Author
Listed:
- Matthew K.H. Hong
(Royal Melbourne Hospital and University of Melbourne
The Epworth Prostate Centre, Epworth Hospital)
- Geoff Macintyre
(Centre for Neural Engineering, University of Melbourne
Cancer Research UK Cambridge Institute, University of Cambridge
Diagnostic Genomics, NICTA, Victoria Research Laboratory, The University of Melbourne)
- David C. Wedge
(Cancer Genome Project, Wellcome Trust Sanger Institute)
- Peter Van Loo
(Cancer Genome Project, Wellcome Trust Sanger Institute
KU Leuven
Cancer Research UK London Research Institute)
- Keval Patel
(Cancer Research UK Cambridge Institute, University of Cambridge
Academic Urology Group, Addenbrookes Hospital, Cambridge University, Hospitals NHS Foundation Trust)
- Sebastian Lunke
(Centre for Translational Pathology, University of Melbourne)
- Ludmil B. Alexandrov
(Cancer Genome Project, Wellcome Trust Sanger Institute
Los Alamos National Laboratory)
- Clare Sloggett
(Victorian Life Sciences Computation Initiative, The University of Melbourne)
- Marek Cmero
(Royal Melbourne Hospital and University of Melbourne
The Epworth Prostate Centre, Epworth Hospital
Centre for Neural Engineering, University of Melbourne
Diagnostic Genomics, NICTA, Victoria Research Laboratory, The University of Melbourne)
- Francesco Marass
(Cancer Research UK Cambridge Institute, University of Cambridge)
- Dana Tsui
(Cancer Research UK Cambridge Institute, University of Cambridge)
- Stefano Mangiola
(Centre for Neural Engineering, University of Melbourne)
- Andrew Lonie
(Victorian Life Sciences Computation Initiative, The University of Melbourne)
- Haroon Naeem
(Centre for Neural Engineering, University of Melbourne
Diagnostic Genomics, NICTA, Victoria Research Laboratory, The University of Melbourne)
- Nikhil Sapre
(Royal Melbourne Hospital and University of Melbourne
The Epworth Prostate Centre, Epworth Hospital)
- Pramit M. Phal
(Royal Melbourne Hospital)
- Natalie Kurganovs
(Royal Melbourne Hospital and University of Melbourne
The Epworth Prostate Centre, Epworth Hospital)
- Xiaowen Chin
(Royal Melbourne Hospital and University of Melbourne
The Epworth Prostate Centre, Epworth Hospital)
- Michael Kerger
(Royal Melbourne Hospital and University of Melbourne
The Epworth Prostate Centre, Epworth Hospital)
- Anne Y. Warren
(University Cambridge Hospitals, Addenbrookes Hospital)
- David Neal
(Cancer Research UK Cambridge Institute, University of Cambridge
Academic Urology Group, Addenbrookes Hospital, Cambridge University, Hospitals NHS Foundation Trust)
- Vincent Gnanapragasam
(Cancer Research UK Cambridge Institute, University of Cambridge
Academic Urology Group, Addenbrookes Hospital, Cambridge University, Hospitals NHS Foundation Trust)
- Nitzan Rosenfeld
(Cancer Research UK Cambridge Institute, University of Cambridge)
- John S. Pedersen
(TissuPath Specialist Pathology
Monash University Faculty of Medicine)
- Andrew Ryan
(TissuPath Specialist Pathology)
- Izhak Haviv
(Bar-Ilan University Medical School)
- Anthony J. Costello
(Royal Melbourne Hospital and University of Melbourne
The Epworth Prostate Centre, Epworth Hospital)
- Niall M. Corcoran
(Royal Melbourne Hospital and University of Melbourne
The Epworth Prostate Centre, Epworth Hospital)
- Christopher M. Hovens
(Royal Melbourne Hospital and University of Melbourne
The Epworth Prostate Centre, Epworth Hospital)
Abstract
Tumour heterogeneity in primary prostate cancer is a well-established phenomenon. However, how the subclonal diversity of tumours changes during metastasis and progression to lethality is poorly understood. Here we reveal the precise direction of metastatic spread across four lethal prostate cancer patients using whole-genome and ultra-deep targeted sequencing of longitudinally collected primary and metastatic tumours. We find one case of metastatic spread to the surgical bed causing local recurrence, and another case of cross-metastatic site seeding combining with dynamic remoulding of subclonal mixtures in response to therapy. By ultra-deep sequencing end-stage blood, we detect both metastatic and primary tumour clones, even years after removal of the prostate. Analysis of mutations associated with metastasis reveals an enrichment of TP53 mutations, and additional sequencing of metastases from 19 patients demonstrates that acquisition of TP53 mutations is linked with the expansion of subclones with metastatic potential which we can detect in the blood.
Suggested Citation
Matthew K.H. Hong & Geoff Macintyre & David C. Wedge & Peter Van Loo & Keval Patel & Sebastian Lunke & Ludmil B. Alexandrov & Clare Sloggett & Marek Cmero & Francesco Marass & Dana Tsui & Stefano Mang, 2015.
"Tracking the origins and drivers of subclonal metastatic expansion in prostate cancer,"
Nature Communications, Nature, vol. 6(1), pages 1-12, May.
Handle:
RePEc:nat:natcom:v:6:y:2015:i:1:d:10.1038_ncomms7605
DOI: 10.1038/ncomms7605
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