Biology and Clinical Implications of the 19q13 Aggressive Prostate Cancer Susceptibility Locus

The PRACTICAL Consortium

Research output: Contribution to journalArticlepeer-review

42 Scopus citations


Genome-wide association studies (GWAS) have identified rs11672691 at 19q13 associated with aggressive prostate cancer (PCa). Here, we independently confirmed the finding in a cohort of 2,738 PCa patients and discovered the biological mechanism underlying this association. We found an association of the aggressive PCa-associated allele G of rs11672691 with elevated transcript levels of two biologically plausible candidate genes, PCAT19 and CEACAM21, implicated in PCa cell growth and tumor progression. Mechanistically, rs11672691 resides in an enhancer element and alters the binding site of HOXA2, a novel oncogenic transcription factor with prognostic potential in PCa. Remarkably, CRISPR/Cas9-mediated single-nucleotide editing showed the direct effect of rs11672691 on PCAT19 and CEACAM21 expression and PCa cellular aggressive phenotype. Clinical data demonstrated synergistic effects of rs11672691 genotype and PCAT19/CEACAM21 gene expression on PCa prognosis. These results provide a plausible mechanism for rs11672691 associated with aggressive PCa and thus lay the ground work for translating this finding to the clinic. A non-coding risk allele associated with aggressive prostate cancer creates a transcription factor binding site that in turn promotes oncogenesis by impacting expression of nearby genes.

Original languageEnglish (US)
Pages (from-to)576-589.e18
Issue number3
StatePublished - Jul 26 2018


  • CEACAM21
  • GWAS
  • HOXA2
  • PCAT19
  • aggressive prostate cancer
  • allele-specific DNA-binding of transcription factor
  • eQTL
  • risk stratification
  • rs11672691
  • single cell CRISPR/Cas9-mediated editing

ASJC Scopus subject areas

  • General Biochemistry, Genetics and Molecular Biology


Dive into the research topics of 'Biology and Clinical Implications of the 19q13 Aggressive Prostate Cancer Susceptibility Locus'. Together they form a unique fingerprint.

Cite this