Skip to main content

Advertisement

Log in

Mesenchymal Chondrosarcoma: a Review with Emphasis on its Fusion-Driven Biology

  • Sarcomas (SR Patel, Section Editor)
  • Published:
Current Oncology Reports Aims and scope Submit manuscript

Abstract

Mesenchymal chondrosarcoma is a rare but deadly form of chondrosarcoma that typically affects adolescents and young adults. While curative intent is possible for patients with localized disease, few options exist for patients in the unresectable/metastatic setting. Thus, it is imperative to understand the fusion-driven biology of this rare malignant neoplasm so as to lead to the future development of better therapeutics for this disease. This manuscript will briefly review the clinical and pathologic features of mesenchymal chondrosarcoma followed by an appraisal of existing data linked to the fusions, HEY1-NCOA2 and IRF2BP2-CDX1, and the associated downstream pathways.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Lichtenstein L, Bernstein D. Unusual benign and malignant chondroid tumors of bone. A survey of some mesenchymal cartilage tumors and malignant chondroblastic tumors, including a few multicentric ones, as well as many atypical benign chondroblastomas and chondromyxoid fibromas. Cancer. 1959;12(6):1142–57. https://doi.org/10.1002/1097-0142(195911/12)12:6<1142::AID-CNCR2820120610>3.0.CO;2-D.

    Article  Google Scholar 

  2. Frezza AM, Cesari M, Baumhoer D, Biau D, Bielack S, Campanacci DA, et al. Mesenchymal chondrosarcoma: prognostic factors and outcome in 113 patients. A European musculoskeletal oncology society study. Eur J Cancer. 2015;51(3):374–81. https://doi.org/10.1016/j.ejca.2014.11.007.

    Article  PubMed  Google Scholar 

  3. • Schneiderman BA, Kliethermes SA, Nystrom LM. Survival in mesenchymal chondrosarcoma varies based on age and tumor location: a survival analysis of the SEER database. Clin Orthop Relat Res. 2017;475(3):799–805. This is a study that evaluates prognosticators of mesenchymal chondrosarcoma in 205 patients identified via the SEER database. It showed that the main poor prognostic factors were tumor size and presence of metastases at diagnosis. Young patients and/or cranial disease had better survival when compared to older patients and/or axial or appendicular tumors

    Article  PubMed  Google Scholar 

  4. Cesari M, Bertoni F, Bacchini P, Mercuri M, Palmerini E, Ferrari S. Mesenchymal chondrosarcoma. An analysis of patients treated at a single institution. Tumori. 2007;93(5):423–7.

    Article  PubMed  Google Scholar 

  5. Kim MJ, et al. Chondrosarcoma: with updates on molecular genetics. Sarcoma. 2011;2011:405437.

    PubMed  PubMed Central  Google Scholar 

  6. Riedel RF, Larrier N, Dodd L, Kirsch D, Martinez S, Brigman BE. The clinical management of chondrosarcoma. Curr Treat Options in Oncol. 2009;10(1–2):94–106. https://doi.org/10.1007/s11864-009-0088-2.

    Article  Google Scholar 

  7. Kawaguchi S, Weiss I, Lin PP, Huh WW, Lewis VO. Radiation therapy is associated with fewer recurrences in mesenchymal chondrosarcoma. Clin Orthop Relat Res. 2014;472(3):856–64. https://doi.org/10.1007/s11999-013-3064-x.

    Article  PubMed  Google Scholar 

  8. Dantonello TM, Int-Veen C, Leuschner I, Schuck A, Furtwaengler R, Claviez A, et al. Mesenchymal chondrosarcoma of soft tissues and bone in children, adolescents, and young adults: experiences of the CWS and COSS study groups. Cancer. 2008;112(11):2424–31. https://doi.org/10.1002/cncr.23457.

    Article  PubMed  Google Scholar 

  9. Bishop MW, et al. Mesenchymal chondrosarcoma in children and young adults: a single institution retrospective review. Sarcoma. 2015;2015:608279.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Shakked RJ, Geller DS, Gorlick R, Dorfman HD. Mesenchymal chondrosarcoma: clinicopathologic study of 20 cases. Arch Pathol Lab Med. 2012;136(1):61–75. https://doi.org/10.5858/arpa.2010-0362-OA.

