AUTHOR=Lian Xiaolei , Bond J. Steffan , Bharathy Narendra , Boudko Sergei P. , Pokidysheva Elena , Shern Jack F. , Lathara Melvin , Sasaki Takako , Settelmeyer Teagan , Cleary Megan M. , Bajwa Ayeza , Srinivasa Ganapati , Hartley Christopher P. , Bächinger Hans Peter , Mansoor Atiya , Gultekin Sakir H. , Berlow Noah E. , Keller Charles TITLE=Defining the Extracellular Matrix of Rhabdomyosarcoma JOURNAL=Frontiers in Oncology VOLUME=Volume 11 - 2021 YEAR=2021 URL=https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2021.601957 DOI=10.3389/fonc.2021.601957 ISSN=2234-943X ABSTRACT=Introduction: Rhabdomyosarcoma (RMS) is the most common soft-tissue sarcoma of childhood with a propensity to metastasize. Current treatment for patients with RMS includes conventional systemic chemotherapy, radiation therapy and surgical resection; nevertheless, little to no improvement in long term survival has been achieved in decades – underlining the need for target discovery and new therapeutic approaches to targeting tumor cells or the tumor microenvironment. Methods: To evaluate cross-species sarcoma extracellular matrix production, we have used murine models which feature knowledge of the myogenic cell-of-origin. With focus on the RMS/undifferentiated pleomorphic sarcoma (UPS) continuum, we have constructed tissue microarrays of 48 murine and 4 human sarcomas to analyze expression of 7 different collagens, fibrillins and collagen-modifying proteins, with cross-correlation to RNA deep sequencing. Results: We have uncovered that RMS produces increased expression of type XVIII collagen alpha 1 (COL18A1), which is clinically associated with decreased long-term survival. We have also identified significantly increased RNA expression of COL4A1, FBN2, PLOD1 and PLOD2 in human RMS relative to normal skeletal muscle. Conclusion: These results complement recent studies investigating whether soft tissue sarcomas utilize collagens, fibrillins and collagen-modifying enzymes to alter the structural integrity of surrounding host extracellular matrix/collagen quaternary structure resulting in improved ability to improve the ability to invade regionally and metastasize, for which therapeutic targeting is possible.