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Biomarker ERG Full name ETS-related gene Molecular Type Protein
Molecular Formula Molecular Weight 55 kDa Core Functional Dimensions diagnosis
Disease(or Constitution) Angiosarcoma Disease Subtypes /
Organ Vascular endothelial cells, tumor cells Test Sample / Technology Platform Organization (IHC)
Pathobiological Mechanisms Vascular endothelial cell specific transcription factor, participate in identity and endothelial cells
Clinical Availability Status Clinically available: Diagnostic core markers
Notes and Dynamics The strong positive expression in AS tissue can distinguish AS from other soft tissue sarcomas
Biomarker NOTCH1::ROS1 fusion gene Full name Notch receptor 1::ROS proto-oncogene 1, receptor tyrosine kinase gene fusion Molecular Type Nucleic acid (RNA/DNA)
Molecular Formula Molecular Weight 250-300 kDa Core Functional Dimensions Therapeutic targets
Disease(or Constitution) Angiosarcoma Disease Subtypes /
Organ Tumor cells (vascular endothelial origin) Test Sample / Technology Platform Organization (NGS, RNA sequencing)
Pathobiological Mechanisms Fusion protein activated downstream signaling pathways, drive tumorigenesis
Clinical Availability Status Cutting-edge research: radiation related AS found in children
Notes and Dynamics Provide evidence for ROS1 inhibitor therapy
Biomarker KHDRBS1::NTRK3 fusion gene Full name KH domain containing, RNA binding, signal transduction associated 1::Neurotrophic receptor tyrosine kinase 3 gene fusion Molecular Type Nucleic acid (RNA/DNA)
Molecular Formula Molecular Weight 180-220 kDa Core Functional Dimensions Therapeutic targets
Disease(or Constitution) Angiosarcoma Disease Subtypes /
Organ Tumor cells (vascular endothelial origin) Test Sample / Technology Platform Organization (NGS, RNA sequencing)
Pathobiological Mechanisms Activate the TRK signaling pathways, and promote the tumor cell proliferation and survival
Clinical Availability Status Cutting-edge research: AS found in children
Notes and Dynamics To la rochelle for (TRK inhibitors) have complete and lasting response
Biomarker NUP160-SLC43A3 fusion gene Full name Nucleoporin 160 kDa::Solute carrier family 43 member 3 gene fusion Molecular Type Nucleic acid (RNA/DNA)
Molecular Formula Molecular Weight 200-250 kDa Core Functional Dimensions Diagnostic and therapeutic targets
Disease(or Constitution) Angiosarcoma Disease Subtypes /
Organ Vascular endothelial cells, tumor cells Test Sample / Technology Platform Tissue (NGS, RNA sequencing)
Pathobiological Mechanisms Fusion gene drive endothelial cell malignant transformation
Clinical Availability Status Validation: primary scalp AS in common
Notes and Dynamics About 36% of primary scalp AS the fusion, has the subtype specificity
Biomarker TEK::GAB2 gene fusion Full name TEK receptor tyrosine kinase::GRB2-associated binding protein 2 gene fusion Molecular Type Nucleic acid (RNA/DNA)
Molecular Formula Molecular Weight 150-200 kDa Core Functional Dimensions Diagnostic and therapeutic targets
Disease(or Constitution) Angiosarcoma Disease Subtypes /
Organ Vascular endothelial cells, tumor cells Test Sample / Technology Platform Tissue (RNA sequencing, RT-PCR, Sanger sequencing)
Pathobiological Mechanisms Fusion protein activated PI3K/Akt/mTOR pathway, promotes endothelial cell malignant proliferation
Clinical Availability Status Cutting-edge research: new drive fusion gene
Notes and Dynamics Pediatric pelvic soft tissue was first discovered in the AS, provide new targets for targeted therapy
Biomarker BRAF Full name B-Raf proto-oncogene, serine/threonine kinase Molecular Type Nucleic acid (DNA)
Molecular Formula Molecular Weight 95 kDa Core Functional Dimensions Targets for Treatment
Disease(or Constitution) Angiosarcoma Disease Subtypes /
Organ All cells (MAPK pathway) Test Sample / Technology Platform Organization (NGS, WES, WGS)
Pathobiological Mechanisms Mutations activate the MAPK/ERK pathway, enhance cell proliferation and tumor
Clinical Availability Status Validation: rare but function key
Notes and Dynamics Mutations are hot spot mutations, MEK inhibitors may have a potential treatment
Biomarker RAS family (KRAS/HRAS/NRAS) Full name Kirsten rat sarcoma viral oncogene homolog / Harvey rat sarcoma viral oncogene homolog / Neuroblastoma RAS viral oncogene homolog Molecular Type Nucleic acids (DNA)
