Rhabdomyosarcoma is a primitive neoplasm with a poorly understood etiology that exhibits features of fetal skeletal muscle. It represents the most frequent malignant soft tissue sarcoma affecting the pediatric population and is often treated very aggressively. Embryonal rhabdomyosarcoma (ERMS) and alveolar rhabdomyosarcoma constitute the two major subtypes and exhibit different molecular features. We investigated one potential molecular basis for ERMS by using cells derived from tumors produced in p53 Efforts to unravel the molecular events underlying the origin of different types of cancer have contributed to finding treatments for these diseases. However, largely left behind in this effort are tumors with poorly understood etiologies like rhabdomyosarcoma (RMS). RMS describes a heterogeneous group of poorly differentiated pediatric sarcomas that display features of developing muscle.1 Representing 60% of all pediatric sarcomas and accounting for 5% to 10% of all childhood malignancies, treatment is often very aggressive, involving local irradiation, lengthy rounds of combination chemotherapy, and tumor resection.2 RMS is broadly categorized into two subtypes, embryonal (ERMS) and alveolar (ARMS), that possess distinctive clinical, pathological, and biological properties.
3ARMS portends a poor prognosis and predominantly occurs in the extremities.1 Cytogenetically, most ARMS harbor one or both of two distinct chromosomal translocations: t(2;13)(q35;q14) or t(1;13)(p36;q14), resulting in the formation of the fusion genes PAX3-FOXO1 or PAX7-FOXO1 that contribute to pathogenesis. 4 Conversely, ERMS represents 75% of all cases of RMS, most frequently occurs in the orbit, head and neck, and genitourinary tract, 3 and lacks any of the signature chromosomal rearrangements identified in ARMS.