Go to JCI Insight
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
  • Clinical Research and Public Health
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Gastroenterology
    • Immunology
    • Metabolism
    • Nephrology
    • Neuroscience
    • Oncology
    • Pulmonology
    • Vascular biology
    • All ...
  • Videos
    • Conversations with Giants in Medicine
    • Video Abstracts
  • Reviews
    • View all reviews ...
    • Complement Biology and Therapeutics (May 2025)
    • Evolving insights into MASLD and MASH pathogenesis and treatment (Apr 2025)
    • Microbiome in Health and Disease (Feb 2025)
    • Substance Use Disorders (Oct 2024)
    • Clonal Hematopoiesis (Oct 2024)
    • Sex Differences in Medicine (Sep 2024)
    • Vascular Malformations (Apr 2024)
    • View all review series ...
  • Viewpoint
  • Collections
    • In-Press Preview
    • Clinical Research and Public Health
    • Research Letters
    • Letters to the Editor
    • Editorials
    • Commentaries
    • Editor's notes
    • Reviews
    • Viewpoints
    • 100th anniversary
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • Reviews
  • Review series
  • Conversations with Giants in Medicine
  • Video Abstracts
  • In-Press Preview
  • Clinical Research and Public Health
  • Research Letters
  • Letters to the Editor
  • Editorials
  • Commentaries
  • Editor's notes
  • Reviews
  • Viewpoints
  • 100th anniversary
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
The clear cell sarcoma functional genomic landscape
Emanuele Panza, … , Mario R. Capecchi, Kevin B. Jones
Emanuele Panza, … , Mario R. Capecchi, Kevin B. Jones
Published June 22, 2021
Citation Information: J Clin Invest. 2021;131(15):e146301. https://doi.org/10.1172/JCI146301.
View: Text | PDF
Research Article Genetics Oncology

The clear cell sarcoma functional genomic landscape

  • Text
  • PDF
Abstract

Clear cell sarcoma (CCS) is a deadly malignancy affecting adolescents and young adults. It is characterized by reciprocal translocations resulting in expression of the chimeric EWSR1-ATF1 or EWSR1-CREB1 fusion proteins, driving sarcomagenesis. Besides these characteristics, CCS has remained genomically uncharacterized. Copy number analysis of human CCSs showed frequent amplifications of the MITF locus and chromosomes 7 and 8. Few alterations were shared with Ewing sarcoma or desmoplastic, small round cell tumors, which are other EWSR1-rearranged tumors. Exome sequencing in mouse tumors generated by expression of EWSR1-ATF1 from the Rosa26 locus demonstrated no other repeated pathogenic variants. Additionally, we generated a new CCS mouse by Cre-loxP–induced chromosomal translocation between Ewsr1 and Atf1, resulting in copy number loss of chromosome 6 and chromosome 15 instability, including amplification of a portion syntenic to human chromosome 8, surrounding Myc. Additional experiments in the Rosa26 conditional model demonstrated that Mitf or Myc can contribute to sarcomagenesis. Copy number observations in human tumors and genetic experiments in mice rendered, for the first time to our knowledge, a functional landscape of the CCS genome. These data advance efforts to understand the biology of CCS using innovative models that will eventually allow us to validate preclinical therapies necessary to achieve longer and better survival for young patients with this disease.

Authors

Emanuele Panza, Benjamin B. Ozenberger, Krystal M. Straessler, Jared J. Barrott, Li Li, Yanliang Wang, Mingchao Xie, Anne Boulet, Simon W.A. Titen, Clinton C. Mason, Alexander J. Lazar, Li Ding, Mario R. Capecchi, Kevin B. Jones

×

Figure 6

MITF contributes to oncogenesis driven by EWSR1-ATF1.

Options: View larger image (or click on image) Download as PowerPoint
MITF contributes to oncogenesis driven by EWSR1-ATF1.
(A) Left: Human ch...
(A) Left: Human chromosome 3 is shown with the spike in amplification (in blue) that occurred in 6 of 13 human CCS tumors. Right: Copy number microarray data showing that the recurrent, focal amplification occurred at the MITF locus in all 6 tumors. (B) Mouse DNA sequences depicting the Mitf vitiligo (Mitf vit) mutation (top left panel, in blue) and the normal Mitf sequence. The BsiEI restriction enzyme was used to confirm Mitf vit after PCR, because it recognizes and cuts WT Mitf but not Mitf vit (right panel). (C) Mouse breeding schematic showing the strategy to generate EA1 heterozygotic mice with homozygous mutant or homozygous WT Mitf littermates, which we injected with TATCre to induce EWS-ATF1 expression. (D) Kaplan-Meier curve shows the achievement of morbidity of Mitf WT/WT mice (solid line) and Mitf vit/vit mice (dotted line) following TATCre injection at 28 days of age (n = 37 Mitf WT/WT mice and n = 15 Mitf vit/vit mice). The 50% median survival time to morbidity for Mitf vit/vit mice was 102 days compared with 87 days for WT mice. A log-rank test was performed, and the difference was deemed statistically significant (P < 0.0001, z score = 4.52). (E) Tumor mass measurements for Mitf WT/WT mice (black dots) and Mitf vit/vit mice (gray circles). The tumors were not significantly different in size (P = 0.6, by 2-tailed Student’s t test). (F) Graph of the blinded quantitation of histological features of tumors developing from EA1 expression in either Mitf WT/WT mice (black diamonds, n = 37) or Mitf vit/vit mice (gray diamonds, n = 15), with human CCSs on a tissue microarray (n = 20, blue diamonds). P = 0.05, by 2-tailed Student’s t test (none of these comparisons between the 2 mouse groups reached statistical significance). (G) Representative histomorphologies in H&E-stained tissue sections of EA1-expressing tumors. Each photomicrograph is a 100 μm square obtained with a 60× original magnification objective lens.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

Sign up for email alerts