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Molecular Profiling Defines Three Subtypes of Synovial Sarcoma
Chen, Yi1,2,3,4,5; Su, Yanhong4; Cao, Xiaofang4,5; Siavelis, Ioannis4,5; Leo, Isabelle Rose4,5; Zeng, Jianming6; Tsagkozis, Panagiotis7,8; Hesla, Asle C.7,8; Papakonstantinou, Andri4,9; Liu, Xiao4,10; Huang, Wen Kuan11; Zhao, Binbin4; Haglund, Cecilia4,12; Ehnman, Monika4; Johansson, Henrik4,5; Lin, Yingbo4; Lehtiö, Janne4,5; Zhang, Yifan4,12; Larsson, Olle4,12; Li, Xuexin13,14,15,16; de Flon, Felix Haglund4,12
2024-09
Source PublicationAdvanced Science
ISSN2198-3844
Volume11Issue:38Pages:2404510
Abstract

Synovial Sarcomas (SS) are characterized by the presence of the SS18::SSX fusion gene, which protein product induce chromatin changes through remodeling of the BAF complex. To elucidate the genomic events that drive phenotypic diversity in SS, we performed RNA and targeted DNA sequencing on 91 tumors from 55 patients. Our results were verified by proteomic analysis, public gene expression cohorts and single-cell RNA sequencing. Transcriptome profiling identified three distinct SS subtypes resembling the known histological subtypes: SS subtype I and was characterized by hyperproliferation, evasion of immune detection and a poor prognosis. SS subtype II and was dominated by a vascular-stromal component and had a significantly better outcome. SS Subtype III was characterized by biphasic differentiation, increased genomic complexity and immune suppression mediated by checkpoint inhibition, and poor prognosis despite good responses to neoadjuvant therapy. Chromosomal abnormalities were an independent significant risk factor for metastasis. KRT8 was identified as a key component for epithelial differentiation in biphasic tumors, potentially controlled by OVOL1 regulation. Our findings explain the histological grounds for SS classification and indicate that a significantly larger proportion of patients have high risk tumors (corresponding to SS subtype I) than previously believed.

KeywordBaf Complex Copy Number Alterations Multi-omics Synovial Sarcoma Transcriptomics
DOI10.1002/advs.202404510
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaChemistry ; Science & Technology - Other Topics ; Materials Science
WOS SubjectChemistry, Multidisciplinary ; Nanoscience & Nanotechnology ; Materials Science, Multidisciplinary
WOS IDWOS:001309140400001
PublisherWILEY, 111 RIVER ST, HOBOKEN 07030-5774, NJ
Scopus ID2-s2.0-85203560066
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Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
Corresponding AuthorChen, Yi; Li, Xuexin; de Flon, Felix Haglund
Affiliation1.Division of Hematology and Oncology, Department of Medicine, Columbia Stem Cell Initiative, Columbia University Irving Medical Center, 10032, United States
2.Department of Genetics and Development, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, 10032, United States
3.Program for Mathematical Genomics, Department of Systems Biology, Columbia University, 10032, United States
4.Department of Oncology-Pathology, Karolinska Institutet, Stockholm, 17177, Sweden
5.Science for Life Laboratory, Stockholm, 17165, Sweden
6.Faculty of Health Sciences, University of Macau, Taipa, 999078, Macao
7.Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, 17176, Sweden
8.Department of Clinical Orthopedics, Karolinska University Hospital, Stockholm, 17176, Sweden
9.Department of Breast Cancer, Endocrine Tumors and Sarcomas, Karolinska University Hospital, Stockholm, 17176, Sweden
10.College of Veterinary Medicine, Northwest A&F University, Yangling, Shaanxi, 712100, China
11.Division of Hematology-Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of Medicine, Taoyuan, 33305, Taiwan
12.Department of Clinical Pathology and Cancer Diagnostics, Karolinska University Hospital, Solna, 17176, Sweden
13.Department of General Surgery, The Fourth Affiliated Hospital, China Medical University, Shenyang, 110032, China
14.Key Laboratory of Precision Diagnosis and Treatment of Gastrointestinal Tumors, Ministry of Education, China Medical University, Shenyang, Liaoning, 110122, China
15.Institute of Health Sciences, China Medical University, Shenyang, Liaoning, 110122, China
16.Department of Physiology and Pharmacology, Karolinska Institute, Solna, Stockholm, 17165, Sweden
Recommended Citation
GB/T 7714
Chen, Yi,Su, Yanhong,Cao, Xiaofang,et al. Molecular Profiling Defines Three Subtypes of Synovial Sarcoma[J]. Advanced Science, 2024, 11(38), 2404510.
APA Chen, Yi., Su, Yanhong., Cao, Xiaofang., Siavelis, Ioannis., Leo, Isabelle Rose., Zeng, Jianming., Tsagkozis, Panagiotis., Hesla, Asle C.., Papakonstantinou, Andri., Liu, Xiao., Huang, Wen Kuan., Zhao, Binbin., Haglund, Cecilia., Ehnman, Monika., Johansson, Henrik., Lin, Yingbo., Lehtiö, Janne., Zhang, Yifan., Larsson, Olle., ...& de Flon, Felix Haglund (2024). Molecular Profiling Defines Three Subtypes of Synovial Sarcoma. Advanced Science, 11(38), 2404510.
MLA Chen, Yi,et al."Molecular Profiling Defines Three Subtypes of Synovial Sarcoma".Advanced Science 11.38(2024):2404510.
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