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Combined Tumor Suppressor Defects Characterize Clinically Defined Aggressive Variant Prostate Cancers.


ABSTRACT: PURPOSE:Morphologically heterogeneous prostate cancers that behave clinically like small-cell prostate cancers (SCPC) share their chemotherapy responsiveness. We asked whether these clinically defined, morphologically diverse, "aggressive variant prostate cancer (AVPC)" also share molecular features with SCPC. EXPERIMENTAL DESIGN:Fifty-nine prostate cancer samples from 40 clinical trial participants meeting AVPC criteria, and 8 patient-tumor derived xenografts (PDX) from 6 of them, were stained for markers aberrantly expressed in SCPC. DNA from 36 and 8 PDX was analyzed by Oncoscan for copy number gains (CNG) and losses (CNL). We used the AVPC PDX to expand observations and referenced publicly available datasets to arrive at a candidate molecular signature for the AVPC. RESULTS:Irrespective of morphology, Ki67 and Tp53 stained ?10% cells in 80% and 41% of samples, respectively. RB1 stained <10% cells in 61% of samples and AR in 36%. MYC (surrogate for 8q) CNG and RB1 CNL showed in 54% of 44 samples each and PTEN CNL in 48%. All but 1 of 8 PDX bore Tp53 missense mutations. RB1 CNL was the strongest discriminator between unselected castration-resistant prostate cancer (CRPC) and the AVPC. Combined alterations in RB1, Tp53, and/or PTEN were more frequent in the AVPC than in unselected CRPC and in The Cancer Genome Atlas samples. CONCLUSIONS:Clinically defined AVPC share molecular features with SCPC and are characterized by combined alterations in RB1, Tp53, and/or PTEN.

SUBMITTER: Aparicio AM 

PROVIDER: S-EPMC4794379 | biostudies-literature | 2016 Mar

REPOSITORIES: biostudies-literature

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Combined Tumor Suppressor Defects Characterize Clinically Defined Aggressive Variant Prostate Cancers.

Aparicio Ana M AM   Shen Li L   Tapia Elsa Li Ning EL   Lu Jing-Fang JF   Chen Hsiang-Chun HC   Zhang Jiexin J   Wu Guanglin G   Wang Xuemei X   Troncoso Patricia P   Corn Paul P   Thompson Timothy C TC   Broom Bradley B   Baggerly Keith K   Maity Sankar N SN   Logothetis Christopher J CJ  

Clinical cancer research : an official journal of the American Association for Cancer Research 20151106 6


<h4>Purpose</h4>Morphologically heterogeneous prostate cancers that behave clinically like small-cell prostate cancers (SCPC) share their chemotherapy responsiveness. We asked whether these clinically defined, morphologically diverse, "aggressive variant prostate cancer (AVPC)" also share molecular features with SCPC.<h4>Experimental design</h4>Fifty-nine prostate cancer samples from 40 clinical trial participants meeting AVPC criteria, and 8 patient-tumor derived xenografts (PDX) from 6 of them  ...[more]

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