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Recurrent fusion of TMPRSS2 and ETS transcription factor genes in prostate cancer
Scott A Tomlins1, Daniel R Rhodes, Sven Perner
1Department of Pathology, University of Michigan Medical School, 1301 Catherine Street, Ann Arbor, MI 48109-0602, USA.
Abstract:
Recurrent chromosomal rearrangements have not been well characterized in common carcinomas. We used a bioinformatics approach to discover candidate oncogenic chromosomal aberrations on the basis of outlier gene expression. Two ETS transcription factors, ERG and ETV1, were identified as outliers in prostate cancer. We identified recurrent gene fusions of the 5' untranslated region of TMPRSS2 to ERG or ETV1 in prostate cancer tissues with outlier expression. By using fluorescence in situ hybridization, we demonstrated that 23 of 29 prostate cancer samples harbor rearrangements in ERG or ETV1. Cell line experiments suggest that the androgen-responsive promoter elements of TMPRSS2 mediate the overexpression of ETS family members in prostate cancer. These results have implications in the development of carcinomas and the molecular diagnosis and treatment of prostate cancer.
Insights
Researchers discovered specific gene fusions (TMPRSS2-ERG/ETV1) in prostate cancer, driven by androgen-responsive elements. These rearrangements are common and impact cancer development, offering new diagnostic and therapeutic targets.
Area of Science:
- Genetics
- Oncology
- Bioinformatics
Background:
- Recurrent chromosomal rearrangements are not well-understood in common carcinomas.
- Identifying oncogenic aberrations is crucial for understanding cancer development.
Purpose of the Study:
- To identify candidate oncogenic chromosomal aberrations in prostate cancer using a bioinformatics approach.
- To characterize recurrent gene fusions involving ETS transcription factors.
Main Methods:
- Bioinformatics analysis of outlier gene expression.
- Fluorescence in situ hybridization (FISH) to detect gene rearrangements.
- Cell line experiments to investigate promoter activity.
Main Results:
- ERG and ETV1 were identified as outlier ETS transcription factors in prostate cancer.
- Recurrent gene fusions of TMPRSS2 (5' UTR) to ERG or ETV1 were found.
- Rearrangements in ERG or ETV1 were present in 23 of 29 prostate cancer samples.
- Androgen-responsive TMPRSS2 promoter elements mediate ETS overexpression.
Conclusions:
- TMPRSS2-ERG/ETV1 gene fusions are common in prostate cancer.
- These rearrangements are driven by androgen-responsive promoters.
- Findings have implications for carcinoma development, molecular diagnosis, and treatment of prostate cancer.
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