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H3.1 K36M mutation in a congenital‐onset soft tissue neoplasm
Authors:Kristin D. Kernohan  David Grynspan  Raveena Ramphal  Eric Bareke  You Chang Wang  Elizabeth Nizalik  CareRare Canada Consortium  Jiannis Ragoussis  Nada Jabado  Kym M. Boycott  Jacek Majewski  Sarah L. Sawyer
Affiliation:1. Children's Hospital of Eastern Ontario Research Institute, University of Ottawa, Ottawa, Canada;2. Department of Pathology, Children's Hospital of Eastern Ontario, Ottawa, Canada;3. Division of Hematology/Oncology, Children's Hospital of Eastern Ontario, Ottawa, Canada;4. Department of Human Genetics, McGill University, Montreal, Canada;5. McGill University and Genome Quebec Innovation Centre, Montreal, Canada;6. Department of Pediatrics, McGill University and McGill University Health Centre Research Institute, Montreal, Canada;7. Department of Genetics, Children's Hospital of Eastern Ontario, Ottawa, Canada
Abstract:We describe a patient who presented with a congenital soft tissue lesion initially diagnosed as infantile fibromatosis at 15 days of age. Unusually, the mass demonstrated malignant progression leading to death at 20 months of age. Biological progression to malignancy is not known to occur in fibromatosis, and fibrosarcoma is not known to progress from a benign lesion. Whole‐exome sequencing of the tumor identified a driver mutation in histone H3.1 at lysine (K)36. Our findings support the link between oncohistones and infantile soft tissue tumors and provide additional evidence for the oncogenic effects of p.K36M in H3 variants.
Keywords:histone H3.1  infantile cancer  posttranslational histone modification  soft tissue tumor
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