1
was
identified
tumor
resembling
embryonal
(ERMS)
anaplasia,
but
no
pathogenic
variants
TP53
DICER1
on
germline
testing.
Both
occurred
males,
aged
7
24,
pelvis.
2nd
also
harbored
alterations,
including
somatic
TET2
mutations.
Two
(one
unclassified,
one
ERMS)
FGFR1
overexpression
lacking
were
sequencing.
These
two
FGFR1::TACC1-positive
clustered
together
ERMS
group
RNAseq.
This
is
first
report
it
remains
unclear
if
define
subset
alternatively,
whether
this
alteration
can
sporadically
drive
pathogenesis
known
subtypes,
ERMS.
Additional
larger
series
integrated
genomic
epigenetic
datasets
are
needed
better
subclassification,
resulting
underscores
potential
targeted
therapy.
Nature Communications,
Journal Year:
2024,
Volume and Issue:
15(1)
Published: July 26, 2024
Abstract
Rhabdomyosarcoma
(RMS)
is
a
pediatric
tumor
that
resembles
undifferentiated
muscle
cells;
yet
the
extent
to
which
cell
state
heterogeneity
shared
with
human
development
has
not
been
described.
Using
single-cell/nucleus
RNA
sequencing
from
patient
tumors,
patient-derived
xenografts,
primary
in
vitro
cultures,
and
lines,
we
identify
four
dominant
muscle-lineage
states:
progenitor,
proliferative,
differentiated,
ground
cells.
We
stratify
these
RMS
cells/nuclei
along
continuum
of
show
they
share
expression
patterns
fetal/embryonal
myogenic
precursors
rather
than
postnatal
satellite
Fusion-negative
(FN-RMS)
have
discrete
stem
hierarchy
recapitulates
fetal
contain
therapy-resistant
FN-RMS
progenitors
transcriptomic
similarity
bipotent
skeletal
mesenchymal
Fusion-positive
tumor-acquired
cells
states,
including
neuronal
state,
are
found
development.
This
work
identifies
previously
underappreciated
unique
treatment-resistant
states
differ
across
subtypes.