    Article  PubMed  Google Scholar 

  11. • Xu J, et al. Mesenchymal chondrosarcoma of bone and soft tissue: a systematic review of 107 patients in the past 20 years. PLoS One. 2015;10(4):e0122216. The authors of this study searched medical libraries for all mesenchymal chondrosarcoma cohort reports available in the literature. They showed that surgery constitutes the mainstay therapy for localized disease. Survival was not affected with adjuvant radiation or chemotherapy.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Wang L, Motoi T, Khanin R, Olshen A, Mertens F, Bridge J, et al. Identification of a novel, recurrent HEY1-NCOA2 fusion in mesenchymal chondrosarcoma based on a genome-wide screen of exon-level expression data. Genes Chromosomes Cancer. 2012;51(2):127–39. https://doi.org/10.1002/gcc.20937.

    Article  CAS  PubMed  Google Scholar 

  13. Nakayama R, Miura Y, Ogino J, Susa M, Watanabe I, Horiuchi K, et al. Detection of HEY1-NCOA2 fusion by fluorescence in-situ hybridization in formalin-fixed paraffin-embedded tissues as a possible diagnostic tool for mesenchymal chondrosarcoma. Pathol Int. 2012;62(12):823–6. https://doi.org/10.1111/pin.12022.

    Article  CAS  PubMed  Google Scholar 

  14. Heisig J, Weber D, Englberger E, Winkler A, Kneitz S, Sung WK, et al. Target gene analysis by microarrays and chromatin immunoprecipitation identifies HEY proteins as highly redundant bHLH repressors. PLoS Genet. 2012;8(5):e1002728. https://doi.org/10.1371/journal.pgen.1002728.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Taelman V, van Wayenbergh R, Sölter M, Pichon B, Pieler T, Christophe D, et al. Sequences downstream of the bHLH domain of the Xenopus hairy-related transcription factor-1 act as an extended dimerization domain that contributes to the selection of the partners. Dev Biol. 2004;276(1):47–63. https://doi.org/10.1016/j.ydbio.2004.08.019.

    Article  CAS  PubMed  Google Scholar 

  16. Buas MF, Kabak S, Kadesch T. The Notch effector Hey1 associates with myogenic target genes to repress myogenesis. J Biol Chem. 2010;285(2):1249–58. https://doi.org/10.1074/jbc.M109.046441.

    Article  CAS  PubMed  Google Scholar 

  17. Fischer A, Schumacher N, Maier M, Sendtner M, Gessler M. The Notch target genes Hey1 and Hey2 are required for embryonic vascular development. Genes Dev. 2004;18(8):901–11. https://doi.org/10.1101/gad.291004.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Kokubo H, Miyagawa-Tomita S, Johnson RL. Hesr, a mediator of the Notch signaling, functions in heart and vessel development. Trends Cardiovasc Med. 2005;15(5):190–4. https://doi.org/10.1016/j.tcm.2005.05.005.

    Article  CAS  PubMed  Google Scholar 

  19. Kokubo H, Miyagawa-Tomita S, Nakazawa M, Saga Y, Johnson RL. Mouse hesr1 and hesr2 genes are redundantly required to mediate Notch signaling in the developing cardiovascular system. Dev Biol. 2005;278(2):301–9. https://doi.org/10.1016/j.ydbio.2004.10.025.

    Article  CAS  PubMed  Google Scholar 

  20. Rutenberg JB, Fischer A, Jia H, Gessler M, Zhong TP, Mercola M. Developmental patterning of the cardiac atrioventricular canal by Notch and hairy-related transcription factors. Development. 2006;133(21):4381–90. https://doi.org/10.1242/dev.02607.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Benito-Gonzalez A, Doetzlhofer A. Hey1 and Hey2 control the spatial and temporal pattern of mammalian auditory hair cell differentiation downstream of hedgehog signaling. J Neurosci. 2014;34(38):12865–76. https://doi.org/10.1523/JNEUROSCI.1494-14.2014.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Elagib KE, Xiao M, Hussaini IM, Delehanty LL, Palmer LA, Racke FK, et al. Jun blockade of erythropoiesis: role for repression of GATA-1 by HERP2. Mol Cell Biol. 2004;24(17):7779–94. https://doi.org/10.1128/MCB.24.17.7779-7794.2004.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Kathiriya IS, King IN, Murakami M, Nakagawa M, Astle JM, Gardner KA, et al. Hairy-related transcription factors inhibit GATA-dependent cardiac gene expression through a signal-responsive mechanism. J Biol Chem. 2004;279(52):54937–43. https://doi.org/10.1074/jbc.M409879200.

