Molecular features of exceptional response to neoadjuvant anti-androgen therapy in high-risk localized prostate cancer.
Adaptor Proteins, Vesicular Transport
Androgen Antagonists
/ therapeutic use
Antineoplastic Agents, Hormonal
/ therapeutic use
Antineoplastic Combined Chemotherapy Protocols
/ pharmacology
Humans
Male
Neoadjuvant Therapy
/ methods
Nuclear Proteins
/ drug effects
Prostate-Specific Antigen
/ drug effects
Prostatectomy
/ methods
Prostatic Neoplasms
/ drug therapy
Repressor Proteins
/ drug effects
Risk
AR
PTEN
RNA-seq
SPOP
SPOPL
TGF-β
TP53
neoadjuvant androgen pathway inhibition
phylogenetics
whole exome sequencing
Journal
Cell reports
ISSN: 2211-1247
Titre abrégé: Cell Rep
Pays: United States
ID NLM: 101573691
Informations de publication
Date de publication:
07 09 2021
07 09 2021
Historique:
received:
30
12
2020
revised:
17
05
2021
accepted:
13
08
2021
entrez:
8
9
2021
pubmed:
9
9
2021
medline:
15
2
2022
Statut:
ppublish
Résumé
High-risk localized prostate cancer (HRLPC) is associated with a substantial risk of recurrence and disease mortality. Recent clinical trials have shown that intensifying anti-androgen therapies administered before prostatectomy can induce pathologic complete responses or minimal residual disease, called exceptional response, although the molecular determinants of these clinical outcomes are largely unknown. Here, we perform whole-exome and transcriptome sequencing on pre-treatment multi-regional tumor biopsies from exceptional responders (ERs) and non-responders (NRs, pathologic T3 or lymph node-positive disease) to intensive neoadjuvant anti-androgen therapies. Clonal SPOP mutation and SPOPL copy-number loss are exclusively observed in ERs, while clonal TP53 mutation and PTEN copy-number loss are exclusively observed in NRs. Transcriptional programs involving androgen signaling and TGF-β signaling are enriched in ERs and NRs, respectively. These findings may guide prospective validation studies of these molecular features in large HRLPC clinical cohorts treated with neoadjuvant anti-androgens to improve patient stratification.
Identifiants
pubmed: 34496240
pii: S2211-1247(21)01109-8
doi: 10.1016/j.celrep.2021.109665
pii:
doi:
Substances chimiques
Adaptor Proteins, Vesicular Transport
0
Androgen Antagonists
0
Antineoplastic Agents, Hormonal
0
Nuclear Proteins
0
Repressor Proteins
0
SPOP protein, human
0
Prostate-Specific Antigen
EC 3.4.21.77
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
109665Subventions
Organisme : NCI NIH HHS
ID : T32 CA009172
Pays : United States
Organisme : NCI NIH HHS
ID : F31 CA239347
Pays : United States
Organisme : NIGMS NIH HHS
ID : T32 GM008313
Pays : United States
Organisme : NCI NIH HHS
ID : P50 CA090381
Pays : United States
Organisme : NCI NIH HHS
ID : P01 CA163227
Pays : United States
Organisme : NCI NIH HHS
ID : U01 CA233100
Pays : United States
Organisme : NCI NIH HHS
ID : R37 CA222574
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA227388
Pays : United States
Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2021 The Author(s). Published by Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of interests I.L. is a consultant for PACT Pharma. G.G. receives research funds from IBM and Pharmacylics and is an inventor on patent applications related to MuTect, ABSOLUTE, MutSig, MSMuTect, MSMutSig, and POLYSOLVER. E.M.V. is a consultant for Tango Therapeutics, Genome Medical, Invitae, Enara Bio, Manifold Bio, Monte Rosa Therapeutics, and Janssen. E.M.V. provides research support to Novartis and Bristol-Myers Squibb. E.M.V. has equity in Tango Therapeutics, Genome Medical, Syapse, Enara Bio, Monte Rosa Therapeutics, Manifold Bio, and Microsoft. E.M.V. receives travel reimbursement from Roche/Genentech. E.M.V. has institutional patents filed on ERCC2 mutations and chemotherapy response, chromatin mutations and immunotherapy response, and methods for clinical interpretation.