학술논문

Genomic Hallmarks and Structural Variation in Metastatic Prostate Cancer.
Document Type
article
Source
Cell. 174(3)
Subject
Humans
Prostatic Neoplasms
Neoplasm Metastasis
Cyclin-Dependent Kinases
Proto-Oncogene Proteins c-myc
BRCA2 Protein
Receptors
Androgen
Gene Expression Profiling
Genomics
Tandem Repeat Sequences
Mutation
Aged
Aged
80 and over
Middle Aged
Male
Tumor Suppressor Protein p53
Genomic Structural Variation
DNA Copy Number Variations
Exome
Whole Genome Sequencing
BRCA2
androgen receptor
castration resistant prostate cancer
chromothripsis
gene fusion
genomics
metastases
structural variation
tandem duplication
whole-genome sequencing
Biological Sciences
Medical and Health Sciences
Developmental Biology
Language
Abstract
While mutations affecting protein-coding regions have been examined across many cancers, structural variants at the genome-wide level are still poorly defined. Through integrative deep whole-genome and -transcriptome analysis of 101 castration-resistant prostate cancer metastases (109X tumor/38X normal coverage), we identified structural variants altering critical regulators of tumorigenesis and progression not detectable by exome approaches. Notably, we observed amplification of an intergenic enhancer region 624 kb upstream of the androgen receptor (AR) in 81% of patients, correlating with increased AR expression. Tandem duplication hotspots also occur near MYC, in lncRNAs associated with post-translational MYC regulation. Classes of structural variations were linked to distinct DNA repair deficiencies, suggesting their etiology, including associations of CDK12 mutation with tandem duplications, TP53 inactivation with inverted rearrangements and chromothripsis, and BRCA2 inactivation with deletions. Together, these observations provide a comprehensive view of how structural variations affect critical regulators in metastatic prostate cancer.