    Article  CAS  PubMed  Google Scholar 

  24. Fischer A, Klattig J, Kneitz B, Diez H, Maier M, Holtmann B, et al. Hey basic helix-loop-helix transcription factors are repressors of GATA4 and GATA6 and restrict expression of the GATA target gene ANF in fetal hearts. Mol Cell Biol. 2005;25(20):8960–70. https://doi.org/10.1128/MCB.25.20.8960-8970.2005.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Tada H, Okano HJ, Takagi H, Shibata S, Yao I, Matsumoto M, et al. Fbxo45, a novel ubiquitin ligase, regulates synaptic activity. J Biol Chem. 2010;285(6):3840–9. https://doi.org/10.1074/jbc.M109.046284.

    Article  CAS  PubMed  Google Scholar 

  26. Saiga T, Fukuda T, Matsumoto M, Tada H, Okano HJ, Okano H, et al. Fbxo45 forms a novel ubiquitin ligase complex and is required for neuronal development. Mol Cell Biol. 2009;29(13):3529–43. https://doi.org/10.1128/MCB.00364-09.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Salat D, Winkler A, Urlaub H, Gessler M. Hey bHLH proteins interact with a FBXO45 containing SCF ubiquitin ligase complex and induce its translocation into the nucleus. PLoS One. 2015;10(6):e0130288. https://doi.org/10.1371/journal.pone.0130288.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Schuster-Gossler K, Cordes R, Gossler A. Premature myogenic differentiation and depletion of progenitor cells cause severe muscle hypotrophy in Delta1 mutants. Proc Natl Acad Sci U S A. 2007;104(2):537–42. https://doi.org/10.1073/pnas.0608281104.

    Article  CAS  PubMed  Google Scholar 

  29. Vasyutina E, Lenhard DC, Wende H, Erdmann B, Epstein JA, Birchmeier C. RBP-J (Rbpsuh) is essential to maintain muscle progenitor cells and to generate satellite cells. Proc Natl Acad Sci U S A. 2007;104(11):4443–8. https://doi.org/10.1073/pnas.0610647104.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. de Jong DS, Steegenga WT, Hendriks JMA, van Zoelen EJJ, Olijve W, Dechering KJ. Regulation of Notch signaling genes during BMP2-induced differentiation of osteoblast precursor cells. Biochem Biophys Res Commun. 2004;320(1):100–7. https://doi.org/10.1016/j.bbrc.2004.05.150.

    Article  PubMed  Google Scholar 

  31. Zamurovic N, Cappellen D, Rohner D, Susa M. Coordinated activation of notch, Wnt, and transforming growth factor-beta signaling pathways in bone morphogenic protein 2-induced osteogenesis. Notch target gene Hey1 inhibits mineralization and Runx2 transcriptional activity. J Biol Chem. 2004;279(36):37704–15. https://doi.org/10.1074/jbc.M403813200.

    Article  CAS  PubMed  Google Scholar 

  32. Salie R, Kneissel M, Vukevic M, Zamurovic N, Kramer I, Evans G, et al. Ubiquitous overexpression of Hey1 transcription factor leads to osteopenia and chondrocyte hypertrophy in bone. Bone. 2010;46(3):680–94. https://doi.org/10.1016/j.bone.2009.10.022.

    Article  CAS  PubMed  Google Scholar 

  33. Sharff KA, Song WX, Luo X, Tang N, Luo J, Chen J, et al. Hey1 basic helix-loop-helix protein plays an important role in mediating BMP9-induced osteogenic differentiation of mesenchymal progenitor cells. J Biol Chem. 2009;284(1):649–59. https://doi.org/10.1074/jbc.M806389200.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. •• Tsuru A, et al. Hairy/enhancer-of-split related with YRPW motif protein 1 promotes osteosarcoma metastasis via matrix metallopeptidase 9 expression. Br J Cancer. 2015;112(7):1232–40. This basic science report aimed to detect the relationship between HEY1 and osteosarcoma. The authors used human cell lines and a murine xenograft model for this purpose. They found that HEY1 promotes osteosarcoma’s metastatic potential by upregulating matrix metalloproteinase 9 expression.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Xu J, Wu RC, O'Malley BW. Normal and cancer-related functions of the p160 steroid receptor co-activator (SRC) family. Nat Rev Cancer. 2009;9(9):615–30. https://doi.org/10.1038/nrc2695.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Chen D, Ma H, Hong H, Koh SS, Huang SM, Schurter BT, et al. Regulation of transcription by a protein methyltransferase. Science. 1999;284(5423):2174–7. https://doi.org/10.1126/science.284.5423.2174.

