Publication Date:
2012-06-23
Description:
Characterization of the prostate cancer transcriptome and genome has identified chromosomal rearrangements and copy number gains and losses, including ETS gene family fusions, PTEN loss and androgen receptor (AR) amplification, which drive prostate cancer development and progression to lethal, metastatic castration-resistant prostate cancer (CRPC). However, less is known about the role of mutations. Here we sequenced the exomes of 50 lethal, heavily pre-treated metastatic CRPCs obtained at rapid autopsy (including three different foci from the same patient) and 11 treatment-naive, high-grade localized prostate cancers. We identified low overall mutation rates even in heavily treated CRPCs (2.00 per megabase) and confirmed the monoclonal origin of lethal CRPC. Integrating exome copy number analysis identified disruptions of CHD1 that define a subtype of ETS gene family fusion-negative prostate cancer. Similarly, we demonstrate that ETS2, which is deleted in approximately one-third of CRPCs (commonly through TMPRSS2:ERG fusions), is also deregulated through mutation. Furthermore, we identified recurrent mutations in multiple chromatin- and histone-modifying genes, including MLL2 (mutated in 8.6% of prostate cancers), and demonstrate interaction of the MLL complex with the AR, which is required for AR-mediated signalling. We also identified novel recurrent mutations in the AR collaborating factor FOXA1, which is mutated in 5 of 147 (3.4%) prostate cancers (both untreated localized prostate cancer and CRPC), and showed that mutated FOXA1 represses androgen signalling and increases tumour growth. Proteins that physically interact with the AR, such as the ERG gene fusion product, FOXA1, MLL2, UTX (also known as KDM6A) and ASXL1 were found to be mutated in CRPC. In summary, we describe the mutational landscape of a heavily treated metastatic cancer, identify novel mechanisms of AR signalling deregulated in prostate cancer, and prioritize candidates for future study.〈br /〉〈br /〉〈a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3396711/" target="_blank"〉〈img src="https://static.pubmed.gov/portal/portal3rc.fcgi/4089621/img/3977009" border="0"〉〈/a〉 〈a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3396711/" target="_blank"〉This paper as free author manuscript - peer-reviewed and accepted for publication〈/a〉〈br /〉〈br /〉〈span class="detail_caption"〉Notes: 〈/span〉Grasso, Catherine S -- Wu, Yi-Mi -- Robinson, Dan R -- Cao, Xuhong -- Dhanasekaran, Saravana M -- Khan, Amjad P -- Quist, Michael J -- Jing, Xiaojun -- Lonigro, Robert J -- Brenner, J Chad -- Asangani, Irfan A -- Ateeq, Bushra -- Chun, Sang Y -- Siddiqui, Javed -- Sam, Lee -- Anstett, Matt -- Mehra, Rohit -- Prensner, John R -- Palanisamy, Nallasivam -- Ryslik, Gregory A -- Vandin, Fabio -- Raphael, Benjamin J -- Kunju, Lakshmi P -- Rhodes, Daniel R -- Pienta, Kenneth J -- Chinnaiyan, Arul M -- Tomlins, Scott A -- P50 CA069568/CA/NCI NIH HHS/ -- P50 CA069568-14/CA/NCI NIH HHS/ -- P50 CA69568/CA/NCI NIH HHS/ -- R01 CA132874/CA/NCI NIH HHS/ -- R01 CA132874-05/CA/NCI NIH HHS/ -- R01CA13287/CA/NCI NIH HHS/ -- T32 CA009676/CA/NCI NIH HHS/ -- T32 CA140044/CA/NCI NIH HHS/ -- U01 CA111275/CA/NCI NIH HHS/ -- U01 CA111275-08/CA/NCI NIH HHS/ -- U01 CA113913/CA/NCI NIH HHS/ -- U01 CA113913-03/CA/NCI NIH HHS/ -- Howard Hughes Medical Institute/ -- England -- Nature. 2012 Jul 12;487(7406):239-43. doi: 10.1038/nature11125.〈br /〉〈span class="detail_caption"〉Author address: 〈/span〉Michigan Center for Translational Pathology, University of Michigan Medical School, Ann Arbor, Michigan 48109, USA.〈br /〉〈span class="detail_caption"〉Record origin:〈/span〉 〈a href="http://www.ncbi.nlm.nih.gov/pubmed/22722839" target="_blank"〉PubMed〈/a〉
Keywords:
Cell Proliferation
;
Cells, Cultured
;
Hepatocyte Nuclear Factor 3-alpha/genetics
;
Humans
;
Male
;
Molecular Sequence Data
;
Mutation
;
Orchiectomy
;
Prostatic Neoplasms/*genetics/pathology
;
Receptors, Androgen/metabolism
;
Sequence Alignment
;
Signal Transduction
Print ISSN:
0028-0836
Electronic ISSN:
1476-4687
Topics:
Biology
,
Chemistry and Pharmacology
,
Medicine
,
Natural Sciences in General
,
Physics
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