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TMPRSS2:ERG gene fusion associated with lethal prostate cancer in a watchful waiting cohort

  • F. Demichelis
  • , K. Fall
  • , S. Perner
  • , O. Andrén
  • , F. Schmidt
  • , S. R. Setlur
  • , Y. Hoshida
  • , J. M. Mosquera
  • , Y. Pawitan
  • , C. Lee
  • , H. O. Adami
  • , L. A. Mucci
  • , P. W. Kantoff
  • , S. O. Andersson
  • , A. M. Chinnaiyan
  • , J. E. Johansson
  • , M. A. Rubin*
  • *Corresponding author for this work
  • Brigham and Women's Hospital
  • Karolinska Institutet
  • Örebro University Hospital
  • Harvard University
  • Broad Institute
  • University of Michigan
  • Dana-Farber Cancer Institute

Abstract

The identification of the TMPRSS2:ERG fusion in prostate cancer suggests that distinct molecular subtypes may define risk for disease progression. In surgical series, TMPRSS2:ERG fusion was identified in 50% of the tumors. Here, we report on a population-based cohort of men with localized prostate cancers followed by expectant (watchful waiting) therapy with 15% (17/111) TMPRSS2:ERG fusion. We identified a statistically significant association between TMPRSS2:ERG fusion and prostate cancer specific death (cumulative incidence ratio=2.7, P<0.01, 95% confidence interval=1.3-5.8). Quantitative reverse-transcription-polymerase chain reaction demonstrated high estrogen-regulated gene (ERG) expression to be associated with TMPRSS2:ERG fusion (P<0.005). These data suggest that TMPRSS2:ERG fusion prostate cancers may have a more aggressive phenotype, possibly mediated through increased ERG expression.

Original languageEnglish
JournalOncogene
Volume26
Issue number31
Pages (from-to)4596-4599
Number of pages4
ISSN0950-9232
DOIs
Publication statusPublished - 05.07.2007

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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