Fig. 5. High levels of H2AK119ub1 are acquired during synovial sarcoma development.
a, Overview of the Hic1CreERT2 knock-in allele50 and of the Rosa26-hSSM2 allele (Rosa26hSS2)51 for conditional induction of SS18-SSX2 in Hic1-expressing mesenchymal progenitors. Upon tamoxifen treatment, CreERT2 mediates recombination between the two LoxP sites in SSM2 mice, thereby removing the transcriptional stop signal and allowing transcription of SS18-SSX2−IRES-EGFP from the endogenous ROSA26 promoter. b, Illustration of the timeline for the tissue sample collection of samples analyzed in c and d. Eight-week-old mice were treated with tamoxifen, and tongue muscle tissues were collected at 5, 7 and 9 weeks after induction. c,d, Immunofluorescence of Hic1creERT2/creERT2; Rosa26SSM2/SSM2, Cre-positive mouse tongue tissue at 5, 7 or 9 weeks after induction. The cells are stained for DAPI, SSM2 (eGFP) and H2AK119ub1 (c) or BCOR (d). Scale bars, 100 μm. e, Quantification of H2AK119ub1 (top) and BCOR (bottom) signal intensity normalized to DAPI signal intensity in three biological replicates (three different mice) in tamoxifen treated mice (+TAM) expressing or not expressing the SSM2 cassette (human SS18-SSX2) and showing normal tongue muscle (+TAM; SSM2−) adjacent to synovial sarcoma tumors (+TAM; SSM2+). P values determined by paired one-tailed t-test between groups (from left to right, *P = 0.04, *P = 0.04, **P = 0.002 (H2AK119ub1); *P = 0.03, *P = 0.04, *P = 0.04 (BCOR)). f, Immunohistochemical staining for H2AK119ub1 on a tissue microarray of human surgical excised tissue specimens (left, skeletal muscle; right, synovial sarcoma). Scale bar, 50 μm. g, Quantification of H2AK119ub DAB signal intensity across 37 synovial sarcomas (sample cores in duplicate), other sarcomas (one case each of epithelioid sarcoma, sarcomatoid mesothelioma, Ewing sarcoma, sarcomatoid renal cell carcinoma, clear cell sarcoma, dedifferentiated liposarcoma and myxoid liposarcoma) and normal tissues (normal skeletal muscle, ovarian stroma, breast glandular tissue and testis controls). Quantification for the two skeletal muscle samples is also shown separately in the graph. All samples were stained in parallel on the same formalin-fixed, paraffin-embedded tissue microarray slide. P values determined by Mann–Whitney U-test between groups (**P = 0.001 (H2AK119ub1), ****P < 0.0001 (SS18-SSX)).