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Published on: June 13, 2019
Improving the genetic signature of prostate cancer, the somatic mutations
Luis Javier Martinez-Gonzalez1, Manrique Pascual Geler2, Inmaculada Robles Fernandez1
1GENYO (Pfizer-University of Granada-Andalusian Government Centre for Genomics and Oncological Research), Av. Ilustracion, 114 - PTS - 18016 Granada, Spain.
Background:
Somatic mutations have been related to the highest incidence of metastatic disease and different treatment responses. The molecular cause of prostate cancer (PC) is still unclear; however, its progression involves alterations in oncogenes and tumor suppressor genes as well as somatic mutations such as the ones in PIK3CA gene. A high percentage of PC is considered sporadic, which means that the damage to the genes occurs by chance after birth (mainly somatic mutations will drive the cancer event). However, little is known about somatic mutations in PC development.
Materials And Methods:
We evaluated prostate biopsies in the main somatic mutations genes (PIK3CA, TP53, EGFR, KIT, KRAS, PTEN, and BRAF) among individuals with PSA values>4ng/ml (n = 125), including affected and unaffected PC subjects.
Results:
Mutations in KIT gene are related to aggressive PC: TNM stages II to III, Gleason score ≥ 7 and D'Amico risk (P = 0.037, 0.040, and 0.017). However, there are no statistical significant results when more than 3 somatic mutations are presented in the same individual. In relation to environmental factors (smoking, diet, alcohol intake, or workplace exposure) there are no significant differences in the effect of environmental exposure and the somatic mutation presence. The most prevalent mutations among patients with PC are c.1621A>C (rs3822214) in KIT, c.38G>C (rs112445441) in KRAS and c.733G>A (rs28934575) in TP53 genes. KRAS, KIT, and TP53 genes are the most prevalent ones in patients with PC.
Conclusions:
Somatic alterations predisposing to chromosomal rearrangements in PC remain largely undefined. We show that KIT, KRAS, and TP53 genes have a higher presence among patients with PC and that mutations in KIT gene are related to an aggressive PC. However, we did not find any environmental effect in somatic mutations among PC individuals.
Insights
Somatic mutations in KIT, KRAS, and TP53 genes are prevalent in prostate cancer (PC). KIT gene mutations correlate with aggressive PC, but environmental factors showed no significant impact on somatic mutations in PC patients.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Prostate cancer (PC) progression involves genetic alterations, including somatic mutations in oncogenes and tumor suppressor genes.
- The precise molecular drivers of sporadic PC, arising from post-birth gene damage, are not fully understood.
- Somatic mutations are implicated in metastatic disease and varied treatment responses in PC.
Purpose of the Study:
- To investigate the prevalence of key somatic mutations in prostate cancer (PC) patients.
- To explore the association between specific somatic mutations and PC aggressiveness.
- To assess the influence of environmental factors on somatic mutation occurrence in PC.
Main Methods:
- Evaluation of prostate biopsies from 125 individuals with PSA > 4 ng/mL.
- Analysis focused on common somatic mutation genes: PIK3CA, TP53, EGFR, KIT, KRAS, PTEN, and BRAF.
- Comparison of mutation status between PC-affected and unaffected subjects.
Main Results:
- KIT gene mutations were significantly associated with aggressive PC (higher TNM stages, Gleason score, and D'Amico risk).
- KRAS, KIT, and TP53 were the most frequently mutated genes in PC patients.
- No significant correlation was found between environmental factors (smoking, diet, alcohol, workplace exposure) and somatic mutation presence.
Conclusions:
- KIT, KRAS, and TP53 genes show a higher prevalence in prostate cancer patients.
- Mutations in the KIT gene are linked to more aggressive forms of PC.
- Environmental factors do not appear to influence the presence of somatic mutations in PC.
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