1. Identification of SYT-SSX transcripts from synovial sarcomas using RT-multiplex PCR and capillary electrophoresis
- Author
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Helmut C. Weigelin, Robert E. Ruiz, Jennifer K Howard, John A. Thorson, and David R. Lucas
- Subjects
Adult ,Male ,Pathology ,medicine.medical_specialty ,Adolescent ,Genotype ,Oncogene Proteins, Fusion ,Transcription, Genetic ,Epithelioid sarcoma ,Molecular Sequence Data ,Biology ,Pathology and Forensic Medicine ,Sarcoma, Synovial ,Capillary electrophoresis ,Multiplex polymerase chain reaction ,Biomarkers, Tumor ,medicine ,Humans ,RNA, Neoplasm ,Child ,Aged ,Base Sequence ,Reverse Transcriptase Polymerase Chain Reaction ,Electrophoresis, Capillary ,Reproducibility of Results ,Sequence Analysis, DNA ,Middle Aged ,Amplicon ,medicine.disease ,Molecular biology ,Synovial sarcoma ,Real-time polymerase chain reaction ,Fusion transcript ,Female ,Sarcoma - Abstract
Synovial sarcomas are highly malignant tumors of soft tissue which are characterized by the t(X;18) resulting in SYT-SSX fusion transcript production. Diagnosis of these tumors based on histology can be challenging, particularly when minimal biopsy specimens are presented to the pathologist. Demonstration by molecular methods of SYT-SSX transcripts is a useful adjunct for diagnosis in these situations. We have developed an assay, which combines one-step RT-multiplex PCR with capillary electrophoresis to detect and genotype the SYT-SSX transcripts from synovial sarcomas. Small amplicons from chimeric transcripts as well as GAPD transcripts are differentially labeled with fluorophores, allowing detection and size discrimination by capillary electrophoresis. In a study of 32 formalin-fixed soft tissue tumor specimens, the assay detected chimeric transcripts from 17/22 (77%) synovial sarcomas. All five assay negative specimens yielded no intact RNA as evidenced by lack of a GAPD amplicon. Chimeric transcripts were not detected in 9/9 malignant peripheral nerve sheath tumors or 1/1 epithelioid sarcoma. Representative amplicons were sequenced and confirmed the genotype results obtained by capillary electrophoresis. One-step RT-multiplex PCR combined with capillary electrophoresis is a rapid and accurate method for the detection and genotypic classification of SYT-SSX transcripts from fixed tissue specimens.
- Published
- 2006