## Abstract ## Background Synovial sarcoma is a rare, aggressive highโgrade neoplasm with poor prognosis. Synovial sarcoma is usually encountered in the lower extremities of young adults; only a few cases have been reported in the head and neck region. ## Methods We describe a case of a 44โyearโ
The (Epi)genetics of human synovial sarcoma
โ Scribed by Diederik R. H. de Bruijn; Jan-Peter Nap; Ad Geurts van Kessel
- Publisher
- John Wiley and Sons
- Year
- 2006
- Tongue
- English
- Weight
- 277 KB
- Volume
- 46
- Category
- Article
- ISSN
- 1045-2257
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โฆ Synopsis
Abstract
Human synovial sarcomas are aggressive soft tissue tumors with relatively high rates of recurrences and metastases. They display a variable response to common treatment protocols such as radiation and chemotherapy. For the development of novel diagnostic, prognostic, and therapeutic approaches, detailed information on the molecular mechanisms underlying the development of these tumors is of imperative importance. Fusion of the SS18 and (one of the) SSX genes is a molecular hallmark of human synovial sarcomas. The SS18 and SSX genes encode nuclear proteins that exhibit opposite transcription regulatory activities, likely through epigenetic mechanisms. The SS18 protein functions as a transcriptional coactivator and interacts directly with members of the epigenetic chromatin remodeling and modification machineries. In contrast, the SSX proteins function as transcriptional corepressors and are associated with several Polycomb group proteins. Since the domains involved in these apparently opposite transcription regulatory activities are retained in the SS18โSSX fusion proteins, we hypothesize that these fusion proteins function as โactivatorโrepressorsโ of transcription. The implications of this model for human synovial sarcoma development and future treatment are discussed. ยฉ 2006 WileyโLiss, Inc.
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