Fusion genes consisting of TLS/FUS and CHOP or EWS and CHOP are characteristic markers for myxoid/ round cell liposarcomas (MLS/RCLS). Several different structures of the fusion genes were reported in the case of the TLS/FUS-CHOP form, whereas only one type of structure has so far been found for the EWS-CHOP form, which consisted of exons 1 to 7 of the EWS and exons 2 to 4 of the CHOP gene. Here we describe a novel type of EWS-CHOP fusion gene in two cases of MLS/RCLS, which were found in a consecutive analysis of 21 cases. This fusion gene con- Tumor-specific fusion genes resulting from reciprocal chromosomal translocations have been detected in many bone and soft tissue tumors, and are now regarded as a major factor in the development of these tumors. 1 One of the common features of the fusion genes found in sarcomas is structural diversity, which is created by two factors: the component genes themselves, one is usually common and the other variable; and genomic breakpoints or alternative splicing in the components. The diversity of fusion genes is most striking in Ewing's sarcoma. So far five different partners of the EWS gene have been reported, 2-6 and at least 12 different structures were found in the case of EWS-Fli1 fusion gene, 7,8 which is the most prevalent form of the fusion gene in Ewing's sarcoma. 8 In some tumors, the diversity seems to have biological significance, and several particular types of fusion genes were demonstrated to be associated with certain phenotypes such as prognosis or histological subtype. 8 -12 In the case of MLS/RCLS, either the TLS/FUS (hereafter simply called TLS)-CHOP or EWS-CHOP fusion gene, the result of a t(12;16)(q13;p11) or a t(12;22)(q13;q12) translocation, respectively, 13-15 was found in almost all cases 16 -18 and the two are now considered a hallmark of this type of liposarcoma. Previous data indicated that the TLS-CHOP fusion gene was far more prevalent (95 to 98%) than the EWS-CHOP gene, 16 -18 having at least nine different structures due to breakpoints or alternative splicing. 19 On the other hand, only five cases of MLS/ RCLS harboring the EWS-CHOP fusion gene have been reported in the literature, all of which shared the same structure consisting of exons 1 to 7 of the EWS gene and exons 2 to 4 of the CHOP gene (designated as the type 1 EWS-CHOP fusion gene in this report). 15,20,21 No definite correlation has been reported between any particular type of TLS-CHOP or EWS-CHOP fusion gene and the clinicopathological features of MLS/RCLS. In this report, we describe the results of fusion gene analyses of 21 cases of MLS/RCLS, in which we found a novel type of EWS-CHOP fusion gene in two cases.
Materials and Methods
Tumor Samples and Nucleic Acid ExtractionTwenty-one cases of MLS/RCLS were examined in this study, 13 of which were used previously in breakpoint analyses of the TLS-CHOP fusion gene. 22,23 Clinical and