Sequencing of prostate cancers identifies new cancer genes, routes of progression and drug targets.
Wedge DC., Gundem G., Mitchell T., Woodcock DJ., Martincorena I., Ghori M., Zamora J., Butler A., Whitaker H., Kote-Jarai Z., Alexandrov LB., Van Loo P., Massie CE., Dentro S., Warren AY., Verrill C., Berney DM., Dennis N., Merson S., Hawkins S., Howat W., Lu Y-J., Lambert A., Kay J., Kremeyer B., Karaszi K., Luxton H., Camacho N., Marsden L., Edwards S., Matthews L., Bo V., Leongamornlert D., McLaren S., Ng A., Yu Y., Zhang H., Dadaev T., Thomas S., Easton DF., Ahmed M., Bancroft E., Fisher C., Livni N., Nicol D., Tavaré S., Gill P., Greenman C., Khoo V., Van As N., Kumar P., Ogden C., Cahill D., Thompson A., Mayer E., Rowe E., Dudderidge T., Gnanapragasam V., Shah NC., Raine K., Jones D., Menzies A., Stebbings L., Teague J., Hazell S., Corbishley C., CAMCAP Study Group None., de Bono J., Attard G., Isaacs W., Visakorpi T., Fraser M., Boutros PC., Bristow RG., Workman P., Sander C., TCGA Consortium None., Hamdy FC., Futreal A., McDermott U., Al-Lazikani B., Lynch AG., Bova GS., Foster CS., Brewer DS., Neal DE., Cooper CS., Eeles RA.
Prostate cancer represents a substantial clinical challenge because it is difficult to predict outcome and advanced disease is often fatal. We sequenced the whole genomes of 112 primary and metastatic prostate cancer samples. From joint analysis of these cancers with those from previous studies (930 cancers in total), we found evidence for 22 previously unidentified putative driver genes harboring coding mutations, as well as evidence for NEAT1 and FOXA1 acting as drivers through noncoding mutations. Through the temporal dissection of aberrations, we identified driver mutations specifically associated with steps in the progression of prostate cancer, establishing, for example, loss of CHD1 and BRCA2 as early events in cancer development of ETS fusion-negative cancers. Computational chemogenomic (canSAR) analysis of prostate cancer mutations identified 11 targets of approved drugs, 7 targets of investigational drugs, and 62 targets of compounds that may be active and should be considered candidates for future clinical trials.