    Article  CAS  PubMed  Google Scholar 

  37. Koh SS, Chen D, Lee YH, Stallcup MR. Synergistic enhancement of nuclear receptor function by p160 coactivators and two coactivators with protein methyltransferase activities. J Biol Chem. 2001;276(2):1089–98. https://doi.org/10.1074/jbc.M004228200.

    Article  CAS  PubMed  Google Scholar 

  38. Troke PJ, et al. MOZ fusion proteins in acute myeloid leukaemia. Biochem Soc Symp. 2006;73:23–39. https://doi.org/10.1042/bss0730023.

    Article  CAS  Google Scholar 

  39. Carapeti M, Aguiar RC, Goldman JM, Cross NC. A novel fusion between MOZ and the nuclear receptor coactivator TIF2 in acute myeloid leukemia. Blood. 1998;91(9):3127–33.

    CAS  PubMed  Google Scholar 

  40. Carapeti M, Aguiar RCT, Watmore AE, Goldman JM, Cross NCP. Consistent fusion of MOZ and TIF2 in AML with inv(8)(p11q13). Cancer Genet Cytogenet. 1999;113(1):70–2. https://doi.org/10.1016/S0165-4608(99)00007-2.

    Article  CAS  PubMed  Google Scholar 

  41. Strehl S, Nebral K, Konig M, Harbott J, Strobl H, Ratei R, et al. ETV6-NCOA2: a novel fusion gene in acute leukemia associated with coexpression of T-lymphoid and myeloid markers and frequent NOTCH1 mutations. Clin Cancer Res. 2008;14(4):977–83. https://doi.org/10.1158/1078-0432.CCR-07-4022.

    Article  CAS  PubMed  Google Scholar 

  42. Brown RA, Kwong BY, McCalmont TH, Ragsdale B, Ma L, Cheung C, et al. ETV3-NCOA2 in indeterminate cell histiocytosis: clonal translocation supports sui generis. Blood. 2015;126(20):2344–5. https://doi.org/10.1182/blood-2015-07-655530.

    Article  PubMed  Google Scholar 

  43. Mosquera JM, Sboner A, Zhang L, Kitabayashi N, Chen CL, Sung YS, et al. Recurrent NCOA2 gene rearrangements in congenital/infantile spindle cell rhabdomyosarcoma. Genes Chromosomes Cancer. 2013;52(6):538–50. https://doi.org/10.1002/gcc.22050.

    Article  CAS  PubMed  Google Scholar 

  44. Alaggio R, Zhang L, Sung YS, Huang SC, Chen CL, Bisogno G, et al. A molecular study of pediatric spindle and Sclerosing rhabdomyosarcoma: identification of novel and recurrent VGLL2-related fusions in infantile cases. Am J Surg Pathol. 2016;40(2):224–35. https://doi.org/10.1097/PAS.0000000000000538.

    PubMed  PubMed Central  Google Scholar 

  45. Sumegi J, Streblow R, Frayer RW, Dal Cin P, Rosenberg A, Meloni-Ehrig A, et al. Recurrent t(2;2) and t(2;8) translocations in rhabdomyosarcoma without the canonical PAX-FOXO1 fuse PAX3 to members of the nuclear receptor transcriptional coactivator family. Genes Chromosomes Cancer. 2010;49(3):224–36. https://doi.org/10.1002/gcc.20731.

    CAS  PubMed  PubMed Central  Google Scholar 

  46. Meloni-Ehrig A, Smith B, Zgoda JA, Greenberg J, Perdahl-Wallace E, Zaman S, et al. Translocation (2;8)(q35;q13): a recurrent abnormality in congenital embryonal rhabdomyosarcoma. Cancer Genet Cytogenet. 2009;191(1):43–5. https://doi.org/10.1016/j.cancergencyto.2009.01.010.

    Article  CAS  PubMed  Google Scholar 

  47. Hosoi H, Kakazu N, Konishi E, Tsuchihashi Y, Hada S, Amaya E, et al. A novel PAX3 rearrangement in embryonal rhabdomyosarcoma. Cancer Genet Cytogenet. 2009;189(2):98–104. https://doi.org/10.1016/j.cancergencyto.2008.10.016.

