The multistep model of tumour development associates genetic events with particular morphological stages of tumour progression. Consequently, it cannot be assumed that an early genetic change associated with tumour initiation will still be required in more advanced disease or represent an attractive therapeutic target at this later stage.The translocations that result in the formation of the PAX3/PAX7-FOXO1 fusion genes are strongly associated with alveolar rhabdomyosarcoma (ARMS) and are considered to be key drivers of this mainly youngonset sarcoma. The PAX3-FOXO1 fusion protein drives a major transcriptional programme and cohesive expression signature in these tumours [1]. This and previous functional work show cell death and differentiation results from ablation of the fusion protein in tumour-derived cells and have led to the view that the fusion protein is an Achilles heel of ARMS. The work carried out by Pandey et al [2] is the first to test the reliance of these tumours on the fusion gene in vivo beyond the stage of tumour initiation. They mimicked a targeting strategy by reducing levels of the fusion protein in an established tumour model and discovered that despite a dramatic initial response, tumours recurred that in some cases lacked PAX3-FOXO1 expression. This suggests that fusion-positive alveolar rhabdomyosarcomas may ultimately be capable of becoming independent of their defining genetic lesion.Pandey et al used a model of ARMS in which inducible PAX3-FOXO1 is modulated in immortalized human myoblasts plus and minus constitutively active MYCN expression. Expression of either alone was not transformative in a focus formation assay, whereas transformation occurred with both PAX3-FOXO1 and MYCN. Injection of these modified myoblasts into mice resulted in rapid RMS tumour formation but with PAX3-FOXO1 expression alone, tumours only emerged after a long latency time. Switching off PAX3-FOXO1 in the PAX3-FOXO1/MYCN model resulted in tumour regression with cellular differentiation and apoptosis. However, subsequent recurrences frequently occurred, a minority of which were identified as PAX3-FOXO1-independent (Figure 1).Previous genetically engineered mouse models of ARMS include conditional expression of Pax3-Foxo1 in the myogenic lineage in a Myf6-dependent manner,