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Erschienen in: Current Oncology Reports 8/2018

01.08.2018 | Genitourinary Cancers (DP Petrylak and JW Kim, Section Editors)

Molecular Subtypes of Prostate Cancer

verfasst von: Kaveri Arora, Christopher E. Barbieri

Erschienen in: Current Oncology Reports | Ausgabe 8/2018

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Abstract

Purpose of Review

This review will examine the taxonomy of PCa subclasses across disease states, explore the relationship among specific alterations, and highlight current clinical relevance.

Recent Findings

Prostate cancer (PCa) is driven by multiple genomic alterations, with distinct patterns and clinical implications. Alterations occurring early in the timeline of the disease define core subtypes of localized, treatment-naive PCa. With time, an increase in number and severity of genomic alterations adds molecular complexity and is associated with progression to metastasis. These later events are not random and are influenced by the underlying subclasses.

Summary

All the subclasses of localized disease initially respond to androgen deprivation therapy (ADT), but with progression to castrate-resistant PCa (CRPC), mechanisms of resistance against ADT shift the molecular landscape. In CRPC, resistance mechanisms largely define the biology and sub-classification of these cancers, while clinical relevance and opportunities for precision therapy are still being defined.
Literatur
5.
Zurück zum Zitat Kattan MW, Eastham JA, Stapleton AM, Wheeler TM, Scardino PT. A preoperative nomogram for disease recurrence following radical prostatectomy for prostate cancer. J Natl Cancer Inst. 1998;90(10):766–71.CrossRefPubMed Kattan MW, Eastham JA, Stapleton AM, Wheeler TM, Scardino PT. A preoperative nomogram for disease recurrence following radical prostatectomy for prostate cancer. J Natl Cancer Inst. 1998;90(10):766–71.CrossRefPubMed
9.
Zurück zum Zitat •• Robinson D, Van Allen EM, Wu YM, Schultz N, Lonigro RJ, Mosquera JM, et al. Integrative clinical genomics of advanced prostate cancer. Cell. 2015;161(5):1215–28. https://doi.org/10.1016/j.cell.2015.05.001. This study provided clinical molecular analysis of advanced prostate cancers and reported the molecular alterations that add heterogeneity observed in patients with CRPC. It also provided potential clinical utility of patients' molecular profiles as predictive markers for the precision therapies. CrossRefPubMedPubMedCentral •• Robinson D, Van Allen EM, Wu YM, Schultz N, Lonigro RJ, Mosquera JM, et al. Integrative clinical genomics of advanced prostate cancer. Cell. 2015;161(5):1215–28. https://​doi.​org/​10.​1016/​j.​cell.​2015.​05.​001. This study provided clinical molecular analysis of advanced prostate cancers and reported the molecular alterations that add heterogeneity observed in patients with CRPC. It also provided potential clinical utility of patients' molecular profiles as predictive markers for the precision therapies. CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Salonen AJ, Viitanen J, Lundstedt S, Ala-Opas M, Taari K, Tammela TL, et al. Finnish multicenter study comparing intermittent to continuous androgen deprivation for advanced prostate cancer: interim analysis of prognostic markers affecting initial response to androgen deprivation. J Urol. 2008;180(3):915–9; discussion 9–20. https://doi.org/10.1016/j.juro.2008.05.009.CrossRefPubMed Salonen AJ, Viitanen J, Lundstedt S, Ala-Opas M, Taari K, Tammela TL, et al. Finnish multicenter study comparing intermittent to continuous androgen deprivation for advanced prostate cancer: interim analysis of prognostic markers affecting initial response to androgen deprivation. J Urol. 2008;180(3):915–9; discussion 9–20. https://​doi.​org/​10.​1016/​j.​juro.​2008.​05.​009.CrossRefPubMed
