Type of skeletal muscle tumor
Medical condition
Alveolar rhabdomyosarcoma (ARMS ) is a subtype of the rhabdomyosarcoma family of soft tissue cancers whose lineage is from mesenchymal cells and are related to skeletal muscle cells .[ 1] ARMS tumors resemble the alveolar tissue in the lungs .[ 1] Tumor location varies from patient to patient, but is commonly found in the head and neck region, male and female urogenital tracts , the torso, and extremities.[ 2]
Two fusion proteins can be associated with ARMS, but are not necessary: PAX3 -FKHR (now known as FOXO1 )[ 3] [ 4] and PAX7 -FKHR.[ 5] [ 6] In children and adolescents ARMS accounts for about 1 percent of all malignancies, has an incidence rate of 1 per million, and most cases occur sporadically with no genetic predisposition.[ 1] PAX3-FOXO1 is now known to drive cancer-promoting gene expression programs through creation of distant genetic elements called super enhancers .[ 7]
^ a b c Barr, FG (2009-01-01). "Soft tissue tumors: Alveolar rhabdomyosarcoma" . Atlas of Genetics and Cytogenetics in Oncology and Haematology (12). doi :10.4267/2042/44650 . hdl :2042/44650 . ISSN 1768-3262 .
^ Balogh, Petra; Bánusz, Rita; Csóka, Monika; Váradi, Zsófia; Varga, Edit; Sápi, Zoltán (2016-01-01). "Primary alveolar rhabdomyosarcoma of the bone: two cases and review of the literature" . Diagnostic Pathology . 11 (1): 99. doi :10.1186/s13000-016-0552-9 . ISSN 1746-1596 . PMC 5069778 . PMID 27756397 .
^ Fredericks WJ, Galili N, Mukhopadhyay S, et al. (March 1995). "The PAX3-FKHR fusion protein created by the t(2;13) translocation in alveolar rhabdomyosarcomas is a more potent transcriptional activator than PAX3" . Mol. Cell. Biol . 15 (3): 1522– 35. doi :10.1128/MCB.15.3.1522 . PMC 230376 . PMID 7862145 .
^ Mercado GE, Xia SJ, Zhang C, et al. (June 2008). "Identification of PAX3-FKHR-regulated genes differentially expressed between alveolar and embryonal rhabdomyosarcoma: focus on MYCN as a biologically relevant target". Genes Chromosomes Cancer . 47 (6): 510– 20. doi :10.1002/gcc.20554 . PMID 18335505 . S2CID 21917973 .
^ Mercado GE, Barr FG (February 2007). "Fusions involving PAX and FOX genes in the molecular pathogenesis of alveolar rhabdomyosarcoma: recent advances" . Curr. Mol. Med . 7 (1): 47– 61. doi :10.2174/156652407779940440 . PMID 17311532 . Archived from the original on 2013-04-14.
^ Laé M, Ahn EH, Mercado GE, et al. (June 2007). "Global gene expression profiling of PAX-FKHR fusion-positive alveolar and PAX-FKHR fusion-negative embryonal rhabdomyosarcomas". J. Pathol . 212 (2): 143– 51. doi :10.1002/path.2170 . PMID 17471488 . S2CID 25440633 .
^ Gryder, Berkley E.; Yohe, Marielle E.; Chou, Hsien-Chao; Zhang, Xiaohu; Marques, Joana; Wachtel, Marco; Schaefer, Beat; Sen, Nirmalya; Song, Young (August 2017). "PAX3-FOXO1 Establishes Myogenic Super Enhancers and Confers BET Bromodomain Vulnerability" . Cancer Discovery . 7 (8): 884– 899. doi :10.1158/2159-8290.CD-16-1297 . ISSN 2159-8290 . PMC 7802885 . PMID 28446439 .