Evidence map›Paper›PMID 27443518›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2016

Characterization of FN1-FGFR1 and novel FN1-FGF1 fusion genes in a large series of phosphaturic mesenchymal tumors.

Jen-Chieh Lee, Sheng-Yao Su, Chun A Changou, Rong-Sen Yang, Keh-Sung Tsai, Michael T Collins, Eric S Orwoll, Chung-Yen Lin, Shu-Hwa Chen, Shyang-Rong Shih and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed
9.1field-weighted citation impact, top 2% 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

95 citing papers in PubMed, 180 citations in OpenAlex.

  1. Trial
  2. Octreotide Is Ineffective in Treating Tumor-Induced Osteomalacia: Results of a Short-Term Therapy.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2017
    Trial
  3. Article
  4. Review
  5. Phosphaturic Mesenchymal Tumor: From Invisibility to Bedridden Morbidity.Journal of the ASEAN Federation of Endocrine Societies · 2026
    Article
  6. Article
  7. Review
  8. Hypophosphatemic rickets: diagnosis and treatment.Archives of endocrinology and metabolism · 2026
    Review
  9. Article
  10. Article
  11. Solitary fibrous tumor: an updated review.Journal of pathology and translational medicine · 2026
    Article
  12. Article
  13. Article
  14. Review
  15. Treatment Advances in Tumor-Induced Osteomalacia.Calcified tissue international · 2025
    Review
  16. Article
  17. Article
  18. Review
  19. International journal of surgical pathology · 2024
    Article
  20. Article

35 more citing papers are in PubMed but not listed here.

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

21 authors at 16 institutions in 5 countries.

Jen-Chieh LeeDepartment and Graduate Institute of Pathology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.ORCID 0000-0001-7739-5934
Sheng-Yao SuInstitute of Information Science, Academia Sinica, Taipei, Taiwan.
Chun A ChangouGraduate Institute of Cancer Biology and Drug Discovery, Taipei Medical University, Taipei, Taiwan.
Rong-Sen YangDepartment of Orthopedics, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
Keh-Sung TsaiDepartment of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
Michael T CollinsSkeletal Clinical Studies Unit, National Institutes of Health, Bethesda, MD, USA.
Eric S OrwollBone and Mineral Unit, Oregon Health and Science University, Portland, OR, USA.
Chung-Yen LinInstitute of Information Science, Academia Sinica, Taipei, Taiwan.
Shu-Hwa ChenInstitute of Information Science, Academia Sinica, Taipei, Taiwan.
Shyang-Rong ShihDepartment of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
Cheng-Han LeeDepartment of Laboratory Medicine and Pathology, University of Alberta and Royal Alexandra Hospital, Edmonton, Alberta, Canada.
Yoshinao OdaDepartment of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Steven D BillingsDepartment of Pathology, Cleveland Clinic, Cleveland, OH, USA.
Chien-Feng LiDepartment of Pathology, Chi-Mei Medical Center, Tainan, Taiwan.
G Petur NielsenDepartment of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Eiichi KonishiDepartment of Pathology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Fredrik PeterssonDepartment of Pathology, National University Health System, Singapore, Singapore.
Thomas O CarpenterDepartment of Pediatrics (Endocrinology), Yale University School of Medicine, New Haven, CT, USA.
Kesavan SittampalamPathology Department, Singapore General Hospital, Singapore, Singapore.
Hsuan-Ying HuangDepartment of Pathology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Andrew L FolpeDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
National Taiwan University Hospital · TWInstitute of Information Science, Academia Sinica · TWChang Gung University · TWChi Mei Medical Center · TWCleveland Clinic · USKyoto Prefectural University of Medicine · JPKyushu University · JPMassachusetts General Hospital · USMayo Clinic in Arizona · USNational Institutes of Health Clinical Center · USNational University Health System · SGOregon Health & Science University · USRoyal Alexandra Hospital · CASingapore General Hospital · SGTaipei Medical University · TWYale University · US

Funding

Skeletal Disorders and Mineral Homeostasis SectionZIADE000649 · NIDCR · NATIONAL INSTITUTE OF DENTAL & CRANIOFACIAL RESEARCH · PI COLLINS, MICHAEL · 2009 to 2025
$32.8M
Intramural NIH HHS Z99 DE999999
6 · The paper itself

Abstract

Phosphaturic mesenchymal tumors typically cause paraneoplastic osteomalacia, chiefly as a result of FGF23 secretion. In a prior study, we identified FN1-FGFR1 fusion in 9 of 15 phosphaturic mesenchymal tumors. In this study, a total of 66 phosphaturic mesenchymal tumors and 7 tumors resembling phosphaturic mesenchymal tumor but without known phosphaturia were studied. A novel FN1-FGF1 fusion gene was identified in two cases without FN1-FGFR1 fusion by RNA sequencing and cross-validated with direct sequencing and western blot. Fluorescence in situ hybridization analyses revealed FN1-FGFR1 fusion in 16 of 39 (41%) phosphaturic mesenchymal tumors and identified an additional case with FN1-FGF1 fusion. The two fusion genes were mutually exclusive. Combined with previous data, the overall prevalence of FN1-FGFR1 and FN1-FGF1 fusions was 42% (21/50) and 6% (3/50), respectively. FGFR1 immunohistochemistry was positive in 82% (45/55) of phosphaturic mesenchymal tumors regardless of fusion status. By contrast, 121 cases of potential morphologic mimics (belonging to 13 tumor types) rarely expressed FGFR1, the main exceptions being solitary fibrous tumors (positive in 40%), chondroblastomas (40%), and giant cell tumors of bone (38%), suggesting a possible role for FGFR1 immunohistochemistry in the diagnosis of phosphaturic mesenchymal tumor. With the exception of one case reported in our prior study, none of the remaining tumors resembling phosphaturic mesenchymal tumor had either fusion type or expressed significant FGFR1. Our findings provide insight into possible mechanisms underlying the pathogenesis of phosphaturic mesenchymal tumor and imply a central role of the FGF1-FGFR1 signaling pathway. The novel FN1-FGF1 protein is expected to be secreted and serves as a ligand that binds and activates FGFR1 to achieve an autocrine loop. Further study is required to determine the functions of these fusion proteins.

Indexed as

Bone NeoplasmsFibroblast Growth Factor 1Fibroblast Growth Factor-23Fibroblast Growth FactorsFibronectinsHumansOncogene Proteins, FusionReceptor, Fibroblast Growth Factor, Type 1Soft Tissue NeoplasmsFGF23 protein, humanFGFR1 protein, humanFibroblast Growth Factor 1Fibroblast Growth Factor-23Fibroblast Growth FactorsFibronectinsFN1 protein, humanOncogene Proteins, FusionReceptor, Fibroblast Growth Factor, Type 1

Identifiers

PMID27443518
PMCPMC13417894
OpenAlexW2485905657

What OpenQuestion holds

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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.