The Molecular Taxonomy of Primary Prostate Cancer

被引:2315
作者
Abeshouse, Adam [1 ]
Ahn, Jaeil [1 ]
Akbani, Rehan [1 ]
Ally, Adrian [1 ]
Amin, Samirkumar [1 ]
Andry, Christopher D. [1 ]
Annala, Matti [1 ]
Aprikian, Armen [1 ]
Armenia, Joshua [1 ]
Arora, Arshi [1 ]
Auman, J. Todd [1 ]
Balasundaram, Miruna [1 ]
Balu, Saianand [1 ]
Barbieri, Christopher E. [1 ]
Bauer, Thomas [1 ]
Benz, Christopher C. [1 ]
Bergeron, Alain [1 ]
Beroukhim, Rameen [1 ]
Berrios, Mario [1 ]
Bivol, Adrian [1 ]
Bodenheimer, Tom [1 ]
Boice, Lori [1 ]
Bootwalla, Moiz S. [1 ]
dos Reis, Rodolfo Borges [1 ]
Boutros, Paul C. [1 ]
Bowen, Jay [1 ]
Bowlby, Reanne [1 ]
Boyd, Jeffrey [1 ]
Bradley, Robert K. [1 ]
Breggia, Anne [1 ]
Brimo, Fadi [1 ]
Bristow, Christopher A. [1 ]
Brooks, Denise [1 ]
Broom, Bradley M. [1 ]
Bryce, Alan H. [1 ]
Bubley, Glenn [1 ]
Burks, Eric [1 ]
Butterfield, Yaron S. N. [1 ]
Button, Michael [1 ]
Canes, David [1 ]
Carlotti, Carlos G. [1 ]
Carlsen, Rebecca [1 ]
Carmel, Michel [1 ]
Carroll, Peter R. [1 ]
Carter, Scott L. [1 ]
Cartun, Richard [1 ]
Carver, Brett S. [1 ]
Chan, June M. [1 ]
Chang, Matthew T. [1 ]
Chen, Yu [1 ]
机构
[1] NCI, Canc Genome Atlas Program Off, NIH, Bethesda, MD 20892 USA
关键词
ETS GENE FUSIONS; ACTIVE ANDROGEN RECEPTOR; DNA METHYLATION; RADICAL PROSTATECTOMY; EXPRESSION PROFILES; WHOLE-GENOME; MUTATIONS; SPOP; RECURRENCE; REARRANGEMENTS;
D O I
10.1016/j.cell.2015.10.025
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
070307 [化学生物学]; 071010 [生物化学与分子生物学];
摘要
There is substantial heterogeneity among primary prostate cancers, evident in the spectrum of molecular abnormalities and its variable clinical course. As part of The Cancer Genome Atlas (TCGA), we present a comprehensive molecular analysis of 333 primary prostate carcinomas. Our results revealed a molecular taxonomy in which 74% of these tumors fell into one of seven subtypes defined by specific gene fusions (ERG, ETV1/4, and FLI1) or mutations (SPOP, FOXA1, and IDH1). Epigenetic profiles showed substantial heterogeneity, including an IDH1 mutant subset with a methylator phenotype. Androgen receptor (AR) activity varied widely and in a subtype-specific manner, with SPOP and FOXA1 mutant tumors having the highest levels of AR-induced transcripts. 25% of the prostate cancers had a presumed actionable lesion in the PI3K or MAPK signaling pathways, and DNA repair genes were inactivated in 19%. Our analysis reveals molecular heterogeneity among primary prostate cancers, as well as potentially actionable molecular defects.
引用
收藏
页码:1011 / 1025
页数:15
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