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Gene Expression Profiling Identifies Two Chordoma Subtypes Associated with Distinct Molecular Mechanisms and Clinical Outcomes.


ABSTRACT:

Purpose

Chordoma is a rare bone tumor with a high recurrence rate and limited treatment options. The aim of this study was to identify molecular subtypes of chordoma that may improve clinical management.

Experimental design

We conducted RNA sequencing in 48 tumors from patients with Chinese skull-base chordoma and identified two major molecular subtypes. We then replicated the classification using a NanoString panel in 48 patients with chordoma from North America.

Results

Tumors in one subtype were more likely to have somatic mutations and reduced expression in chromatin remodeling genes, such as PBRM1 and SETD2, whereas the other subtype was characterized by the upregulation of genes in epithelial-mesenchymal transition and Sonic Hedgehog pathways. IHC staining of top differentially expressed genes between the two subtypes in 312 patients with Chinese chordoma with long-term follow-up data showed that the expression of some markers such as PTCH1 was significantly associated with survival outcomes.

Conclusions

Our findings may improve the understanding of subtype-specific tumorigenesis of chordoma and inform clinical prognostication and targeted options.

SUBMITTER: Bai J 

PROVIDER: S-EPMC11293090 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature

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Publications

Gene Expression Profiling Identifies Two Chordoma Subtypes Associated with Distinct Molecular Mechanisms and Clinical Outcomes.

Bai Jiwei J   Shi Jianxin J   Zhang Yazhuo Y   Li Chuzhong C   Xiong Yujia Y   Koka Hela H   Wang Difei D   Zhang Tongwu T   Song Lei L   Luo Wen W   Zhu Bin B   Hicks Belynda B   Hutchinson Amy A   Kirk Erin E   Troester Melissa A MA   Li Mingxuan M   Shen Yutao Y   Ma Tianshun T   Wang Junmei J   Liu Xing X   Wang Shuai S   Gui Songbai S   McMaster Mary L ML   Chanock Stephen J SJ   Parry Dilys M DM   Goldstein Alisa M AM   Yang Xiaohong R XR  

Clinical cancer research : an official journal of the American Association for Cancer Research 20230101 1


<h4>Purpose</h4>Chordoma is a rare bone tumor with a high recurrence rate and limited treatment options. The aim of this study was to identify molecular subtypes of chordoma that may improve clinical management.<h4>Experimental design</h4>We conducted RNA sequencing in 48 tumors from patients with Chinese skull-base chordoma and identified two major molecular subtypes. We then replicated the classification using a NanoString panel in 48 patients with chordoma from North America.<h4>Results</h4>T  ...[more]

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