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Cancer Epidemiology, Biomarkers & Prevention
Cancer Epidemiology, Biomarkers & Prevention
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Recurrent Prostate Cancer Genomic Alterations Predict Response to Brachytherapy Treatment

Jacqueline Fontugne, Daniel Lee, Chiara Cantaloni, Christopher E. Barbieri, Orazio Caffo, Esther Hanspeter, Guido Mazzoleni, Paolo Dalla Palma, Mark A. Rubin, Giovanni Fellin, Juan Miguel Mosquera, Mattia Barbareschi and Francesca Demichelis
Jacqueline Fontugne
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
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Daniel Lee
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
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Chiara Cantaloni
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
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Christopher E. Barbieri
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
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Orazio Caffo
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
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Esther Hanspeter
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
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Guido Mazzoleni
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
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Paolo Dalla Palma
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
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Mark A. Rubin
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
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Giovanni Fellin
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
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Juan Miguel Mosquera
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
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Mattia Barbareschi
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
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Francesca Demichelis
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
Departments of 1Pathology and Laboratory Medicine and 2Urology; 3Institute for Precision Medicine; 4Institute for Computational Biomedicine, Weill Medical College of Cornell University, New York, New York; 5Centre for Integrative Biology, University of Trento; Departments of 6Medical Oncology, 7Pathology, and 8Radiotherapy and Medical Physics, Ospedale Santa Chiara, Trento; and 9Department of Surgical Pathology, Central Hospital, Bolzano, Italy
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DOI: 10.1158/1055-9965.EPI-13-1180 Published April 2014
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    Figure 1.

    Detection of ERG and PTEN status by IHC and FISH. An ERG+/PTENdel biopsy is represented. A, H&E of needle biopsy showing prostatic adenocarcinoma, Gleason score 7. B, strong, diffuse nuclear ERG IHC staining of tumor glands. ERG break-apart FISH assay showing ERG translocation (inset). C, absence of PTEN IHC staining in tumor glands. FISH assay showing hemizygous PTEN loss (inset).

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    Figure 2.

    Prostate cancer relapse-free survival according to PTEN and ERG IHC status. Kaplan–Meier curves are reported with respect to recurrence-free survival for PTEN loss identified by IHC (A), for ERG+ prostate cancer identified by IHC (B), and for their combination (C).

Tables

  • Figures
  • Table 1.

    Study cohort demographics

    Number of patients92
    Age (y) (mean ± SD)65.8 ± 5
    cT, N (%)cT150 (54)
    cT2/342 (46)
    PSAi (ng/mL), N (%)<47 (8)
    4 ≤ x< 1059 (64)
    >1026 (28)
    Risk group, N (%)L55 (60)
    I32 (35)
    H5 (5)
    Gleason score, N (%)668 (74)
    716 (17)
    88 (9)
    International prostate symptom score, N (%)<880 (87)
    ≥ 812 (13)
    Volume transrectal ultrasound (cc) (mean ± SD)34 ± 9
    BCR, N (%)No event82 (89)
    Event10 (11)
    RFS (mo) (mean ± SD)No event72 ± 28
    Event50 ± 33
    OS (mo) (mean ± SD) (median)No event72 ± 28 (70)
    Event90 ± 30 (96)
    Hormonal therapy pre-implantNo58 (63)
    Yes34 (37)
  • Table 2.

    Association of ERG and PTEN IHC status with clinicopathologic features

    ERG IHCPTEN IHCERG/PTEN IHC
    NegPosP-valueNegPosP-valueNeg/no lossPos/no lossNeg/lossPos/lossP-value
    Age≤ Median23260.5835130.9420153100.86
    > Median16232810131528
    PSAi (ng/mL)< 4340.97420.9313110.46
    4 ≤ x < 10243140142020410
    > 10121419712707
    cT124220.2135100.321916460.21
    2/3152728131414112
    Risk groupH320.62230.1820120.44
    I1219229111118
    L24283911201938
    Gleason score629360.6849140.1326232120.18
    76101155614
    843342122
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Cancer Epidemiology Biomarkers & Prevention: 23 (4)
April 2014
Volume 23, Issue 4
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Recurrent Prostate Cancer Genomic Alterations Predict Response to Brachytherapy Treatment
Jacqueline Fontugne, Daniel Lee, Chiara Cantaloni, Christopher E. Barbieri, Orazio Caffo, Esther Hanspeter, Guido Mazzoleni, Paolo Dalla Palma, Mark A. Rubin, Giovanni Fellin, Juan Miguel Mosquera, Mattia Barbareschi and Francesca Demichelis
Cancer Epidemiol Biomarkers Prev April 1 2014 (23) (4) 594-600; DOI: 10.1158/1055-9965.EPI-13-1180

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Recurrent Prostate Cancer Genomic Alterations Predict Response to Brachytherapy Treatment
Jacqueline Fontugne, Daniel Lee, Chiara Cantaloni, Christopher E. Barbieri, Orazio Caffo, Esther Hanspeter, Guido Mazzoleni, Paolo Dalla Palma, Mark A. Rubin, Giovanni Fellin, Juan Miguel Mosquera, Mattia Barbareschi and Francesca Demichelis
Cancer Epidemiol Biomarkers Prev April 1 2014 (23) (4) 594-600; DOI: 10.1158/1055-9965.EPI-13-1180
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