Ontology highlight
ABSTRACT: Purpose
African American (AFR) men have the highest mortality rate from prostate cancer (PCa) compared with men of other racial/ancestral groups. Differences in the spectrum of somatic genome alterations in tumors between AFR men and other populations have not been well-characterized due to a lack of inclusion of significant numbers in genomic studies.Experimental design
To identify genomic alterations associated with race, we compared the frequencies of somatic alterations in PCa obtained from four publicly available datasets comprising 250 AFR and 611 European American (EUR) men and a targeted sequencing dataset from a commercial platform of 436 AFR and 3018 EUR men.Results
Mutations in ZFHX3 as well as focal deletions in ETV3 were more frequent in tumors from AFR men. TP53 mutations were associated with increasing Gleason score. MYC amplifications were more frequent in tumors from AFR men with metastatic PCa, whereas deletions in PTEN and rearrangements in TMPRSS2-ERG were less frequent in tumors from AFR men. KMT2D truncations and CCND1 amplifications were more frequent in primary PCa from AFR men. Genomic features that could impact clinical decision making were not significantly different between the two groups including tumor mutation burden, MSI status, and genomic alterations in select DNA repair genes, CDK12, and in AR.Conclusions
Although we identified some novel differences in AFR men compared with other populations, the frequencies of genomic alterations in current therapeutic targets for PCa were similar between AFR and EUR men, suggesting that existing precision medicine approaches could be equally beneficial if applied equitably.
SUBMITTER: Koga Y
PROVIDER: S-EPMC7597977 | biostudies-literature | 2020 Sep
REPOSITORIES: biostudies-literature
Koga Yusuke Y Song Hanbing H Chalmers Zachary R ZR Newberg Justin J Kim Eejung E Carrot-Zhang Jian J Piou Daphnee D Polak Paz P Abdulkadir Sarki A SA Ziv Elad E Meyerson Matthew M Frampton Garrett M GM Campbell Joshua D JD Huang Franklin W FW
Clinical cancer research : an official journal of the American Association for Cancer Research 20200710 17
<h4>Purpose</h4>African American (AFR) men have the highest mortality rate from prostate cancer (PCa) compared with men of other racial/ancestral groups. Differences in the spectrum of somatic genome alterations in tumors between AFR men and other populations have not been well-characterized due to a lack of inclusion of significant numbers in genomic studies.<h4>Experimental design</h4>To identify genomic alterations associated with race, we compared the frequencies of somatic alterations in PC ...[more]