Evidence map›Paper›PMID 24947144›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2015

CIC-DUX sarcomas demonstrate frequent MYC amplification and ETS-family transcription factor expression.

Steven Christopher Smith, Darya Buehler, Eun-Young Karen Choi, Jonathan B McHugh, Brian P Rubin, Steven D Billings, Bonnie Balzer, Dafydd G Thomas, David R Lucas, John R Goldblum and 1 more

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In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 90 citations in OpenAlex.

  1. Article
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  3. Diagnostics (Basel, Switzerland) · 2025
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  4. Review
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  6. Review
  7. Article
  8. Review
  9. Expanding the Molecular Diversity of CIC-Rearranged Sarcomas With Novel and Very Rare Partners.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2023
    Article
  10. Article
  11. The Recent Advances in Molecular Diagnosis of Soft Tissue Tumors.International journal of molecular sciences · 2023
    Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. A case report ofFrontiers in oncology · 2022
    Article
  17. Primary cardiacPediatric investigation · 2021
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Steven Christopher Smith1] Department of Pathology, University of Michigan Health System, Ann Arbor, MI, USA [2] Department of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Darya BuehlerDepartment of Pathology and Laboratory Medicine, University of Wisconsin Hospital, Madison, WI, USA.
Eun-Young Karen ChoiDepartment of Pathology, University of Michigan Health System, Ann Arbor, MI, USA.
Jonathan B McHughDepartment of Pathology, University of Michigan Health System, Ann Arbor, MI, USA.
Brian P RubinDepartment of Anatomic Pathology, Cleveland Clinic, Cleveland, OH, USA.
Steven D BillingsDepartment of Anatomic Pathology, Cleveland Clinic, Cleveland, OH, USA.
Bonnie BalzerDepartment of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Dafydd G ThomasDepartment of Pathology, University of Michigan Health System, Ann Arbor, MI, USA.
David R LucasDepartment of Pathology, University of Michigan Health System, Ann Arbor, MI, USA.
John R GoldblumDepartment of Anatomic Pathology, Cleveland Clinic, Cleveland, OH, USA.
Rajiv M Patel1] Department of Pathology, University of Michigan Health System, Ann Arbor, MI, USA [2] Department of Dermatology, University of Michigan Health System, Ann Arbor, MI, USA.
University of Michigan–Ann Arbor · USCleveland Clinic · USCedars-Sinai Medical Center · USMichigan Medicine · USUW Health University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent molecular advances have identified a novel, clinically aggressive subgroup of undifferentiated round cell sarcomas defined molecularly by oncogenic fusion of the gene, CIC, and either DUX4 or its paralog, DUX4L, herein termed CIC-DUX sarcomas. Morphologically, CIC-DUX sarcomas are round cell sarcomas with high-grade nuclear features, including vesicular chromatin and nucleoli, patchy clear cell foci, myxoid change, and necrosis. Here, we studied a cohort of 10 cases, including 6 newly identified cases, 2 with paired metastases. Given our prior observation of trisomy 8 in these tumors, we assayed for amplification and expression of MYC (c-Myc) and representative downstream targets. Trisomy 8 was detected in 5/7 testable cases, with further amplification of MYC locus in 6/7 testable cases and immunohistochemical expression of MYC in 10/10. The canonical MYC transcriptional target, p21, but not MTDH, was differentially expressed compared with Ewing sarcomas. Given prior observation of induction of ETS-family transcription factors by the fusion oncoprotein, we assayed and identified highly prevalent positivity for ERG (9/10) and FLI1 (8/8). These findings are cautionary regarding use of these immunostains in prospective case workup, whereas the prevalent MYC amplification may represent a therapeutically targetable oncogenic pathway in CIC-DUX sarcomas.

Indexed as

AdultFemaleGene AmplificationGenes, mycHomeodomain ProteinsHumansImmunohistochemistryIn Situ Hybridization, FluorescenceMaleOncogene Proteins, FusionPolymerase Chain ReactionProto-Oncogene Proteins c-etsRepressor ProteinsRetrospective StudiesSarcoma, Small CellSoft Tissue NeoplasmsCIC protein, humanDUX4L1 protein, humanHomeodomain ProteinsOncogene Proteins, FusionProto-Oncogene Proteins c-etsRepressor Proteins

Identifiers

PMID24947144
OpenAlexW1975919183

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.