Genetic and Epigenetic Determinants of Aggressiveness in Cribriform Carcinoma of the Prostate

Among prostate cancers containing Gleason pattern 4, cribriform morphology is associated with unfavorable clinicopathologic factors, but its genetic features and association with long-term outcomes are incompletely understood. In this study, genetic, transcriptional, and epigenetic features of invas...

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Veröffentlicht in:Molecular cancer research 2019-02, Vol.17 (2), p.446-456
Hauptverfasser: Elfandy, Habiba, Armenia, Joshua, Pederzoli, Filippo, Pullman, Eli, Pertega-Gomes, Nelma, Schultz, Nikolaus, Viswanathan, Kartik, Vosoughi, Aram, Blattner, Mirjam, Stopsack, Konrad H, Zadra, Giorgia, Penney, Kathryn L, Mosquera, Juan Miguel, Tyekucheva, Svitlana, Mucci, Lorelei A, Barbieri, Christopher, Loda, Massimo
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container_issue 2
container_start_page 446
container_title Molecular cancer research
container_volume 17
creator Elfandy, Habiba
Armenia, Joshua
Pederzoli, Filippo
Pullman, Eli
Pertega-Gomes, Nelma
Schultz, Nikolaus
Viswanathan, Kartik
Vosoughi, Aram
Blattner, Mirjam
Stopsack, Konrad H
Zadra, Giorgia
Penney, Kathryn L
Mosquera, Juan Miguel
Tyekucheva, Svitlana
Mucci, Lorelei A
Barbieri, Christopher
Loda, Massimo
description Among prostate cancers containing Gleason pattern 4, cribriform morphology is associated with unfavorable clinicopathologic factors, but its genetic features and association with long-term outcomes are incompletely understood. In this study, genetic, transcriptional, and epigenetic features of invasive cribriform carcinoma (ICC) tumors were compared with non-cribriform Gleason 4 (NC4) in The Cancer Genome Atlas (TCGA) cohort. ICC ( = 164) had distinctive molecular features when compared with NC4 ( = 102). These include: (i) increased somatic copy number variations (SCNV), specifically deletions at 6q, 8p and 10q, which encompassed and losses and gains at 3q; (ii) increased and ; (iii) enrichment for and pathways by gene expression; and (iv) increased methylation of selected genes. In addition, when compared with the metastatic prostate cancer, ICC clustered more closely to metastatic prostate cancer than NC4. Validation in clinical cohorts and genomically annotated murine models confirmed the association with ( = 38) and ( = 818). The association of ICC with lethal disease was evaluated in the Health Professionals Follow-up Study (HPFS) and Physicians' Health Study (PHS) prospective prostate cancer cohorts (median follow-up, 13.4 years; = 818). Patients with ICC were more likely to develop lethal cancer [HR, 1.62; 95% confidence interval (CI), 1.05-2.49], independent from Gleason score (GS). IMPLICATIONS: ICC has a distinct molecular phenotype that resembles metastatic prostate cancer and is associated with progression to lethal disease.
doi_str_mv 10.1158/1541-7786.mcr-18-0440
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In this study, genetic, transcriptional, and epigenetic features of invasive cribriform carcinoma (ICC) tumors were compared with non-cribriform Gleason 4 (NC4) in The Cancer Genome Atlas (TCGA) cohort. ICC ( = 164) had distinctive molecular features when compared with NC4 ( = 102). These include: (i) increased somatic copy number variations (SCNV), specifically deletions at 6q, 8p and 10q, which encompassed and losses and gains at 3q; (ii) increased and ; (iii) enrichment for and pathways by gene expression; and (iv) increased methylation of selected genes. In addition, when compared with the metastatic prostate cancer, ICC clustered more closely to metastatic prostate cancer than NC4. Validation in clinical cohorts and genomically annotated murine models confirmed the association with ( = 38) and ( = 818). The association of ICC with lethal disease was evaluated in the Health Professionals Follow-up Study (HPFS) and Physicians' Health Study (PHS) prospective prostate cancer cohorts (median follow-up, 13.4 years; = 818). Patients with ICC were more likely to develop lethal cancer [HR, 1.62; 95% confidence interval (CI), 1.05-2.49], independent from Gleason score (GS). 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In this study, genetic, transcriptional, and epigenetic features of invasive cribriform carcinoma (ICC) tumors were compared with non-cribriform Gleason 4 (NC4) in The Cancer Genome Atlas (TCGA) cohort. ICC ( = 164) had distinctive molecular features when compared with NC4 ( = 102). These include: (i) increased somatic copy number variations (SCNV), specifically deletions at 6q, 8p and 10q, which encompassed and losses and gains at 3q; (ii) increased and ; (iii) enrichment for and pathways by gene expression; and (iv) increased methylation of selected genes. In addition, when compared with the metastatic prostate cancer, ICC clustered more closely to metastatic prostate cancer than NC4. Validation in clinical cohorts and genomically annotated murine models confirmed the association with ( = 38) and ( = 818). The association of ICC with lethal disease was evaluated in the Health Professionals Follow-up Study (HPFS) and Physicians' Health Study (PHS) prospective prostate cancer cohorts (median follow-up, 13.4 years; = 818). Patients with ICC were more likely to develop lethal cancer [HR, 1.62; 95% confidence interval (CI), 1.05-2.49], independent from Gleason score (GS). 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source MEDLINE; American Association for Cancer Research; EZB-FREE-00999 freely available EZB journals; Free Full-Text Journals in Chemistry
subjects Adenocarcinoma - genetics
Adenocarcinoma - pathology
Animals
Epigenomics - methods
Humans
Male
Mice
Prostatic Neoplasms - genetics
Prostatic Neoplasms - pathology
title Genetic and Epigenetic Determinants of Aggressiveness in Cribriform Carcinoma of the Prostate
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