The tumor mutational landscape of BRCA2-deficient primary and metastatic prostate cancer

Abstract Carriers of germline BRCA2 pathogenic sequence variants have elevated aggressive prostate cancer risk and are candidates for precision oncology treatments. We examined whether BRCA2-deficient (BRCA2 d ) prostate tumors have distinct genomic alterations compared with BRCA2-intact (BRCA2 i )...

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Main Authors: Kevin H. Kensler, Shakuntala Baichoo, Shailja Pathania, Timothy R. Rebbeck
Format: Article
Language:English
Published: Nature Portfolio 2022-06-01
Series:npj Precision Oncology
Online Access:https://doi.org/10.1038/s41698-022-00284-6
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author Kevin H. Kensler
Shakuntala Baichoo
Shailja Pathania
Timothy R. Rebbeck
author_facet Kevin H. Kensler
Shakuntala Baichoo
Shailja Pathania
Timothy R. Rebbeck
author_sort Kevin H. Kensler
collection DOAJ
description Abstract Carriers of germline BRCA2 pathogenic sequence variants have elevated aggressive prostate cancer risk and are candidates for precision oncology treatments. We examined whether BRCA2-deficient (BRCA2 d ) prostate tumors have distinct genomic alterations compared with BRCA2-intact (BRCA2 i ) tumors. Among 2536 primary and 899 metastatic prostate tumors from the ICGC, GENIE, and TCGA databases, we identified 138 primary and 85 metastatic BRCA2 d tumors. Total tumor mutation burden (TMB) was higher among primary BRCA2 d tumors, although pathogenic TMB did not differ by tumor BRCA2 status. Pathogenic and total single nucleotide variant (SNV) frequencies at KMT2D were higher in BRCA2 d primary tumors, as was the total SNV frequency at KMT2D in BRCA2 d metastatic tumors. Homozygous deletions at NEK3, RB1, and APC were enriched in BRCA2 d primary tumors, and RB1 deletions in metastatic BRCA2 d tumors as well. TMPRSS2-ETV1 fusions were more common in BRCA2 d tumors. These results identify somatic alterations that hallmark etiological and prognostic differences between BRCA2 d and BRCA2 i prostate tumors.
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spelling doaj.art-e8bd40b686474509a6110e6ca54a55c32023-12-03T07:18:37ZengNature Portfolionpj Precision Oncology2397-768X2022-06-01611910.1038/s41698-022-00284-6The tumor mutational landscape of BRCA2-deficient primary and metastatic prostate cancerKevin H. Kensler0Shakuntala Baichoo1Shailja Pathania2Timothy R. Rebbeck3Department of Population Health Sciences, Weill Cornell MedicineDepartment of Digital Technologies, FoICDT, University of MauritiusCenter for Personalized Cancer Therapy, University of MassachusettsDivision of Population Sciences, Dana-Farber Cancer InstituteAbstract Carriers of germline BRCA2 pathogenic sequence variants have elevated aggressive prostate cancer risk and are candidates for precision oncology treatments. We examined whether BRCA2-deficient (BRCA2 d ) prostate tumors have distinct genomic alterations compared with BRCA2-intact (BRCA2 i ) tumors. Among 2536 primary and 899 metastatic prostate tumors from the ICGC, GENIE, and TCGA databases, we identified 138 primary and 85 metastatic BRCA2 d tumors. Total tumor mutation burden (TMB) was higher among primary BRCA2 d tumors, although pathogenic TMB did not differ by tumor BRCA2 status. Pathogenic and total single nucleotide variant (SNV) frequencies at KMT2D were higher in BRCA2 d primary tumors, as was the total SNV frequency at KMT2D in BRCA2 d metastatic tumors. Homozygous deletions at NEK3, RB1, and APC were enriched in BRCA2 d primary tumors, and RB1 deletions in metastatic BRCA2 d tumors as well. TMPRSS2-ETV1 fusions were more common in BRCA2 d tumors. These results identify somatic alterations that hallmark etiological and prognostic differences between BRCA2 d and BRCA2 i prostate tumors.https://doi.org/10.1038/s41698-022-00284-6
spellingShingle Kevin H. Kensler
Shakuntala Baichoo
Shailja Pathania
Timothy R. Rebbeck
The tumor mutational landscape of BRCA2-deficient primary and metastatic prostate cancer
npj Precision Oncology
title The tumor mutational landscape of BRCA2-deficient primary and metastatic prostate cancer
title_full The tumor mutational landscape of BRCA2-deficient primary and metastatic prostate cancer
title_fullStr The tumor mutational landscape of BRCA2-deficient primary and metastatic prostate cancer
title_full_unstemmed The tumor mutational landscape of BRCA2-deficient primary and metastatic prostate cancer
title_short The tumor mutational landscape of BRCA2-deficient primary and metastatic prostate cancer
title_sort tumor mutational landscape of brca2 deficient primary and metastatic prostate cancer
url https://doi.org/10.1038/s41698-022-00284-6
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