Molecular Formula Molecular Weight 21 kDa Core Functional Dimensions Therapeutic targets
Disease(or Constitution) Angiosarcoma Disease Subtypes /
Organ All cells (MAPK pathway) Test Sample / Technology Platform Organization (NGS, WES, WGS)
Pathobiological Mechanisms Activating mutations drive MAPK/ERK pathway, promote cell proliferation and malignant transformation
Clinical Availability Status Study validation: Subtype-specific distribution
Notes and Dynamics The mutation frequency was 14% (0%-53%), which cooperated with BRAF mutation to regulate tumor progression
Biomarker PIK3CA Full name Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha Molecular Type Nucleic acid (DNA)
Molecular Formula Molecular Weight 110 kDa Core Functional Dimensions Prognosis and therapeutic targets
Disease(or Constitution) Angiosarcoma Disease Subtypes /
Organ All cells (PI3K pathway) Test Sample / Technology Platform Organization (NGS, WES, custom TaqMan detection)
Pathobiological Mechanisms Activating mutations lead to abnormal activation of the PI3K/Akt/mTOR pathway and promote cell survival and proliferation
Clinical Availability Status Validation: breast subtypes enrichment
Notes and Dynamics Mutation frequency of 13% (0% 45%), is associated with poor prognosis, Alpelisib PI3K inhibitors in clinical trials
Biomarker FLT4 (VEGFR3) Full name Fms-related tyrosine kinase 4 (vascular endothelial growth factor receptor 3) Molecular Type Nucleic acid (DNA)/protein
Molecular Formula Molecular Weight 195 kDa Core Functional Dimensions Prognosis and therapeutic targets
Disease(or Constitution) Angiosarcoma Disease Subtypes /
Organ Vascular/lymphatic endothelial cells, tumor cells Test Sample / Technology Platform Organization (NGS, FISH, IHC, WES)
Pathobiological Mechanisms Gene amplification or expression, regulation lymph angiogenesis and tumor metastasis
Clinical Availability Status Clinical validation: secondary common subtype
Notes and Dynamics With MYC amplification (secondary AS), amplification is associated with poor prognosis, sensitive to sorafenib etc TKIs
Biomarker KDR (VEGFR2) Full name Kinase insert domain receptor (vascular endothelial growth factor receptor 2) Molecular Type Nucleic acid (DNA)/protein
Molecular Formula Molecular Weight 150 kDa Core Functional Dimensions Diagnostic, therapeutic targets
Disease(or Constitution) Angiosarcoma Disease Subtypes /
Organ Vascular endothelial cells, tumor cells Test Sample / Technology Platform Tissue (NGS, WES, WGS, IHC, FISH)
Pathobiological Mechanisms Gain function mutation or overexpression activates VEGF pathway and promotes endothelial cell proliferation and migration
Clinical Availability Status Clinical validation/therapeutic targets: TKIs treatment potential biomarkers
Notes and Dynamics Other parts of the breast AS mutation rate is AS high AS 73%, 5% to 18%, the mutation is associated with high protein expression
Biomarker PTPRB Full name Protein tyrosine phosphatase receptor type B Molecular Type Nucleic acid (DNA)
Molecular Formula Molecular Weight 190 kDa Core Functional Dimensions Therapeutic targets
Disease(or Constitution) Angiosarcoma Disease Subtypes /
Organ Vascular endothelial cells, tumor cells Test Sample / Technology Platform Tissue (NGS, WES, WGS)
Pathobiological Mechanisms Loss of tyrosine phosphatase function can relieve the inhibition of ANGPT-TIE2 pathway and enhance angiogenesis
Clinical Availability Status The study verified that the mutations were mainly truncated mutations
Notes and Dynamics The mutation frequency is 18% (11%-29%), which drives tumor progression by activating the PI3K/Akt/mTOR pathway
Biomarker MYC Full name MYC proto-oncogene, bHLH transcription factor Molecular Type Nucleic acid (DNA)
Molecular Formula Molecular Weight 49 kDa Core Functional Dimensions Diagnosis, prognosis, and therapeutic targets
Disease(or Constitution) Angiosarcoma Disease Subtypes /
Organ All cells (cell proliferation regulation) Test Sample / Technology Platform Organization (NGS, FISH, WES, WGS)
Pathobiological Mechanisms Gene amplification or mutation activation promotes cell proliferation, metabolic reprogramming, and angiogenesis
