The Prostate Stromal Transcriptome in Aggressive and Lethal Prostate Cancer.


Journal

Molecular cancer research : MCR
ISSN: 1557-3125
Titre abrégé: Mol Cancer Res
Pays: United States
ID NLM: 101150042

Informations de publication

Date de publication:
01 03 2023
Historique:
received: 11 08 2022
revised: 01 11 2022
accepted: 09 12 2022
pubmed: 14 12 2022
medline: 3 3 2023
entrez: 13 12 2022
Statut: ppublish

Résumé

Prostate cancer has a heterogeneous prognosis. Most previous studies have focused on the identification of prognostic biomarkers in the prostate cancer tumor. However, it is increasingly recognized that the tumor microenvironment contributes to prostate cancer aggressiveness and progression. We therefore examined whole transcriptome expression of the prostate stroma and associations with aggressive and lethal prostate cancer. We performed RNA sequencing (Illumina TruSeq Exome Capture) of 272 tumor-adjacent and 120 benign-adjacent macrodissected prostate stromal samples from 293 men with prostate cancer from the Health Professionals Follow-up Study and Physicians' Health Study. We performed differential expression analysis comparing gene expression and pathways by Gleason score and lethal outcome. We also tested a previously developed stromal gene signature of Gleason score in these datasets. Comparing high- with low-Gleason score cancers, 26 genes (P < 0.001) and 12 pathways (FDR < 0.20) were significantly differentially expressed in tumor-adjacent stroma, including pathways related to stroma composition remodeling and DNA repair, with 73 genes and 65 pathways significant in benign-adjacent stroma. Comparing lethal with nonlethal prostate cancer, 11 genes were differentially expressed in tumor-adjacent and 15 genes in benign-adjacent stroma, and pathways involved in inflammatory response were differentially enriched in both tumor and benign-adjacent stroma. In addition, our previously identified Gleason stromal gene signature was validated to be associated with Gleason score in these data. Implications: Our study uncovers stroma-specific genes and pathways that are differentially enriched with high Gleason score and lethal prostate cancer, demonstrating that the molecular investigation of the tumor microenvironment can provide additional information about prostate cancer prognosis.

Identifiants

pubmed: 36511902
pii: 711643
doi: 10.1158/1541-7786.MCR-22-0627
pmc: PMC9991973
mid: NIHMS1859652
doi:

Substances chimiques

Biomarkers, Tumor 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, U.S. Gov't, P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

253-260

Subventions

Organisme : NCI NIH HHS
ID : R37 CA227190
Pays : United States
Organisme : NCI NIH HHS
ID : U01 CA167552
Pays : United States

Informations de copyright

©2022 American Association for Cancer Research.

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Auteurs

Chaoran Ma (C)

Brigham and Women's Hospital/Harvard Medical School, Boston, Massachusetts.

Yinglu Zhou (Y)

Dana-Farber Cancer Institute, Boston, Massachusetts.

Konrad H Stopsack (KH)

Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

Michelangelo Fiorentino (M)

University of Bologna, School of Medicine, Bologna, Italy.

Giorgia Zadra (G)

Institute of Molecular Genetics, National Research Council, Pavia, Italy.

Lorelei A Mucci (LA)

Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

Massimo Loda (M)

Weill Cornell Medicine, New York, New York.

Svitlana Tyekucheva (S)

Dana-Farber Cancer Institute, Boston, Massachusetts.
Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

Kathryn L Penney (KL)

Brigham and Women's Hospital/Harvard Medical School, Boston, Massachusetts.
Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

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Classifications MeSH