Genomic deletion of PTEN is associated with tumor progression and early PSA recurrence in ERG fusion-positive and fusion-negative prostate cancer.
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Genomic deletion of PTEN is associated with tumor progression and early PSA recurrence in ERG fusion-positive and fusion-negative prostate cancer. / Krohn, Antje; Diedler, Tobias; Burkhardt, Lia; Mayer, Pascale S; Colin, De Silva; Meyer-Kornblum, Marie; Kötschau, Darja; Tennstedt, Pierre; Huang, Joseph; Gerhäuser, Clarissa; Mader, Malte; Kurtz, Stefan; Sirma, Hüseyin; Saad, Fred; Steuber, Thomas; Graefen, Markus; Plass, Christoph; Sauter, Guido; Simon, Ronald; Minner, Sarah Jane Pauline; Schlomm, Thorsten.
In: AM J PATHOL, Vol. 181, No. 2, 2, 2012, p. 401-412.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Genomic deletion of PTEN is associated with tumor progression and early PSA recurrence in ERG fusion-positive and fusion-negative prostate cancer.
AU - Krohn, Antje
AU - Diedler, Tobias
AU - Burkhardt, Lia
AU - Mayer, Pascale S
AU - Colin, De Silva
AU - Meyer-Kornblum, Marie
AU - Kötschau, Darja
AU - Tennstedt, Pierre
AU - Huang, Joseph
AU - Gerhäuser, Clarissa
AU - Mader, Malte
AU - Kurtz, Stefan
AU - Sirma, Hüseyin
AU - Saad, Fred
AU - Steuber, Thomas
AU - Graefen, Markus
AU - Plass, Christoph
AU - Sauter, Guido
AU - Simon, Ronald
AU - Minner, Sarah Jane Pauline
AU - Schlomm, Thorsten
PY - 2012
Y1 - 2012
N2 - The phosphatase and tensin homolog deleted on chromosome 10 (PTEN) gene is often altered in prostate cancer. To determine the prevalence and clinical significance of the different mechanisms of PTEN inactivation, we analyzed PTEN deletions in TMAs containing 4699 hormone-naïve and 57 hormone-refractory prostate cancers using fluorescence in situ hybridization analysis. PTEN mutations and methylation were analyzed in subsets of 149 and 34 tumors, respectively. PTEN deletions were present in 20.2% (458/2266) of prostate cancers, including 8.1% heterozygous and 12.1% homozygous deletions, and were linked to advanced tumor stage (P < 0.0001), high Gleason grade (P < 0.0001), presence of lymph node metastasis (P = 0.0002), hormone-refractory disease (P < 0.0001), presence of ERG gene fusion (P < 0.0001), and nuclear p53 accumulation (P < 0.0001). PTEN deletions were also associated with early prostate-specific antigen recurrence in univariate (P < 0.0001) and multivariate (P = 0.0158) analyses. The prognostic impact of PTEN deletion was seen in both ERG fusion-positive and ERG fusion-negative tumors. PTEN mutations were found in 4 (12.9%) of 31 cancers with heterozygous PTEN deletions but in only 1 (2%) of 59 cancers without PTEN deletion (P = 0.027). Aberrant PTEN promoter methylation was not detected in 34 tumors. The results of this study demonstrate that biallelic PTEN inactivation, by either homozygous deletion or deletion of one allele and mutation of the other, occurs in most PTEN-defective cancers and characterizes a particularly aggressive subset of metastatic and hormone-refractory prostate cancers.
AB - The phosphatase and tensin homolog deleted on chromosome 10 (PTEN) gene is often altered in prostate cancer. To determine the prevalence and clinical significance of the different mechanisms of PTEN inactivation, we analyzed PTEN deletions in TMAs containing 4699 hormone-naïve and 57 hormone-refractory prostate cancers using fluorescence in situ hybridization analysis. PTEN mutations and methylation were analyzed in subsets of 149 and 34 tumors, respectively. PTEN deletions were present in 20.2% (458/2266) of prostate cancers, including 8.1% heterozygous and 12.1% homozygous deletions, and were linked to advanced tumor stage (P < 0.0001), high Gleason grade (P < 0.0001), presence of lymph node metastasis (P = 0.0002), hormone-refractory disease (P < 0.0001), presence of ERG gene fusion (P < 0.0001), and nuclear p53 accumulation (P < 0.0001). PTEN deletions were also associated with early prostate-specific antigen recurrence in univariate (P < 0.0001) and multivariate (P = 0.0158) analyses. The prognostic impact of PTEN deletion was seen in both ERG fusion-positive and ERG fusion-negative tumors. PTEN mutations were found in 4 (12.9%) of 31 cancers with heterozygous PTEN deletions but in only 1 (2%) of 59 cancers without PTEN deletion (P = 0.027). Aberrant PTEN promoter methylation was not detected in 34 tumors. The results of this study demonstrate that biallelic PTEN inactivation, by either homozygous deletion or deletion of one allele and mutation of the other, occurs in most PTEN-defective cancers and characterizes a particularly aggressive subset of metastatic and hormone-refractory prostate cancers.
KW - Humans
KW - Male
KW - Aged
KW - Middle Aged
KW - Multivariate Analysis
KW - Immunohistochemistry
KW - Disease Progression
KW - Proportional Hazards Models
KW - DNA Mutational Analysis
KW - Phenotype
KW - Recurrence
KW - Gene Deletion
KW - Tumor Suppressor Protein p53/metabolism
KW - Tumor Markers, Biological/metabolism
KW - Polymorphism, Single Nucleotide/genetics
KW - Prostate-Specific Antigen/metabolism
KW - Promoter Regions, Genetic/genetics
KW - Trans-Activators/metabolism
KW - DNA Methylation/genetics
KW - Epigenesis, Genetic
KW - Chromosomes, Human, Pair 10/genetics
KW - Genome, Human/genetics
KW - Oncogene Proteins, Fusion/metabolism
KW - PTEN Phosphohydrolase/genetics/metabolism
KW - Prostatic Neoplasms/enzymology/pathology
KW - Humans
KW - Male
KW - Aged
KW - Middle Aged
KW - Multivariate Analysis
KW - Immunohistochemistry
KW - Disease Progression
KW - Proportional Hazards Models
KW - DNA Mutational Analysis
KW - Phenotype
KW - Recurrence
KW - Gene Deletion
KW - Tumor Suppressor Protein p53/metabolism
KW - Tumor Markers, Biological/metabolism
KW - Polymorphism, Single Nucleotide/genetics
KW - Prostate-Specific Antigen/metabolism
KW - Promoter Regions, Genetic/genetics
KW - Trans-Activators/metabolism
KW - DNA Methylation/genetics
KW - Epigenesis, Genetic
KW - Chromosomes, Human, Pair 10/genetics
KW - Genome, Human/genetics
KW - Oncogene Proteins, Fusion/metabolism
KW - PTEN Phosphohydrolase/genetics/metabolism
KW - Prostatic Neoplasms/enzymology/pathology
M3 - SCORING: Journal article
VL - 181
SP - 401
EP - 412
JO - AM J PATHOL
JF - AM J PATHOL
SN - 0002-9440
IS - 2
M1 - 2
ER -