- Research Article
- 10.1158/1538-7445.am2017-4236
Abstract 4236: Gene expression profiling of prostate tissue identifies biological pathways associated with TMPRSS2:ERG gene fusion
- Jul 01, 2017
- Cancer Research
- Ericka Ebot + 8 more +8
Background: TMPRSS2:ERG, a hormonally regulated gene fusion present in about half of prostate tumors, is the most common somatic event in prostate cancer. There is intriguing evidence to suggest that TMPRSS2:ERG-positive tumors may define a distinct subgroup of prostate cancer. In this study we compared gene expression profiles according to fusion status to identify genes and biological pathways differential expressed by TMPRSS2:ERG. Methods: The study included men with prostate cancer in the Health Professionals Follow-up Study and the Physicians’ Health Study diagnosed between 1982 and 2004 and followed through 2012. Tumor biomarker data was available for archival tumor tissue from 380 cases, 191 of whom also had gene expression data for adjacent normal tissue. Whole genome mRNA expression profiling (20,254 genes) was performed using the Affymetrix 1.0 ST array. TMPRSS2:ERG tumor status was assessed by a genetically validated IHC assay for ERG. To relate expression of individual genes to ERG we used linear regression. Gene Set Enrichment Analysis (GSEA) was used to identify pathways of genes associated with ERG in both tumor and adjacent normal tissue. Data from The Cancer Genome Atlas (TCGA) was used to validate these findings. Results: Among 380 cases, 186 (49%) of tumors were positive for the gene fusion. Genome-wide differential expression analysis identified 492 genes upregulated and 369 genes downregulated in tumor tissue comparing ERG+ to ERG- tumors (FDR p-value < 0.05). No genes were identified in the adjacent normal tissue at this significance level. 772 of the 861 genes (90%) identified in the HPFS/PHS dataset were confirmed in TCGA (448 upregulated and 324 downregulated). The top ten genes included ERG, WNK2, CACNA1D, HES1, SEPT9, PLA2G7, TDRD1, ANTXR2, SORBS2, and MYO6. Enrichment analysis identified a number of metabolic pathways associated with ERG tumor status including pathways involved in amino acid and fatty acid metabolism. Conclusions: We identified significant differences in gene expression profiles in prostate tumor tissue according to TMPRSS2:ERG status, providing supportive evidence of this fusion as a unique subtype. Citation Format: Ericka Ebot, Masis Isikbay, Travis Gerke, Thomas U. Ahearn, Rachel S. Kelly, Svitlana Tyekucheva, Andreas Pettersson, Kathryn L. Penney, Lorelei A. Mucci. Gene expression profiling of prostate tissue identifies biological pathways associated with TMPRSS2:ERG gene fusion [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2017; 2017 Apr 1-5; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2017;77(13 Suppl):Abstract nr 4236. doi:10.1158/1538-7445.AM2017-4236
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