title: Histone 3.3 hotspot mutations in conventional osteosarcomas: a comprehensive clinical and molecular characterization of six H3F3A mutated cases creator: Koelsche, Christian creator: Schrimpf, Daniel creator: Tharun, Lars creator: Roth, Eva creator: Sturm, Dominik creator: Jones, David T. W. creator: Renker, Eva-Kristin creator: Sill, Martin creator: Baude, Annika creator: Sahm, Felix creator: Capper, David creator: Bewerunge-Hudler, Melanie creator: Hartmann, Wolfgang creator: Kulozik, Andreas E. creator: Petersen, Iver creator: Flucke, Uta creator: Schreuder, Hendrik W. B. creator: Büttner, Reinhard creator: Weber, Marc-André creator: Schirmacher, Peter creator: Plass, Christoph creator: Pfister, Stefan M. creator: von Deimling, Andreas creator: Mechtersheimer, Gunhild subject: 610 subject: 610 Medical sciences Medicine description: Background: Histone 3.3 (H3.3) hotspot mutations in bone tumors occur in the vast majority of giant cell tumors of bone (GCTBs; 96%), chondroblastomas (95%) and in a few cases of osteosarcomas. However, clinical presentation, histopathological features, and additional molecular characteristics of H3.3 mutant osteosarcomas are largely unknown. Methods: In this multicentre, retrospective study, a total of 106 conventional high-grade osteosarcomas, across all age groups were re-examined for hotspot mutations in the H3.3 coding genes H3F3A and H3F3B. H3.3 mutant osteosarcomas were re-evaluated in a multidisciplinary manner and analyzed for genome-wide DNA-methylation patterns and DNA copy number aberrations alongside H3.3 wild-type osteosarcomas and H3F3A G34W/L mutant GCTBs. Results: Six osteosarcomas (6/106) carried H3F3A hotspot mutations. No mutations were found in H3F3B. All patients with H3F3A mutant osteosarcoma were older than 30 years with a median age of 65 years. Copy number aberrations that are commonly encountered in high-grade osteosarcomas also occurred in H3F3A mutant osteosarcomas. Unlike a single osteosarcoma with a H3F3A K27M mutation, the DNA methylation profiles of H3F3A G34W/R mutant osteosarcomas were clearly different from H3.3 wild-type osteosarcomas, but more closely related to GCTBs. The most differentially methylated promoters between H3F3A G34W/R mutant and H3.3 wild-type osteosarcomas were in KLLN/PTEN (p < 0.00005) and HIST1H2BB (p < 0.0005). Conclusions: H3.3 mutations in osteosarcomas may occur in H3F3A at mutational hotspots. They are overall rare, but become more frequent in osteosarcoma patients older than 30 years. Osteosarcomas carrying H3F3A G34W/R mutations are associated with epigenetic dysregulation of KLLN/PTEN and HIST1H2BB. publisher: BioMed Central date: 2017 type: Article type: info:eu-repo/semantics/article type: NonPeerReviewed format: application/pdf identifier: https://archiv.ub.uni-heidelberg.de/volltextserverhttps://archiv.ub.uni-heidelberg.de/volltextserver/22923/1/13569_2017_Article_75.pdf identifier: DOI: identifier: urn:nbn:de:bsz:16-heidok-229236 identifier: Koelsche, Christian ; Schrimpf, Daniel ; Tharun, Lars ; Roth, Eva ; Sturm, Dominik ; Jones, David T. W. ; Renker, Eva-Kristin ; Sill, Martin ; Baude, Annika ; Sahm, Felix ; Capper, David ; Bewerunge-Hudler, Melanie ; Hartmann, Wolfgang ; Kulozik, Andreas E. ; Petersen, Iver ; Flucke, Uta ; Schreuder, Hendrik W. B. ; Büttner, Reinhard ; Weber, Marc-André ; Schirmacher, Peter ; Plass, Christoph ; Pfister, Stefan M. ; von Deimling, Andreas ; Mechtersheimer, Gunhild (2017) Histone 3.3 hotspot mutations in conventional osteosarcomas: a comprehensive clinical and molecular characterization of six H3F3A mutated cases. Clinical Sarcoma Research, 7 (9). pp. 1-11. ISSN 2045-3329 relation: https://archiv.ub.uni-heidelberg.de/volltextserver/22923/ rights: info:eu-repo/semantics/openAccess rights: Please see front page of the work (Sorry, Dublin Core plugin does not recognise license id) language: eng