Aneuploidy drives lethal progression in prostate cancer

  • Konrad H. Stopsack
    Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065;
  • Charles A. Whittaker
    David H. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA 02139;
  • Travis A. Gerke
    Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA 02115;
  • Massimo Loda
    Department of Oncologic Pathology, Dana-Farber Cancer Institute, Boston, MA 02215;
  • Philip W. Kantoff
    Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065;
  • Lorelei A. Mucci
    Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA 02115;
  • Angelika Amon
    David H. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA 02139;

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<jats:title>Significance</jats:title> <jats:p>Aneuploidy is usually quantified by measuring intracellular DNA content or chromosome structure and number. We show that the number of altered chromosome arms can be estimated from transcriptome profiling, which allows for assessing aneuploidy within repositories of archival, formalin-fixed, paraffin-embedded tumors. While aneuploidy impedes proliferation in primary cells, we show that it is a feature of aggressiveness in primary prostate cancers that are more likely to become lethal. Our data suggest that losses or gains of entire chromosome arms confers aggressiveness beyond affecting copy numbers of tumor suppressors or oncogenes on those arms. Beyond helping understand the etiology of aggressive prostate cancer, we propose that extent of aneuploidy could also be employed clinically to inform risk stratification and treatment.</jats:p>

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