From April 20181 Oct 2023 20:38
INTRODUCTION AND OBJECTIVES: Current diagnostic bloodtests for prostate cancer (PCa) are unreliable for the early stage dis-ease, resulting in numerous unnecessary prostate biopsies in men withbenign disease and false reassurance of negative biopsies in men withprostate cancer. In comparison to the imaging biomarker MRI, whichidentifies established and significant prostate cancer we investigateearly epigenetic changes as a diagnostic biomarker. Three-dimensionalgenome architecture and chromosome structures undergo changesearly during tumourigenesis both in tumour and in circulating cells andcan be potentially used for cancer diagnosis.METHODS: In this report, we have performed chromosomeconformation screening for 14,240 chromosomal loops in the loci of 425cancer related genes in peripheral blood mononuclear cells (PBMCs) ofn¼107 PCa patients and n¼105 non-cancer controls. The cancercohort consisted of all D'Amico risk groups including metastaticdisease.RESULTS: Our data show that PBMCs from PCa patients ac-quire specific chromosome conformation changes in the loci of cancer-related genes. New chromosomal loops in the loci of CASP2, ETS1,SLC22A3, MAP3K14 genes were unique to the PCa cohort. Similarchromosomal conformations were identified in primary prostate tumoursfrom these patients, but not in normal prostate tissues. Blind testing on avalidation cohort of n¼10 pts and n¼10 controls yielded PCa detectionwith 80% sensitivity and 80% specificity. Surprisingly, utilising thesignature to predict D'Amico low risk v high risk disease was also highlyaccurate (Sensitivity 84%, Specificity 89%).CONCLUSIONS: We have identified a subset of blood chro-mosomal conformations that are strongly indicative of PCa presenceand possibly risk of advanced disease. These signatures have a sig-nificant potential for development of a quick diagnostic blood test forprostate cancer or as staging adjunct
https://www.researchgate.net/publication/324205403_MP35-13_WHITE_BLOOD_CELLS_FROM_PROSTATE_CANCER_PATIENTS_CARRY_DISTINCT_CHROMOSOME_CONFORMATIONS