    Article  CAS  PubMed  Google Scholar 

  48. Jin Y, Möller E, Nord KH, Mandahl N, von Steyern FV, Domanski HA, et al. Fusion of the AHRR and NCOA2 genes through a recurrent translocation t(5;8)(p15;q13) in soft tissue angiofibroma results in upregulation of aryl hydrocarbon receptor target genes. Genes Chromosomes Cancer. 2012;51(5):510–20. https://doi.org/10.1002/gcc.21939.

    Article  CAS  PubMed  Google Scholar 

  49. Panagopoulos I, Gorunova L, Viset T, Heim S. Gene fusions AHRR-NCOA2, NCOA2-ETV4, ETV4-AHRR, P4HA2-TBCK, and TBCK-P4HA2 resulting from the translocations t(5;8;17)(p15;q13;q21) and t(4;5)(q24;q31) in a soft tissue angiofibroma. Oncol Rep. 2016;36(5):2455–62. https://doi.org/10.3892/or.2016.5096.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Arbajian E, Magnusson L, Mertens F, Domanski HA, Vult von Steyern F, Nord KH. A novel GTF2I/NCOA2 fusion gene emphasizes the role of NCOA2 in soft tissue angiofibroma development. Genes Chromosomes Cancer. 2013;52(3):330–1. https://doi.org/10.1002/gcc.22033.

    Article  CAS  PubMed  Google Scholar 

  51. Panagopoulos I, et al. Chromosome aberrations and HEY1-NCOA2 fusion gene in a mesenchymal chondrosarcoma. Oncol Rep. 2014;32(1):40–4. https://doi.org/10.3892/or.2014.3180.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Yoshihara K, Wang Q, Torres-Garcia W, Zheng S, Vegesna R, Kim H, et al. The landscape and therapeutic relevance of cancer-associated transcript fusions. Oncogene. 2015;34(37):4845–54. https://doi.org/10.1038/onc.2014.406.

    Article  CAS  PubMed  Google Scholar 

  53. Kalyana-Sundaram S, Shankar S, DeRoo S, Iyer MK, Palanisamy N, Chinnaiyan AM, et al. Gene fusions associated with recurrent amplicons represent a class of passenger aberrations in breast cancer. Neoplasia. 2012;14(8):702–8. https://doi.org/10.1593/neo.12914.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  54. Robinson DR, Kalyana-Sundaram S, Wu YM, Shankar S, Cao X, Ateeq B, et al. Functionally recurrent rearrangements of the MAST kinase and Notch gene families in breast cancer. Nat Med. 2011;17(12):1646–51. https://doi.org/10.1038/nm.2580.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  55. Deguchi K, Ayton PM, Carapeti M, Kutok JL, Snyder CS, Williams IR, et al. MOZ-TIF2-induced acute myeloid leukemia requires the MOZ nucleosome binding motif and TIF2-mediated recruitment of CBP. Cancer Cell. 2003;3(3):259–71. https://doi.org/10.1016/S1535-6108(03)00051-5.

    Article  CAS  PubMed  Google Scholar 

  56. •• Yu J, et al. Disruption of NCOA2 by recurrent fusion with LACTB2 in colorectal cancer. Oncogene. 2016;35(2):187–95. The authors identified a LACTB2-NCOA2 fusion in colorectal cancer cases with low NCOA2 expression. Inhibiting and expressing NCOA2 in normal colonocytes and colorectal cancer cells induced and repressed their tumorigenic properties, respectively. LACTB2-NCOA2 is a recurrent fusion responsible of disrupting wild-type NCOA2 in colorectal cancer.

    Article  CAS  PubMed  Google Scholar 

  57. Taylor BS, Schultz N, Hieronymus H, Gopalan A, Xiao Y, Carver BS, et al. Integrative genomic profiling of human prostate cancer. Cancer Cell. 2010;18(1):11–22. https://doi.org/10.1016/j.ccr.2010.05.026.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Qin J, Lee HJ, Wu SP, Lin SC, Lanz RB, Creighton CJ, et al. Androgen deprivation-induced NCoA2 promotes metastatic and castration-resistant prostate cancer. J Clin Invest. 2014;124(11):5013–26. https://doi.org/10.1172/JCI76412.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Moriya K, Katayama S, Onuma M, Rikiishi T, Hosaka M, Watanabe M, et al. Mesenchymal chondrosarcoma diagnosed on FISH for HEY1-NCOA2 fusion gene. Pediatr Int. 2014;56(5):e55–7. https://doi.org/10.1111/ped.12407.

