Ewing's sarcoma, one of the most malignant tumors of children and young adults, expresses specific chimeric genes, e.g. EWS-FLI-1, EWS-ERG, EWS-ETV1 and EWS-FEV. In this paper, we extensively characterized a new fusion gene, EWS-E1AF by means of whole cDNA sequencing, RNA blot analysis, DNA blot analysis and chromosomal analysis, and showed it to be available for the diagnosis of Ewing's sarcoma and to participate in the oncogenesis of Ewing's sarcoma. Furthermore, we conducted a genetic analysis of Ewing family tumors in conjuction with immunohistochemical analysis and ultrastructural analysis. Our results demonstrate some limitations of both genetic analysis and histopathological analysis, and establish the relationship between neurogenic phenotypes and chimera genes.Key words: Ewing's sarcoma -Molecular diagnosis -E1AF -Ets -RNA binding protein Ewing's sarcoma, which occurs in the bone and soft tissue, is one of the most malignant tumors in young people.1) This tumor does not have specific morphological phenotypes. By light microscopic analysis, it is sometimes difficult to differentiate Ewing's sarcoma from neuroblastoma, malignant lymphoma, some types of rhabdomyosarcoma and osteosarcoma.2) Similarly, peripheral primitive neuroectodermal tumor (PNET), which has similar morphology but has neuronal character, is also hard to diagnose.3) Therefore, in order to diagnose these two tumors, several approaches are employed; macroscopic and microscopic analysis, ultrastructural analysis, and immunohistochemical analysis with specific antibodies to vimentin, desmin, neurofilaments, S-100, neuron-specific enolase, MIC2 4) and 5C11. 5) However, even such extensive analysis has failed to identify any specific morphological character of Ewing's sarcoma and PNET.Many human tumors contain characteristic chromosomal translocations. Through the chromosomal translocations, specific fusion genes are generated.6, 7) These fusion genes are considered to play an important role in oncogenesis. Ewing' sarcoma and PNET have the same specific chromosomal translocation, t(11;22) 8,9) and through this translocation, the EWS-FLI-1 fusion gene is generated.10) FLI-1, a partner of the fusion gene, is a member of the Ets family of transcription factors. Other Ets family genes, ERG and ETV1, are also fused to EWS through t(21;22) and t(7;22), respectively. 11-13) Recently, we identified a new fusion gene, EWS-E1AF in a case of Ewing's sarcoma.14) Since analysis of the fusion genes revealed that Ewing's sarcoma and PNET have the same fusion transcripts, Ewing's sarcoma and PNET are considered to belong to a common entity. 15) In this study, we extensively characterized the EWS-E1AF fusion gene in the established cell line NCR-EW3, which has t(17;22) (q21;q21). Furthermore, we conducted a genetic analysis of Ewing's sarcoma and PNET in comparison with the accumulated data on clinical history and the results of pathological examination.
MATERIALS AND METHODSTumors and cell lines Thirty surgical samples were obtained from Japanese patients. On ...