Evidence map›Paper›PMID 34148064›Full record

ArticleModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2021

Diagnostic utility of one-stop fusion gene panel to detect TFE3/TFEB gene rearrangement and amplification in renal cell carcinomas.

Shuko Harada, Anna Caliò, Karen M Janowski, Diana Morlote, Maria D Rodriguez Pena, Sofia Canete-Portillo, Djamel Harbi, Gina DeFrank, Cristina Magi-Galluzzi, George J Netto and 2 more

Open access · bronzeAbstract read
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In one paragraph

Article in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Cancers · 2026
    Review
  5. Case Report:Frontiers in oncology · 2026
    Article
  6. Article
  7. Review
  8. Review
  9. Genomic alterations and diagnosis of renal cancer.Virchows Archiv : an international journal of pathology · 2024
    Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
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

12 authors at 2 institutions in 2 countries.

Shuko HaradaDepartment of Pathology, The University of Alabama at Birmingham, Birmingham, AL, USA. sharada@uabmc.edu.ORCID 0000-0002-5783-2049
Anna CaliòDepartment of Diagnostic and Public Health, Section of Pathology, University of Verona, Verona, Italy.
Karen M JanowskiDepartment of Pathology, The University of Alabama at Birmingham, Birmingham, AL, USA.
Diana MorloteDepartment of Pathology, The University of Alabama at Birmingham, Birmingham, AL, USA.
Maria D Rodriguez PenaDepartment of Pathology, The University of Alabama at Birmingham, Birmingham, AL, USA.
Sofia Canete-PortilloDepartment of Pathology, The University of Alabama at Birmingham, Birmingham, AL, USA.
Djamel HarbiDepartment of Pathology, The University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0001-6511-1703
Gina DeFrankDepartment of Pathology, The University of Alabama at Birmingham, Birmingham, AL, USA.
Cristina Magi-GalluzziDepartment of Pathology, The University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0003-1219-3797
George J NettoDepartment of Pathology, The University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0003-3915-9134
Guido MartignoniDepartment of Diagnostic and Public Health, Section of Pathology, University of Verona, Verona, Italy.ORCID 0000-0002-7761-7274
Alexander C MackinnonDepartment of Pathology, The University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0002-2036-8529
University of Alabama at Birmingham · USUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

MiT family translocation renal cell carcinoma (MiT-RCC) harbors translocations involving the TFE3 or TFEB genes. RCC with TFEB amplification is also identified and is associated with a more aggressive clinical course. Accurate diagnosis of MiT-RCC is crucial for patient management. In this study, we evaluated the performance of the Archer FusionPlex assay for detection of MiT-RCC with TFE3 or TFEB translocations and TFEB amplifications. RNA was extracted from 49 RCC FFPE tissue samples with known TFE3/TFEB status (26 TFE3 FISH positive, 12 TFEB FISH positive, 4 TFEB amplified (1 case both split and amplified), and 8 FISH negative) using the Covaris extraction kit. Target enriched cDNA libraries were prepared using the Archer FusionPlex kit and sequenced on the Illumina NextSeq 550. We demonstrate that the age of the specimen, quality of RNA, and sequencing metrics are important for fusion detection. Fusions were identified in 20 of 21 cases less than 2 years old, and TFE3/TFEB rearrangements were detected in all cases with Fusion QC ≥ 100. The assay identified intrachromosomal inversions in two cases (TFE3-RBM10 and NONO-TFE3), usually difficult to identify by FISH assays. TFEB mRNA expression and the TFEB/TFE3 mRNA expression ratio were significantly higher in RCCs with TFEB fusion and TFEB gene amplification compared to tumors without TFEB fusion or amplification. A cutoff TFEB/TFE3 ratio of 0.5 resulted in 97.3% concordance to FISH results with no false negatives. Our study demonstrates that the FusionPlex assay successfully identifies TFE3 and TFEB fusions including intrachromosomal inversions. Age of the specimen and certain sequencing metrics are important for successful fusion detection. Furthermore, mRNA expression levels may be used for predicting cases harboring TFEB amplification, thereby streamlining testing. This assay enables accurate molecular detection of multiple subtypes of MiT-RCCs in a convenient workflow.

Indexed as

AdultBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsBiomarkers, TumorCarcinoma, Renal CellChild, PreschoolFemaleGene AmplificationGene FusionGene RearrangementHumansImmunohistochemistryIn Situ Hybridization, FluorescenceKidney NeoplasmsMaleMiddle AgedRNA, MessengerBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsBiomarkers, TumorRNA, MessengerTFE3 protein, humanTFEB protein, human

Identifiers

PMID34148064
OpenAlexW3176970789

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.