    Article  PubMed  Google Scholar 

  60. Nyquist KB, Panagopoulos I, Thorsen J, Haugom L, Gorunova L, Bjerkehagen B, et al. Whole-transcriptome sequencing identifies novel IRF2BP2-CDX1 fusion gene brought about by translocation t(1;5)(q42;q32) in mesenchymal chondrosarcoma. PLoS One. 2012;7(11):e49705. https://doi.org/10.1371/journal.pone.0049705.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  61. Kang JM, Lee BH, Kim N, Lee HS, Lee HE, Park JH, et al. CDX1 and CDX2 expression in intestinal metaplasia, dysplasia and gastric cancer. J Korean Med Sci. 2011;26(5):647–53. https://doi.org/10.3346/jkms.2011.26.5.647.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Chan CW, et al. Gastrointestinal differentiation marker cytokeratin 20 is regulated by homeobox gene CDX1. Proc Natl Acad Sci U S A. 2009;106(6):1936–41. https://doi.org/10.1073/pnas.0812904106.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Wong NA, et al. Loss of CDX1 expression in colorectal carcinoma: promoter methylation, mutation, and loss of heterozygosity analyses of 37 cell lines. Proc Natl Acad Sci U S A. 2004;101(2):574–9. https://doi.org/10.1073/pnas.0307190101.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Childs KS, Goodbourn S. Identification of novel co-repressor molecules for interferon regulatory factor-2. Nucleic Acids Res. 2003;31(12):3016–26. https://doi.org/10.1093/nar/gkg431.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  65. Koeppel M, van Heeringen SJ, Smeenk L, Navis AC, Janssen-Megens EM, Lohrum M. The novel p53 target gene IRF2BP2 participates in cell survival during the p53 stress response. Nucleic Acids Res. 2009;37(2):322–35. https://doi.org/10.1093/nar/gkn940.

    Article  CAS  PubMed  Google Scholar 

  66. Meijer D, de Jong D, Pansuriya TC, van den Akker BE, Picci P, Szuhai K, et al. Genetic characterization of mesenchymal, clear cell, and dedifferentiated chondrosarcoma. Genes Chromosomes Cancer. 2012;51(10):899–909. https://doi.org/10.1002/gcc.21974.

    Article  CAS  PubMed  Google Scholar 

  67. Zavadil J, Cermak L, Soto-Nieves N, Böttinger EP. Integration of TGF-beta/Smad and Jagged1/Notch signalling in epithelial-to-mesenchymal transition. EMBO J. 2004;23(5):1155–65. https://doi.org/10.1038/sj.emboj.7600069.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  68. Miele L, Osborne B. Arbiter of differentiation and death: Notch signaling meets apoptosis. J Cell Physiol. 1999;181(3):393–409. https://doi.org/10.1002/(SICI)1097-4652(199912)181:3<393::AID-JCP3>3.0.CO;2-6.

    Article  CAS  PubMed  Google Scholar 

  69. Artavanis-Tsakonas S, Rand MD, Lake RJ. Notch signaling: cell fate control and signal integration in development. Science. 1999;284(5415):770–6. https://doi.org/10.1126/science.284.5415.770.

    Article  CAS  PubMed  Google Scholar 

  70. Mann CD, Bastianpillai C, Neal CP, Masood MM, Jones DJL, Teichert F, et al. Notch3 and HEY-1 as prognostic biomarkers in pancreatic adenocarcinoma. PLoS One. 2012;7(12):e51119. https://doi.org/10.1371/journal.pone.0051119.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  71. Grogan SP, Olee T, Hiraoka K, Lotz MK. Repression of chondrogenesis through binding of notch signaling proteins HES-1 and HEY-1 to N-box domains in the COL2A1 enhancer site. Arthritis Rheum. 2008;58(9):2754–63. https://doi.org/10.1002/art.23730.

    Article  PubMed  PubMed Central  Google Scholar 

  72. Brown RE, Boyle JL. Mesenchymal chondrosarcoma: molecular characterization by a proteomic approach, with morphogenic and therapeutic implications. Ann Clin Lab Sci. 2003;33(2):131–41.

