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  1. Home
  2. Landscape And Prognostic Significance Of Oncogene Drivers In Metastatic Castration Sensitive Prostate Cancer.
  1. Home
  2. Landscape And Prognostic Significance Of Oncogene Drivers In Metastatic Castration Sensitive Prostate Cancer.

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A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
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Landscape and prognostic significance of oncogene drivers in metastatic castration sensitive prostate cancer.

Theodore Wang1, Jongmyung Kim1, Ritesh Kumar1

  • 1Department of Radiation Oncology, Rutgers Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ, USA.

Translational Cancer Research
|December 19, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Oncogene mutations are common in metastatic castration-sensitive prostate cancer (mCSPC) and linked to worse outcomes. These findings may help personalize treatment for advanced prostate cancer.

Keywords:
Prostate cancermetastatic castration sensitiveoncogene

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Area of Science:

  • Oncology
  • Genetics
  • Prostate Cancer Research

Background:

  • Tumor suppressors are established drivers of cancer invasion and metastasis in metastatic castration-sensitive prostate cancer (mCSPC).
  • The frequency and prognostic significance of oncogene alterations in mCSPC remain unclear.
  • Understanding oncogene mutations is crucial for comprehending prostate cancer progression.

Purpose of the Study:

  • To investigate the spectrum of oncogene mutations in mCSPC.
  • To determine the prognostic impact of these oncogene alterations on patient outcomes.
  • To identify potential targets for personalized therapy in advanced prostate cancer.

Main Methods:

  • Next-generation sequencing was performed on 477 mCSPC patients.
  • Oncogene alterations were identified in a panel of 23 genes.
  • Radiographic progression-free survival (rPFS), time to castration-resistant prostate cancer (tdCRPC), and overall survival (OS) were analyzed using Kaplan-Meier and Cox regression models.
  • Main Results:

    • Approximately 24.5% of patients (117/477) had oncogene mutations, with MYC, PIK3CA, and CTNNB1 being the most frequent.
    • Oncogene mutations were associated with significantly inferior rPFS, tdCRPC, and OS.
    • Multivariable analysis confirmed oncogene mutations as a strong predictor of accelerated development of castration-resistant prostate cancer (CRPC).

    Conclusions:

    • Oncogene mutations are frequently observed in mCSPC and correlate with aggressive disease features.
    • These genetic alterations portend poorer clinical outcomes, including shorter survival.
    • Further validation is needed to integrate these findings into personalized treatment strategies for mCSPC.