11.
Zurück zum Zitat Aggarwal RR, Feng FY, Small EJ. Emerging categories of disease in advanced prostate cancer and their therapeutic implications. Oncology (Williston Park). 2017;31(6):467–74. Aggarwal RR, Feng FY, Small EJ. Emerging categories of disease in advanced prostate cancer and their therapeutic implications. Oncology (Williston Park). 2017;31(6):467–74.
15.
Zurück zum Zitat D'Amico AV, Whittington R, Malkowicz SB, Schultz D, Blank K, Broderick GA, et al. Biochemical outcome after radical prostatectomy, external beam radiation therapy, or interstitial radiation therapy for clinically localized prostate cancer. JAMA. 1998;280(11):969–74.CrossRefPubMed D'Amico AV, Whittington R, Malkowicz SB, Schultz D, Blank K, Broderick GA, et al. Biochemical outcome after radical prostatectomy, external beam radiation therapy, or interstitial radiation therapy for clinically localized prostate cancer. JAMA. 1998;280(11):969–74.CrossRefPubMed
22.
Zurück zum Zitat •• Cancer Genome Atlas Research N. The molecular taxonomy of primary prostate cancer. Cell. 2015;163(4):1011–25. https://doi.org/10.1016/j.cell.2015.10.025. This study provided clinical molecular analysis of early onset prostate cancers and reported the molecular alterations that add heterogeneity observed in patients with primary prostate cancer, which regulates the pathogenesis of this disease. CrossRef •• Cancer Genome Atlas Research N. The molecular taxonomy of primary prostate cancer. Cell. 2015;163(4):1011–25. https://​doi.​org/​10.​1016/​j.​cell.​2015.​10.​025. This study provided clinical molecular analysis of early onset prostate cancers and reported the molecular alterations that add heterogeneity observed in patients with primary prostate cancer, which regulates the pathogenesis of this disease. CrossRef
45.
Zurück zum Zitat Park K, Tomlins SA, Mudaliar KM, Chiu YL, Esgueva R, Mehra R, et al. Antibody-based detection of ERG rearrangement-positive prostate cancer. Neoplasia. 2010;12(7):590–8.CrossRefPubMedPubMedCentral Park K, Tomlins SA, Mudaliar KM, Chiu YL, Esgueva R, Mehra R, et al. Antibody-based detection of ERG rearrangement-positive prostate cancer. Neoplasia. 2010;12(7):590–8.CrossRefPubMedPubMedCentral
51.
Zurück zum Zitat • Fisher KW, Montironi R, Lopez Beltran A, Moch H, Wang L, Scarpelli M, et al. Molecular foundations for personalized therapy in prostate cancer. Curr Drug Targets. 2015;16(2):103–14. The study emphasized on the potential clinical utility of genomic profiles as predictive markers for the targeted therapies. CrossRefPubMed • Fisher KW, Montironi R, Lopez Beltran A, Moch H, Wang L, Scarpelli M, et al. Molecular foundations for personalized therapy in prostate cancer. Curr Drug Targets. 2015;16(2):103–14. The study emphasized on the potential clinical utility of genomic profiles as predictive markers for the targeted therapies. CrossRefPubMed
52.
Zurück zum Zitat Blattner M, Lee DJ, O'Reilly C, Park K, MacDonald TY, Khani F, et al. SPOP mutations in prostate cancer across demographically diverse patient cohorts. Neoplasia. 2014;16(1):14–20.CrossRefPubMedPubMedCentral Blattner M, Lee DJ, O'Reilly C, Park K, MacDonald TY, Khani F, et al. SPOP mutations in prostate cancer across demographically diverse patient cohorts. Neoplasia. 2014;16(1):14–20.CrossRefPubMedPubMedCentral
75.
