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Updated: Feb 8, 2026

Isolation of Cancer Stem Cells From Human Prostate Cancer Samples
Published on: March 14, 2014
Inactivation of CDK12 Delineates a Distinct Immunogenic Class of Advanced Prostate Cancer
Yi-Mi Wu1, Marcin Cieślik1, Robert J Lonigro2
1Michigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI 48109, USA; Department of Pathology, University of Michigan, Ann Arbor, MI 48109, USA.
Abstract:
Using integrative genomic analysis of 360 metastatic castration-resistant prostate cancer (mCRPC) samples, we identified a novel subtype of prostate cancer typified by biallelic loss of CDK12 that is mutually exclusive with tumors driven by DNA repair deficiency, ETS fusions, and SPOP mutations. CDK12 loss is enriched in mCRPC relative to clinically localized disease and characterized by focal tandem duplications (FTDs) that lead to increased gene fusions and marked differential gene expression. FTDs associated with CDK12 loss result in highly recurrent gains at loci of genes involved in the cell cycle and DNA replication. CDK12 mutant cases are baseline diploid and do not exhibit DNA mutational signatures linked to defects in homologous recombination. CDK12 mutant cases are associated with elevated neoantigen burden ensuing from fusion-induced chimeric open reading frames and increased tumor T cell infiltration/clonal expansion. CDK12 inactivation thereby defines a distinct class of mCRPC that may benefit from immune checkpoint immunotherapy.
Insights
A new prostate cancer subtype with CDK12 loss was discovered in metastatic castration-resistant prostate cancer (mCRPC). This subtype, characterized by gene fusions and elevated neoantigens, may respond to immune checkpoint immunotherapy.
Area of Science:
- Oncology
- Genomics
- Cancer Biology
Background:
- Metastatic castration-resistant prostate cancer (mCRPC) is a heterogeneous disease.
- Understanding molecular subtypes is crucial for targeted therapies.
Purpose of the Study:
- To identify novel molecular subtypes within mCRPC.
- To characterize the genomic and clinical features of these subtypes.
Main Methods:
- Integrative genomic analysis of 360 mCRPC samples.
- Identification of genetic alterations, including biallelic CDK12 loss and focal tandem duplications (FTDs).
- Analysis of gene expression, neoantigen burden, and tumor T cell infiltration.
Main Results:
- A novel mCRPC subtype with biallelic CDK12 loss was identified, mutually exclusive with other known drivers.
- CDK12 loss is associated with FTDs, increased gene fusions, and altered gene expression.
- CDK12-mutant tumors exhibit elevated neoantigen burden and increased T cell infiltration, without homologous recombination deficiency signatures.
Conclusions:
- CDK12 inactivation defines a distinct mCRPC subtype.
- This subtype is characterized by unique genomic alterations and an inflamed tumor microenvironment.
- CDK12-mutant mCRPC may represent a promising population for immune checkpoint immunotherapy.
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