申请人:UNIVERSITY OF PITTSBURGH—OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
公开号:US10167519B2
公开(公告)日:2019-01-01
The present invention relates to methods and compositions for determining whether a subject having prostate cancer is at greater risk of developing progressive disease, and methods of treating the subjects. It is based, at least in part, on the discovery that approximately 90% of men carrying at least one of the following fusion genes: TRMT11-GRIK2, SLC45A2-AMACR, MTOR-TP53BP1, LRRC59-FLJ60017, TMEM135-CCDC67 and CCNH-05orf30 experienced prostate cancer recurrence, metastases and/or prostate cancer-specific death after radical prostatectomy (each examples of “progressive prostate cancer”), while these outcomes occurred in only 36% of men not carrying any of these fusion genes. It is also based, at least in part, on the discovery that no patient studied survived five years without recurrence if their primary prostate cancer contained a TRMT11-GRIK2 or MTOR-TP53BP1 fusion gene. It is also based, at least in part, on the discovery that the protein encoded by the MAN2A1-FER fusion gene exhibits kinase activity.
本发明涉及用于确定患有前列腺癌的受试者是否有更大风险发展为进展性疾病的方法和组合物,以及治疗受试者的方法。本发明至少部分基于以下发现:约 90% 的男性携带至少一种以下融合基因:TRMT11-GRIK2、SLC45A2-AMACR、MTOR-TP53BP1、LRRC59-FLJ60017、TMEM135-CDC67 和 CCNH-05orf30 的男性在前列腺癌根治术后出现前列腺癌复发、转移和/或前列腺癌特异性死亡(均为 "进展性前列腺癌 "的例子),而未携带任何这些融合基因的男性中仅有 36% 出现这些结果。至少部分原因还在于,研究发现,如果原发性前列腺癌含有 TRMT11-GRIK2 或 MTOR-TP53BP1 融合基因,则没有患者能存活五年而不复发。该研究还至少部分基于发现 MAN2A1-FER 融合基因编码的蛋白质具有激酶活性。