Evidence map›Paper›PMID 20018353›Full record

ArticleUrology2010

ERG rearrangement metastasis patterns in locally advanced prostate cancer.

Sven Perner, Maria A Svensson, Ruhella R Hossain, John R Day, Jack Groskopf, Ryan C Slaughter, Analee R Jarleborn, Matthias D Hofer, Rainer Kuefer, Francesca Demichelis and 2 more

Abstract read
In one paragraph

Article in Urology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
6.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 57 citations in OpenAlex.

  1. Trial
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  4. BMJ open · 2019
    Article
  5. The Genomics of Prostate Cancer: A Historic Perspective.Cold Spring Harbor perspectives in medicine · 2019
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 3 countries.

Sven PernerDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, New York 10065, USA.
Maria A Svensson
Ruhella R Hossain
John R Day
Jack Groskopf
Ryan C Slaughter
Analee R Jarleborn
Matthias D Hofer
Rainer Kuefer
Francesca Demichelis
David S Rickman
Mark A Rubin
Cornell University · USBrigham and Women's Hospital · USUniversity Hospital Ulm · DE

Funding

Molecular Signatures of Lethal and Indolent Prostate CancerR01CA116337 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI RUBIN, MARK A. · 2006 to 2016
$5.3M
Towards Understanding Prostate Cancer HeterogeneityR01CA125612 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI RUBIN, MARK A. · 2007 to 2017
$3.4M
NCI NIH HHS R01 CA116337NCI NIH HHS R01 CA125612NCI NIH HHS R01CA125612
6 · The paper itself

Abstract

objectivesTo interrogate multifocal prostate cancer (PCa) to determine its predilection for metastasis, using ERG rearrangement as marker of clonality. A hallmark of PCa is that distinct tumor foci may arise independently, which has important biological and clinical implications. Recent studies characterizing ERG-rearranged PCa possessing intrafocal homogeneity but interfocal heterogeneity support this hypothesis.

methodsWe studied 26 patients who underwent prostatectomy and lymphadenectomy with at least 2 distinct PCa foci and 1 lymph node (LN) metastasis. Each focus was assessed for size, Gleason score, ERG rearrangement, and TMPRSS2-ERG transcript.

resultsFifteen of 26 cases exhibited interfocal homogeneity with regard to ERG rearrangement (ie, presence vs absence of ERG rearrangement). ERG rearrangement was present in all foci for 6 and absent in all foci for 9 cases. Two cases revealed interfocal heterogeneity with regard to rearrangement mechanism (ie, rearrangement through insertion or deletion). Eight of 26 cases revealed interfocal heterogeneity with regard to rearrangement status. In all cases with at least 1 ERG rearranged focus, we found the corresponding LN metastasis harboring an ERG rearrangement. Interestingly, in a subset of cases the rearrangement status in the LN did not correspond to size or Gleason score. All but 2 ERG rearranged foci had detectable TMPRSS2-ERG transcript levels.

conclusionsWhen multifocal PCa demonstrates both ERG-positive and ERG-negative foci, the positive foci have a greater predilection for metastasis. Larger studies are needed to confirm the potential additional risk an ERG rearranged focus confers on the likelihood of disease progression.

Indexed as

Gene RearrangementAgedHumansLymphatic MetastasisMaleMiddle AgedNeoplasm StagingOncogene ProteinsProstatic NeoplasmsTrans-ActivatorsTranscriptional Regulator ERGERG protein, humanOncogene ProteinsTrans-ActivatorsTranscriptional Regulator ERGERG rearrangementsmetastaticprostate cancerTMPRSS2-ERG

Identifiers

PMID20018353
PMCPMC2850965
OpenAlexW1965073305

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.