Germline Mutations in DNA Repair Genes in Patients With Metastatic Castration-resistant Prostate Cancer

Klaudia Holeckova1,2, Katarina Baluchova3, Mark Hives4

  • 1Department of Urology, Jessenius Faculty of Medicine in Martin and University Hospital Martin, Comenius University in Bratislava, Martin, Slovak Republic.

Abstract

Insights

This study identified three pathogenic variants in DNA repair genes BRCA2, RAD50, and ATM in patients with metastatic castration-resistant prostate cancer (mCRPC). These genetic alterations may impact DNA repair efficiency in mCRPC.

Area of Science:

  • Genomics
  • Oncology
  • Molecular Biology

Background:

  • Metastatic castration-resistant prostate cancer (mCRPC) is an advanced stage of prostate cancer.
  • Understanding the genetic landscape of mCRPC is crucial for targeted therapies.
  • DNA repair gene alterations are implicated in cancer development and progression.

Purpose of the Study:

  • To analyze the genetic profiles of mCRPC patients using next-generation sequencing.
  • To identify variants with pathogenic potential in key DNA repair genes.
  • To investigate the role of DNA repair gene mutations in mCRPC.

Main Methods:

  • Genomic DNA was isolated from peripheral blood of 50 mCRPC patients.
  • Next-generation sequencing was performed on an Illumina platform targeting 111 cancer-associated genes.
  • Identified variants were analyzed for clinical significance and predicted impact on protein function.

Main Results:

  • Fourteen relevant variants were identified within nine analyzed DNA repair genes.
  • Three pathogenic variants were found in BRCA2, RAD50, and ATM.
  • Eleven additional variants with potential pathogenic impact were detected.

Conclusions:

  • The identified pathogenic variants are located in conserved protein regions.
  • These variants are likely to impair DNA repair efficiency in mCRPC.
  • Genetic profiling of DNA repair genes can inform treatment strategies for mCRPC.

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