Germline Genetics of Prostate Cancer: Prevalence of Risk Variants and Clinical Implications for Disease Management

Prostate cancer has entered into the era of precision medicine with the recent approvals of targeted therapeutics (olaparib and rucaparib). The presence of germline mutations has important hereditary cancer implications for patients with prostate cancer, and germline testing is increasingly importan...

Full description

Bibliographic Details
Main Authors: David K. Doan, Keith T. Schmidt, Cindy H. Chau, William D. Figg
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/9/2154
_version_ 1797535783290142720
author David K. Doan
Keith T. Schmidt
Cindy H. Chau
William D. Figg
author_facet David K. Doan
Keith T. Schmidt
Cindy H. Chau
William D. Figg
author_sort David K. Doan
collection DOAJ
description Prostate cancer has entered into the era of precision medicine with the recent approvals of targeted therapeutics (olaparib and rucaparib). The presence of germline mutations has important hereditary cancer implications for patients with prostate cancer, and germline testing is increasingly important in cancer screening, risk assessment, and the overall treatment and management of the disease. In this review, we discuss germline variants associated with inherited predisposition, prostate cancer risk and outcomes. We review recommendations for germline testing, available testing platforms, genetic counseling as well as discuss the therapeutic implications of germline variants relevant to prostate cancer treatments. Understanding the role of germline (heritable) mutations that affect prostate cancer biology and risk as well as the subsequent effect of these alterations on potential therapies is critical as the treatment paradigm shifts towards precision medicine. Furthermore, enhancing patient education tactics and healthcare system infrastructure is essential for the utilization of relevant predictive biomarkers and the improvement of clinical outcomes of patients with prostate cancer or at high risk of developing the disease.
first_indexed 2024-03-10T11:49:14Z
format Article
id doaj.art-7413b1d581374581bd3f6093640be054
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-10T11:49:14Z
publishDate 2021-04-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-7413b1d581374581bd3f6093640be0542023-11-21T17:49:30ZengMDPI AGCancers2072-66942021-04-01139215410.3390/cancers13092154Germline Genetics of Prostate Cancer: Prevalence of Risk Variants and Clinical Implications for Disease ManagementDavid K. Doan0Keith T. Schmidt1Cindy H. Chau2William D. Figg3Emory University Hospital, Atlanta, GA 30322, USAClinical Pharmacology Program, Office of the Clinical Director, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD 20892, USAGenitourinary Malignancies Branch, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD 20892, USAClinical Pharmacology Program, Office of the Clinical Director, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD 20892, USAProstate cancer has entered into the era of precision medicine with the recent approvals of targeted therapeutics (olaparib and rucaparib). The presence of germline mutations has important hereditary cancer implications for patients with prostate cancer, and germline testing is increasingly important in cancer screening, risk assessment, and the overall treatment and management of the disease. In this review, we discuss germline variants associated with inherited predisposition, prostate cancer risk and outcomes. We review recommendations for germline testing, available testing platforms, genetic counseling as well as discuss the therapeutic implications of germline variants relevant to prostate cancer treatments. Understanding the role of germline (heritable) mutations that affect prostate cancer biology and risk as well as the subsequent effect of these alterations on potential therapies is critical as the treatment paradigm shifts towards precision medicine. Furthermore, enhancing patient education tactics and healthcare system infrastructure is essential for the utilization of relevant predictive biomarkers and the improvement of clinical outcomes of patients with prostate cancer or at high risk of developing the disease.https://www.mdpi.com/2072-6694/13/9/2154prostate cancergeneticsgermline testing
spellingShingle David K. Doan
Keith T. Schmidt
Cindy H. Chau
William D. Figg
Germline Genetics of Prostate Cancer: Prevalence of Risk Variants and Clinical Implications for Disease Management
Cancers
prostate cancer
genetics
germline testing
title Germline Genetics of Prostate Cancer: Prevalence of Risk Variants and Clinical Implications for Disease Management
title_full Germline Genetics of Prostate Cancer: Prevalence of Risk Variants and Clinical Implications for Disease Management
title_fullStr Germline Genetics of Prostate Cancer: Prevalence of Risk Variants and Clinical Implications for Disease Management
title_full_unstemmed Germline Genetics of Prostate Cancer: Prevalence of Risk Variants and Clinical Implications for Disease Management
title_short Germline Genetics of Prostate Cancer: Prevalence of Risk Variants and Clinical Implications for Disease Management
title_sort germline genetics of prostate cancer prevalence of risk variants and clinical implications for disease management
topic prostate cancer
genetics
germline testing
url https://www.mdpi.com/2072-6694/13/9/2154
work_keys_str_mv AT davidkdoan germlinegeneticsofprostatecancerprevalenceofriskvariantsandclinicalimplicationsfordiseasemanagement
AT keithtschmidt germlinegeneticsofprostatecancerprevalenceofriskvariantsandclinicalimplicationsfordiseasemanagement
AT cindyhchau germlinegeneticsofprostatecancerprevalenceofriskvariantsandclinicalimplicationsfordiseasemanagement
AT williamdfigg germlinegeneticsofprostatecancerprevalenceofriskvariantsandclinicalimplicationsfordiseasemanagement