Clinical Availability Status Clinical validation: secondary core subtype diagnosis markers
Notes and Dynamics The amplification rate of secondary AS (radiation/lymphedema related) is up to 100%, and primary AS is rare (7%), which can be used to distinguish AS from benign vascular lesions
Biomarker POT1 Full name Protection of telomeres 1 Molecular Type Nucleic acid (DNA)
Molecular Formula Molecular Weight 70 kDa Core Functional Dimensions Susceptibility, prognosis
Disease(or Constitution) Angiosarcoma Disease Subtypes /
Organ All cells (telomere maintenance) Test Sample / Technology Platform Tissue (NGS, WES, WGS)
Pathobiological Mechanisms Telomere protective proteins function abnormally and promote chromosome instability and tumorigenesis
Clinical Availability Status Study validation: Enriched in head and neck subtypes
Notes and Dynamics The mutation frequency was 17% (16%-19%), and the mutation probability in AS was 11 times higher than that in other tumors. Most of the mutations were missense mutations
Biomarker TP53 Full name Tumor protein p53 Molecular Type Nucleic acid (DNA)
Molecular Formula Molecular Weight 53 kDa Core Functional Dimensions Diagnosis and prognosis
Disease(or Constitution) Angiosarcoma Disease Subtypes /
Organ All cells (tumor suppressor) Test Sample / Technology Platform Organization (NGS, WES, WGS, PCR-based DNA sequencing)
Pathobiological Mechanisms Loss of tumor suppressor gene function lead to genomic instability, promote angiogenesis and tumor cell proliferation
Clinical Availability Status Research/clinical validation: widely exists in various subtypes, head and neck subtype mutation rate is higher
Notes and Dynamics The mutation frequency was 27% (10%-69%), mainly missense mutation, which was associated with the up-regulation of VEGF expression
Biomarker MFCC / MPT Full name Mel-frequency cepstral coefficients / Maximum phonation time Molecular Type Other (acoustic features)
Molecular Formula Molecular Weight Core Functional Dimensions Congestion monitoring, remote follow-up
Disease(or Constitution) Heart failure Disease Subtypes /
Organ Vocal cords, lungs, myocardium Test Sample / Technology Platform Audio samples (smartphone recordings, machine learning analysis)
Pathobiological Mechanisms HF vocal cord edema (capacity load), lung function decline, affect the sound parameters (such as MFCC, the maximum voice time MPT)
Clinical Availability Status Cutting-edge research/clinical trial: - Amir distinguish between HF study shows that sound characteristics, such as the accuracy of the congestion/non congestion state = 98%; -Validation in multiple languages (Hebrew, Arabic) showed good stability
Notes and Dynamics Patients with acute HF MPT < 18 s prompt severe congestion, MPT after treatment to > 22 s is associated with good prognosis; Smartphone APP (such as CardioVoice) can monitor the sound characteristics in real time and warn of the deterioration of HF (sensitivity 89%, specificity 82%). Chronic HF remote follow-up, voice unwanted clinic on biomarkers can be reduced by 30%
Biomarker CLP Full name Cardiac Lipid Panel (sphingomyelin, triglycerides, phosphatidylcholine) Molecular Type Metabolites (lipids)
Molecular Formula Molecular Weight SM: ~700-800 Da; TAG: ~800-900 Da; PC: ~700-800 Da Core Functional Dimensions Early diagnosis and subtype evaluation
Disease(or Constitution) Heart failure Disease Subtypes /
Organ Myocardium, liver, adipose tissue Test Sample / Technology Platform Plasma (LC-MS/MS, NMR)
Pathobiological Mechanisms Containing sphingomyelin (SM), triglycerides (TAG), phosphatidyl choline (PC), reflect myocardial lipid metabolic disturbance, early asymptomatic HFrEF anomalies
Clinical Availability Status The validation: - Mueller-Hennessen etc. The study shows that the CLP in the diagnosis of early HFrEF AUC = 0.85 (0.78) is better than that of the NT-proBNP; -correlation with LVEF<40%, r=-0.47
Notes and Dynamics (1) CLP can identify "asymptomatic HFrEF"

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This study was supported by the Scientific Research Innovation Capability Support Project for Young Faculty (SRICSPYF-ZY2025112), the Fundamental and Interdisciplinary Disciplines Breakthrough Plan of the Ministry of Education of China (JYB2025XDXM612)

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