Zurück zum Zitat Ramaswamy S, Nakamura N, Vazquez F, Batt DB, Perera S, Roberts TM, et al. Regulation of G1 progression by the PTEN tumor suppressor protein is linked to inhibition of the phosphatidylinositol 3-kinase/Akt pathway. Proc Natl Acad Sci U S A. 1999;96(5):2110–5.CrossRefPubMedPubMedCentral Ramaswamy S, Nakamura N, Vazquez F, Batt DB, Perera S, Roberts TM, et al. Regulation of G1 progression by the PTEN tumor suppressor protein is linked to inhibition of the phosphatidylinositol 3-kinase/Akt pathway. Proc Natl Acad Sci U S A. 1999;96(5):2110–5.CrossRefPubMedPubMedCentral
80.
Zurück zum Zitat Stenman UH. Tumor-associated trypsin inhibitor. Clin Chem. 2002;48(8):1206–9.PubMed Stenman UH. Tumor-associated trypsin inhibitor. Clin Chem. 2002;48(8):1206–9.PubMed
82.
Zurück zum Zitat Saad F, Hotte SJ. Guidelines for the management of castrate-resistant prostate cancer. Can Urol Assoc. 2010;4(6):380–4.CrossRef Saad F, Hotte SJ. Guidelines for the management of castrate-resistant prostate cancer. Can Urol Assoc. 2010;4(6):380–4.CrossRef
83.
Zurück zum Zitat •• Abida W, Armenia J, Gopalan A, Brennan R, Walsh M, Barron D, et al. Prospective genomic profiling of prostate Cancer across disease states reveals germline and somatic alterations that may affect clinical decision making. JCO Precis Oncol. 2017;2017:1–16. https://doi.org/10.1200/PO.17.00029. The study provided clinical genome sequencing from patients at different stages of the disease, and defined how increased burden of genetic alteration dictate prognosis. CrossRef •• Abida W, Armenia J, Gopalan A, Brennan R, Walsh M, Barron D, et al. Prospective genomic profiling of prostate Cancer across disease states reveals germline and somatic alterations that may affect clinical decision making. JCO Precis Oncol. 2017;2017:116. https://​doi.​org/​10.​1200/​PO.​17.​00029. The study provided clinical genome sequencing from patients at different stages of the disease, and defined how increased burden of genetic alteration dictate prognosis. CrossRef
91.
Zurück zum Zitat Culig Z, Hobisch A, Cronauer MV, Radmayr C, Trapman J, Hittmair A, et al. Androgen receptor activation in prostatic tumor cell lines by insulin-like growth factor-I, keratinocyte growth factor, and epidermal growth factor. Cancer Res. 1994;54(20):5474–8.PubMed Culig Z, Hobisch A, Cronauer MV, Radmayr C, Trapman J, Hittmair A, et al. Androgen receptor activation in prostatic tumor cell lines by insulin-like growth factor-I, keratinocyte growth factor, and epidermal growth factor. Cancer Res. 1994;54(20):5474–8.PubMed
93.
Zurück zum Zitat Parimi V, Goyal R, Poropatich K, Yang XJ. Neuroendocrine differentiation of prostate cancer: a review. Am J Clin Exp Urol. 2014;2(4):273–85.PubMedPubMedCentral Parimi V, Goyal R, Poropatich K, Yang XJ. Neuroendocrine differentiation of prostate cancer: a review. Am J Clin Exp Urol. 2014;2(4):273–85.PubMedPubMedCentral
96.
Zurück zum Zitat Roudier MP, True LD, Higano CS, Vesselle H, Ellis W, Lange P, et al. Phenotypic heterogeneity of end-stage prostate carcinoma metastatic to bone. Hum Pathol. 2003;34(7):646–53.CrossRefPubMed Roudier MP, True LD, Higano CS, Vesselle H, Ellis W, Lange P, et al. Phenotypic heterogeneity of end-stage prostate carcinoma metastatic to bone. Hum Pathol. 2003;34(7):646–53.CrossRefPubMed
Metadaten
Titel
Molecular Subtypes of Prostate Cancer
verfasst von
Kaveri Arora
Christopher E. Barbieri
Publikationsdatum
01.08.2018
Verlag
Springer US
Erschienen in
Current Oncology Reports / Ausgabe 8/2018
Print ISSN: 1523-3790
Elektronische ISSN: 1534-6269
DOI
https://doi.org/10.1007/s11912-018-0707-9

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