    CAS  PubMed  Google Scholar 

  73. van Oosterwijk JG, Meijer D, van Ruler MAJH, van den Akker BEWM, Oosting J, Krenács T, et al. Screening for potential targets for therapy in mesenchymal, clear cell, and dedifferentiated chondrosarcoma reveals Bcl-2 family members and TGFbeta as potential targets. Am J Pathol. 2013;182(4):1347–56. https://doi.org/10.1016/j.ajpath.2012.12.036.

    Article  PubMed  Google Scholar 

  74. Hahn MJ, Yoon SS, Sohn HW, Song HG, Park SH, Kim TJ. Differential activation of MAP kinase family members triggered by CD99 engagement. FEBS Lett. 2000;470(3):350–4. https://doi.org/10.1016/S0014-5793(00)01330-2.

    Article  CAS  PubMed  Google Scholar 

  75. Kasinrerk W, Tokrasinwit N, Moonsom S, Stockinger H. CD99 monoclonal antibody induce homotypic adhesion of Jurkat cells through protein tyrosine kinase and protein kinase C-dependent pathway. Immunol Lett. 2000;71(1):33–41. https://doi.org/10.1016/S0165-2478(99)00165-0.

    Article  CAS  PubMed  Google Scholar 

  76. Granter SR, Renshaw AA, Fletcher CDM, Bhan AK, Rosenberg AE. CD99 reactivity in mesenchymal chondrosarcoma. Hum Pathol. 1996;27(12):1273–6. https://doi.org/10.1016/S0046-8177(96)90336-6.

    Article  CAS  PubMed  Google Scholar 

  77. Brown RE. Morphoproteomic portrait of the mTOR pathway in mesenchymal chondrosarcoma. Ann Clin Lab Sci. 2004;34(4):397–9.

    PubMed  Google Scholar 

  78. Samsa WE, Zhou X, Zhou G. Signaling pathways regulating cartilage growth plate formation and activity. Semin Cell Dev Biol. 2017;62:3–15. https://doi.org/10.1016/j.semcdb.2016.07.008.

    Article  CAS  PubMed  Google Scholar 

  79. •• de Jong Y, et al. Inhibition of Bcl-2 family members sensitizes mesenchymal chondrosarcoma to conventional chemotherapy: report on a novel mesenchymal chondrosarcoma cell line. Lab Invest. 2016;96(10):1128–37. This study reports on a derived mesenchymal chondrosarcoma cell line, MCS170, in which the HEY1-NCOA2 translocation was identified. The authors investigated its response to doxorubicin, cisplatin and/or Bcl-2 family members inhibitors. Apoptosis induction and MCS170 sensitization to chemotherapy were achieved when combining Bcl-2 family members inhibitors with conventional chemotherapy.

    Article  PubMed  Google Scholar 

  80. Mertens F, Antonescu CR, Mitelman F. Gene fusions in soft tissue tumors: recurrent and overlapping pathogenetic themes. Genes Chromosomes Cancer. 2016;55(4):291–310. https://doi.org/10.1002/gcc.22335.

    Article  CAS  PubMed  Google Scholar 

  81. Riggi N, Knoechel B, Gillespie SM, Rheinbay E, Boulay G, Suvà ML, et al. EWS-FLI1 utilizes divergent chromatin remodeling mechanisms to directly activate or repress enhancer elements in Ewing sarcoma. Cancer Cell. 2014;26(5):668–81. https://doi.org/10.1016/j.ccell.2014.10.004.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Anthony P. Conley.

Ethics declarations

Conflict of Interest

Marc El Beaino declares that he has no conflict of interest.

Jason Roszik declares that he has no conflict of interest.

John A. Livingston declares that he has no conflict of interest.

Wei-Lien Wang declares that he has no conflict of interest.

Alexander J. Lazar declares that he has no conflict of interest.

Behrang Amini declares that he has no conflict of interest.

Vivek Subbiah has received research support through grants from Novartis, Bayer, AbbVie, and Roche/Genentech.

Valerae Lewis declares that she has no conflict of interest.

Anthony P. Conley declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Sarcomas

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

El Beaino, M., Roszik, J., Livingston, J.A. et al. Mesenchymal Chondrosarcoma: a Review with Emphasis on its Fusion-Driven Biology. Curr Oncol Rep 20, 37 (2018). https://doi.org/10.1007/s11912-018-0668-z

Download citation

  • Published:

  • DOI: https://doi.org/10.1007/s11912-018-0668-z

Keywords

Navigation