A transcriptomic model for homologous recombination deficiency in prostate cancer

被引:13
作者
Weiner, Adam B. [1 ]
Liu, Yang [2 ]
McFarlane, Matthew [3 ]
Bawa, Pushpinder S. [4 ]
Li, Eric, V [1 ]
Zhao, Xin [2 ]
Li, Ziwen [2 ]
Hammoud, Tanya [5 ]
Hazime, Munna [5 ]
Karnes, R. Jeffrey [6 ]
Davicioni, Elai [2 ]
Reichert, Zachery R. [7 ]
Chinnaiyan, Arul M. [4 ]
Lotan, Tamara L. [8 ]
Spratt, Daniel E. [3 ]
Schaeffer, Edward M. [1 ]
机构
[1] Northwestern Univ, Dept Urol, Feinberg Sch Med, Chicago, IL 60208 USA
[2] Decipher Biosci, San Diego, CA USA
[3] Univ Michigan, Dept Radiat Oncol, Ann Arbor, MI 48109 USA
[4] Univ Michigan, Dept Pathol, Ann Arbor, MI 48109 USA
[5] Univ Michigan, Coll Literature Sci & Arts, Ann Arbor, MI USA
[6] Mayo Clin, Dept Urol, Rochester, MN USA
[7] Univ Michigan, Div Hematol Oncol, Dept Internal Med, Rogel Comprehens Canc Ctr, Ann Arbor, MI USA
[8] Johns Hopkins Univ, Sch Med, Dept Pathol, Baltimore, MD 21205 USA
基金
美国国家卫生研究院;
关键词
MOLECULAR SIGNATURES; DNA-REPAIR; CELL-CYCLE; CHEMOTHERAPY; MUTATIONS; BRCANESS; BRCA1; RISK;
D O I
10.1038/s41391-021-00416-2
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background Tumors with mutations associated with homologous recombination deficiency (HRD) are uncommon in prostate cancer (PCa) and variably responsive to PARP inhibition. To better identify tumors with HRD, we developed a transcriptomic signature for HRD in PCa (HRD-P). Methods By using an established mutational signature, we created and validated HRD-P in six independent PCa cohorts (primary PCa, n = 8224; metastatic castration-resistant PCa [mCRPC], n = 328). Molecular and clinical features were compared between HRD-P+ tumors and those with single HR-gene mutations. Results HRD-P+ tumors were more common than tumors with single HR-gene mutations in primary (201/491, 41% vs 32/491 6.5%) and mCRPC (126/328, 38% vs 82/328, 25%) cases, and HRD-P+ was more predictive of genomic instability suggestive of HRD. HRD-P+ was associated with a shorter time to recurrence following surgery and shorter overall survival in men with mCRPC. In a prospective trial of mCRPC treated with olaparib (n = 10), all three men with HRD-P+ experienced prolonged (>330 days) PSA progression-free survival. Conclusion These results suggest transcriptomics can identify more patients that harbor phenotypic HRD than single HR-gene mutations and support further exploration of transcriptionally defined HRD tumors perhaps in conjunction with genomic markers for therapeutic application.
引用
收藏
页码:659 / 665
页数:7
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