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Establishment of multiplex RT-PCR to detect fusion genes for the diagnosis of Ewing sarcoma.


ABSTRACT:

Background

Detection of the tumor-specific EWSR1/FUS-ETS fusion gene is essential to diagnose Ewing sarcoma. Reverse transcription-polymerase chain reaction (RT-PCR) and fluorescence in situ hybridization are commonly used to detect the fusion gene, and assays using next-generation sequencing have recently been reported. However, at least 28 fusion transcript variants have been reported, making rapid and accurate detection difficult.

Methods

We constructed two sets of multiplex PCR assays and evaluated their utility using cell lines and clinical samples.

Results

EWSR1/FUS-ETS was detected in five of six tumors by the first set, and in all six tumors by the second set. The fusion gene detected only by the latter was EWSR1-ERG, which completely lacked exon 7 of EWSR1. The fusion had a short N-terminal region of EWSR1 and showed pathologically atypical features.

Conclusions

We developed multiplex RT-PCR assays to detect EWSR1-ETS and FUS-ETS simultaneously. These assays will aid the rapid and accurate diagnosis of Ewing sarcoma. In addition, variants of EWSR1/FUS-ETS with a short N-terminal region that may have been previously missed can be easily detected.

SUBMITTER: Ueno-Yokohata H 

PROVIDER: S-EPMC8573982 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature

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Publications

Establishment of multiplex RT-PCR to detect fusion genes for the diagnosis of Ewing sarcoma.

Ueno-Yokohata Hitomi H   Okita Hajime H   Nakasato Keiko K   Kiyotani Chikako C   Kato Motohiro M   Matsumoto Kimikazu K   Kiyokawa Nobutaka N   Nakazawa Atsuko A   Yoshioka Takako T  

Diagnostic pathology 20211108 1


<h4>Background</h4>Detection of the tumor-specific EWSR1/FUS-ETS fusion gene is essential to diagnose Ewing sarcoma. Reverse transcription-polymerase chain reaction (RT-PCR) and fluorescence in situ hybridization are commonly used to detect the fusion gene, and assays using next-generation sequencing have recently been reported. However, at least 28 fusion transcript variants have been reported, making rapid and accurate detection difficult.<h4>Methods</h4>We constructed two sets of multiplex PC  ...[more]

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