Alterations in homologous recombination repair genes in prostate cancer brain metastases.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_067B8F2489FA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Alterations in homologous recombination repair genes in prostate cancer brain metastases.
Journal
Nature communications
Author(s)
Rodriguez-Calero A., Gallon J., Akhoundova D., Maletti S., Ferguson A., Cyrta J., Amstutz U., Garofoli A., Paradiso V., Tomlins S.A., Hewer E., Genitsch V., Fleischmann A., Vassella E., Rushing E.J., Grobholz R., Fischer I., Jochum W., Cathomas G., Osunkoya A.O., Bubendorf L., Moch H., Thalmann G., Ng CKY, Gillessen S., Piscuoglio S., Rubin M.A.
ISSN
2041-1723 (Electronic)
ISSN-L
2041-1723
Publication state
Published
Issued date
03/05/2022
Peer-reviewed
Oui
Volume
13
Number
1
Pages
2400
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Improved survival rates for prostate cancer through more effective therapies have also led to an increase in the diagnosis of metastases to infrequent locations such as the brain. Here we investigate the repertoire of somatic genetic alterations present in brain metastases from 51 patients with prostate cancer brain metastases (PCBM). We highlight the clonal evolution occurring in PCBM and demonstrate an increased mutational burden, concomitant with an enrichment of the homologous recombination deficiency mutational signature in PCBM compared to non-brain metastases. Focusing on known pathogenic alterations within homologous recombination repair genes, we find 10 patients (19.6%) fulfilling the inclusion criteria used in the PROfound clinical trial, which assessed the efficacy of PARP inhibitors (PARPi) in homologous recombination deficient prostate cancer. Eight (15.7%) patients show biallelic loss of one of the 15 genes included in the trial, while 5 patients (9.8%) harbor pathogenic alterations in BRCA1/2 specifically. Uncovering these molecular features of PCBM may have therapeutic implications, suggesting the need of clinical trial enrollment of PCBM patients when evaluating potential benefit from PARPi.
Keywords
Brain Neoplasms/drug therapy, Brain Neoplasms/genetics, Humans, Male, Mutation, Poly(ADP-ribose) Polymerase Inhibitors/pharmacology, Poly(ADP-ribose) Polymerase Inhibitors/therapeutic use, Prostatic Neoplasms/drug therapy, Prostatic Neoplasms/genetics, Recombinational DNA Repair/genetics
Pubmed
Web of science
Open Access
Yes
Create date
04/05/2022 12:34
Last modification date
15/07/2022 7:08
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