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Genomic attributes of prostate cancer across primary and metastatic noncastrate and castrate resistant disease states: a next generation sequencing study of 183 patients

  • Surendra Dasari
  • , Michael R. McCarthy
  • , Antonina A. Wojcik
  • , Beth A. Pitel
  • , Arpan Samaddar
  • , Burak Tekin
  • , Rumeal D. Whaley
  • , Aditya Raghunathan
  • , Loren Herrera Hernandez
  • , Rafael E. Jimenez
  • , Brad J. Stish
  • , R. Houston Thompson
  • , Bradley C. Leibovich
  • , Stephen A. Boorjian
  • , R. Jeffrey Karnes
  • , Daniel S. Childs
  • , J. Fernando Quevedo
  • , Eugene D. Kwon
  • , Lance C. Pagliaro
  • , Brian A. Costello
  • Kevin C. Halling, John C. Cheville, Benjamin R. Kipp, Sounak Gupta

Research output: Contribution to journalArticlepeer-review

Abstract

Primary prostatic adenocarcinoma (pPC) undergoes genomic evolution secondary to therapy-related selection pressures as it transitions to metastatic noncastrate (mNC-PC) and castrate resistant (mCR-PC) disease. Next generation sequencing results were evaluated for pPC (n = 97), locally advanced disease (involving urinary bladder/rectum, n = 12), mNC-PC (n = 21), and mCR-PC (n = 54). We identified enrichment of TP53 alterations in high-grade pPC, TP53/RB1 alterations in HGNE disease, and AR alterations in metastatic and castrate resistant disease. Actionable alterations (MSI-H phenotype and HRR genes) were identified in approximately a fifth of all cases. These results help elucidate the landscape of genomic alterations across the clinical spectrum of prostate cancer.

Original languageEnglish (US)
Pages (from-to)506-508
Number of pages3
JournalProstate Cancer and Prostatic Diseases
Volume28
Issue number2
DOIs
StatePublished - Jun 2025

ASJC Scopus subject areas

  • Oncology
  • Urology
  • Cancer Research

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