論文

査読有り 国際誌
2019年3月11日

Clinical utility of androgen receptor gene aberrations in circulating cell-free DNA as a biomarker for treatment of castration-resistant prostate cancer.

Scientific reports
  • Takayuki Sumiyoshi
  • Kei Mizuno
  • Toshinari Yamasaki
  • Yu Miyazaki
  • Yuki Makino
  • Kosuke Okasho
  • Xin Li
  • Noriaki Utsunomiya
  • Takayuki Goto
  • Takashi Kobayashi
  • Naoki Terada
  • Takahiro Inoue
  • Tomomi Kamba
  • Akihiro Fujimoto
  • Osamu Ogawa
  • Shusuke Akamatsu
  • 全て表示

9
1
開始ページ
4030
終了ページ
4030
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1038/s41598-019-40719-y

The therapeutic landscape of castration-resistant prostate cancer (CRPC) has rapidly expanded. There is a need to develop noninvasive biomarkers to guide treatment. We established a highly sensitive method for analyzing androgen receptor gene (AR) copy numbers (CN) and mutations in plasma circulating cell-free DNA (cfDNA) and evaluated the AR statuses of patients with CRPC. AR amplification was detectable in VCaP cell line (AR amplified) genomic DNA (gDNA) diluted to 1.0% by digital PCR (dPCR). AR mutation were detectable in LNCaP cell line (AR T878A mutated) gDNA diluted to 0.1% and 1.0% by dPCR and target sequencing, respectively. Next, we analyzed AR status in cfDNA from 102 patients. AR amplification and mutations were detected in 47 and 25 patients, respectively. As a biomarker, AR aberrations in pretreatment cfDNA were associated with poor response to abiraterone, but not enzalutamide. In serial cfDNA analysis from 41 patients, most AR aberrations at baseline diminished with effective treatments, whereas in some patients with disease progression, AR amplification or mutations emerged. The analysis of AR in cfDNA is feasible and informative procedure for treating patients with CRPC. cfDNA may become a useful biomarker for precision medicine in CRPC.

リンク情報
DOI
https://doi.org/10.1038/s41598-019-40719-y
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/30858508
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411952
ID情報
  • DOI : 10.1038/s41598-019-40719-y
  • PubMed ID : 30858508
  • PubMed Central 記事ID : PMC6411952

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