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Updated: Feb 8, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Structural Alterations Driving Castration-Resistant Prostate Cancer Revealed by Linked-Read Genome Sequencing
Srinivas R Viswanathan1, Gavin Ha1, Andreas M Hoff2
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA; Cancer Program, Broad Institute of MIT and Harvard, Cambridge, MA, USA; Harvard Medical School, Boston, MA, USA.
Metastatic castration-resistant prostate cancer (mCRPC) shows frequent AR locus rearrangements, including tandem duplications of an AR enhancer, unlike primary prostate cancers. These findings reveal complex mCRPC genomics and potential therapeutic targets.
Area of Science:
- Genomics
- Oncology
- Prostate Cancer Research
Background:
- Metastatic castration-resistant prostate cancer (mCRPC) is the primary cause of prostate cancer mortality.
- Limited whole-genome sequencing (WGS) studies exist for mCRPC, hindering understanding of its genomic landscape.
- Identifying genomic alterations in mCRPC is crucial for developing effective treatments.
Purpose of the Study:
- To investigate the genomic architecture of mCRPC using whole-genome sequencing.
- To identify recurrent genetic alterations, particularly in the non-coding regions, associated with mCRPC progression.
- To discover potential therapeutic targets for mCRPC based on novel genomic findings.
Main Methods:
- Performed linked-read whole-genome sequencing (WGS) on 23 mCRPC biopsy specimens.
- Analyzed cell-free DNA (cfDNA) sequencing data from 86 mCRPC patients.
- Characterized complex genomic rearrangements, focusing on the AR locus and enhancer regions.
Main Results:
- Observed frequent and complex rearrangements of the AR locus in most mCRPC cases.
- Discovered highly recurrent tandem duplications of an AR upstream enhancer in 70%-87% of mCRPC cases, significantly higher than in primary prostate cancers (<2%).
- Identified a subset of cases with AR or MYC enhancer duplication linked to a genome-wide tandem duplicator phenotype driven by CDK12 inactivation.
Conclusions:
- The study reveals a complex and distinct genomic structure in mCRPC, particularly involving AR locus rearrangements.
- Recurrent enhancer duplications represent potential novel therapeutic targets for mCRPC treatment.
- Further exploration of the non-coding mCRPC genome may uncover additional recurrent events and therapeutic strategies.
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