Testing mutual exclusivity of ETS rearranged prostate cancer

Prostate cancer is a clinically heterogeneous and multifocal disease. More than 80% of patients with prostate cancer harbor multiple geographically discrete cancer foci at the time of diagnosis. Emerging data suggest that these foci are molecularly distinct consistent with the hypothesis that they a...

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Main Authors: Svensson, Maria A, LaFargue, Christopher J, MacDonald, Theresa Y, Pflueger, Dorothee, Kitabayashi, Naoki, Santa-Cruz, Ashley M, Garsha, Karl E, Sathyanarayana, Ubaradka G, Riley, Janice P, Yun, Chol S, Nagy, Dea, Kosmeder, Jerry W, Pestano, Gary A, Tewari, Ashutosh K, Demichelis, Francesca, Rubin, Mark A
Format: Online
Language:English
Published: Nature Publishing Group 2011
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3130188/
id pubmed-3130188
recordtype oai_dc
spelling pubmed-31301882011-07-12 Testing mutual exclusivity of ETS rearranged prostate cancer Svensson, Maria A LaFargue, Christopher J MacDonald, Theresa Y Pflueger, Dorothee Kitabayashi, Naoki Santa-Cruz, Ashley M Garsha, Karl E Sathyanarayana, Ubaradka G Riley, Janice P Yun, Chol S Nagy, Dea Kosmeder, Jerry W Pestano, Gary A Tewari, Ashutosh K Demichelis, Francesca Rubin, Mark A Research Article Prostate cancer is a clinically heterogeneous and multifocal disease. More than 80% of patients with prostate cancer harbor multiple geographically discrete cancer foci at the time of diagnosis. Emerging data suggest that these foci are molecularly distinct consistent with the hypothesis that they arise as independent clones. One of the strongest arguments is the heterogeneity observed in the status of E26 transformation specific (ETS) rearrangements between discrete tumor foci. The clonal evolution of individual prostate cancer foci based on recent studies demonstrates intertumoral heterogeneity with intratumoral homogeneity. The issue of multifocality and interfocal heterogeneity is important and has not been fully elucidated due to lack of the systematic evaluation of ETS rearrangements in multiple tumor sites. The current study investigates the frequency of multiple gene rearrangements within the same focus and between different cancer foci. Fluorescence in situ hybridization (FISH) assays were designed to detect the four most common recurrent ETS gene rearrangements. In a cohort of 88 men with localized prostate cancer, we found ERG, ETV1, and ETV5 rearrangements in 51% (44/86), 6% (5/85), and 1% (1/86), respectively. None of the cases demonstrated ETV4 rearrangements. Mutual exclusiveness of ETS rearrangements was observed in the majority of cases; however, in six cases, we discovered multiple ETS or 5′ fusion partner rearrangements within the same tumor focus. In conclusion, we provide further evidence for prostate cancer tumor heterogeneity with the identification of multiple concurrent gene rearrangements. Nature Publishing Group 2011-03 2010-10-25 /pmc/articles/PMC3130188/ /pubmed/20975660 http://dx.doi.org/10.1038/labinvest.2010.179 Text en Copyright © 2011 United States and Canadian Academy of Pathology, Inc. http://creativecommons.org/licenses/by-nc-nd/3.0/ This work is licensed under the Creative Commons Attribution-NonCommercial-No Derivative Works 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/3.0/
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Svensson, Maria A
LaFargue, Christopher J
MacDonald, Theresa Y
Pflueger, Dorothee
Kitabayashi, Naoki
Santa-Cruz, Ashley M
Garsha, Karl E
Sathyanarayana, Ubaradka G
Riley, Janice P
Yun, Chol S
Nagy, Dea
Kosmeder, Jerry W
Pestano, Gary A
Tewari, Ashutosh K
Demichelis, Francesca
Rubin, Mark A
spellingShingle Svensson, Maria A
LaFargue, Christopher J
MacDonald, Theresa Y
Pflueger, Dorothee
Kitabayashi, Naoki
Santa-Cruz, Ashley M
Garsha, Karl E
Sathyanarayana, Ubaradka G
Riley, Janice P
Yun, Chol S
Nagy, Dea
Kosmeder, Jerry W
Pestano, Gary A
Tewari, Ashutosh K
Demichelis, Francesca
Rubin, Mark A
Testing mutual exclusivity of ETS rearranged prostate cancer
author_facet Svensson, Maria A
LaFargue, Christopher J
MacDonald, Theresa Y
Pflueger, Dorothee
Kitabayashi, Naoki
Santa-Cruz, Ashley M
Garsha, Karl E
Sathyanarayana, Ubaradka G
Riley, Janice P
Yun, Chol S
Nagy, Dea
Kosmeder, Jerry W
Pestano, Gary A
Tewari, Ashutosh K
Demichelis, Francesca
Rubin, Mark A
author_sort Svensson, Maria A
title Testing mutual exclusivity of ETS rearranged prostate cancer
title_short Testing mutual exclusivity of ETS rearranged prostate cancer
title_full Testing mutual exclusivity of ETS rearranged prostate cancer
title_fullStr Testing mutual exclusivity of ETS rearranged prostate cancer
title_full_unstemmed Testing mutual exclusivity of ETS rearranged prostate cancer
title_sort testing mutual exclusivity of ets rearranged prostate cancer
description Prostate cancer is a clinically heterogeneous and multifocal disease. More than 80% of patients with prostate cancer harbor multiple geographically discrete cancer foci at the time of diagnosis. Emerging data suggest that these foci are molecularly distinct consistent with the hypothesis that they arise as independent clones. One of the strongest arguments is the heterogeneity observed in the status of E26 transformation specific (ETS) rearrangements between discrete tumor foci. The clonal evolution of individual prostate cancer foci based on recent studies demonstrates intertumoral heterogeneity with intratumoral homogeneity. The issue of multifocality and interfocal heterogeneity is important and has not been fully elucidated due to lack of the systematic evaluation of ETS rearrangements in multiple tumor sites. The current study investigates the frequency of multiple gene rearrangements within the same focus and between different cancer foci. Fluorescence in situ hybridization (FISH) assays were designed to detect the four most common recurrent ETS gene rearrangements. In a cohort of 88 men with localized prostate cancer, we found ERG, ETV1, and ETV5 rearrangements in 51% (44/86), 6% (5/85), and 1% (1/86), respectively. None of the cases demonstrated ETV4 rearrangements. Mutual exclusiveness of ETS rearrangements was observed in the majority of cases; however, in six cases, we discovered multiple ETS or 5′ fusion partner rearrangements within the same tumor focus. In conclusion, we provide further evidence for prostate cancer tumor heterogeneity with the identification of multiple concurrent gene rearrangements.
publisher Nature Publishing Group
publishDate 2011
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3130188/
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