Chordoma and chondrosarcoma are malignant bone tumors characterized by the abundant production of extracellular matrix. The
resistance of these tumors to conventional therapeutic modalities has prompted us to delineate the gene expression profile
of these two tumor types, with the expectation to identify potential molecular therapeutic targets. Furthermore the transcriptional
profile of chordomas and chrondrosarcomas was compared to a wide variety of sarcomas as well as to that of normal tissues
of similar lineage, to determine whether they express unique gene signatures among other tumors of mesenchymal origin, and
to identify changes associated with malignant transformation. A HG-U133A Affymetrix Chip platform was used to determine the
gene expression signature in 6 chordoma and 14 chondrosarcoma lesions. Validation of selected genes was performed by qPCR
and immunohistochemistry (IHC) on an extended subset of tumors. By unsupervised clustering, chordoma and chondrosarcoma tumors
grouped together in a genomic cluster distinct from that of other sarcoma types. They shared overexpression of many extracellular
matrix genes including
aggrecan,
type II & X collagen,
fibronectin,
matrillin 3,
high molecular weight-melanoma associated antigen (
HMW-MAA),
matrix metalloproteinase
MMP-9, and
MMP-19. In contrast,
T Brachyury and
CD24 were selectively expressed in chordomas, as were
Keratin 8,13,15,18 and 19. Chondrosarcomas are distinguished by high expression of
type IX and
XI collagen. Because of its potential usefulness as a target for immunotherapy, the expression of HMW-MAA was analyzed by IHC and was
detected in 62% of chordomas and 48% of chondrosarcomas, respectively. Furthermore, western blotting analysis showed that
HMW-MAA synthesized by chordoma cell lines has a structure similar to that of the antigen synthesized by melanoma cells. In
conclusion, chordomas and chondrosarcomas share a similar gene expression profile of up-regulated extracellular matrix genes.
HMW-MAA represents a potential useful target to apply immunotherapy to these tumors.
Keywords Chordoma - Chondrosarcoma - Gene expression - Extracellular matrix - HMW-MAA