Genomics of Prostate Cancer: Clinical Utility and Challenges

The studying of prostate cancer genomics is important for understanding prostate cancer biology, it can provide clinically relevant stratification into subtypes, the development of new prognostic and predictive markers in the context of precision medicine, and the development of new targeted ther...

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Main Authors: Ivan Šamija, Ana Fröbe
Format: Article
Language:English
Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2022-01-01
Series:Acta Clinica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/414429
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author Ivan Šamija
Ana Fröbe
author_facet Ivan Šamija
Ana Fröbe
author_sort Ivan Šamija
collection DOAJ
description The studying of prostate cancer genomics is important for understanding prostate cancer biology, it can provide clinically relevant stratification into subtypes, the development of new prognostic and predictive markers in the context of precision medicine, and the development of new targeted therapies. Recent studies have provided detailed insight into genomics, epigenomics and proteomics of prostate cancer, both primary and metastatic castration-resistant (mCRPC). Many mutations have been discovered, both those that occur early in the carcinogenesis and progression as well as those responsible for the resistance to therapy occurring later under the influence of treatment. A large number of characteristic mutated signaling pathways has been identified, e.g. the mutations in DNA repair pathway were found in 23% of mCRPC, which suggests potential response to PARP inhibitors. Multifocality and intralesional genomic heterogeneity of prostate cancer make the clinical application of genomics complicated. Although a great progress was made in understanding prostate cancer genomic, and clinical studies related to its routine application are ongoing, prostate cancer genomics still needs to find its standard wide routine application in patients with prostate cancer.
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spelling doaj.art-4a5b5ba33d1449568d9265f7190e223b2024-04-15T18:04:14ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512022-01-0161.Supplement 3869110.20471/acc.2022.61.s3.13Genomics of Prostate Cancer: Clinical Utility and ChallengesIvan Šamija0Ana Fröbe1Department of Oncology and Nuclear Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; Department of Immunology, School of Dental Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Oncology and Nuclear Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; School of Dental Medicine, University of Zagreb, Zagreb, CroatiaThe studying of prostate cancer genomics is important for understanding prostate cancer biology, it can provide clinically relevant stratification into subtypes, the development of new prognostic and predictive markers in the context of precision medicine, and the development of new targeted therapies. Recent studies have provided detailed insight into genomics, epigenomics and proteomics of prostate cancer, both primary and metastatic castration-resistant (mCRPC). Many mutations have been discovered, both those that occur early in the carcinogenesis and progression as well as those responsible for the resistance to therapy occurring later under the influence of treatment. A large number of characteristic mutated signaling pathways has been identified, e.g. the mutations in DNA repair pathway were found in 23% of mCRPC, which suggests potential response to PARP inhibitors. Multifocality and intralesional genomic heterogeneity of prostate cancer make the clinical application of genomics complicated. Although a great progress was made in understanding prostate cancer genomic, and clinical studies related to its routine application are ongoing, prostate cancer genomics still needs to find its standard wide routine application in patients with prostate cancer.https://hrcak.srce.hr/file/414429Prostate CancerGenomicsTumor BiomarkersGenetic Heterogeneity
spellingShingle Ivan Šamija
Ana Fröbe
Genomics of Prostate Cancer: Clinical Utility and Challenges
Acta Clinica Croatica
Prostate Cancer
Genomics
Tumor Biomarkers
Genetic Heterogeneity
title Genomics of Prostate Cancer: Clinical Utility and Challenges
title_full Genomics of Prostate Cancer: Clinical Utility and Challenges
title_fullStr Genomics of Prostate Cancer: Clinical Utility and Challenges
title_full_unstemmed Genomics of Prostate Cancer: Clinical Utility and Challenges
title_short Genomics of Prostate Cancer: Clinical Utility and Challenges
title_sort genomics of prostate cancer clinical utility and challenges
topic Prostate Cancer
Genomics
Tumor Biomarkers
Genetic Heterogeneity
url https://hrcak.srce.hr/file/414429
work_keys_str_mv AT ivansamija genomicsofprostatecancerclinicalutilityandchallenges
AT anafrobe genomicsofprostatecancerclinicalutilityandchallenges