Evidence map›Paper›PMID 36779357›Full record

ArticleThe Prostate2023

Clinical, pathologic, and molecular features of amphicrine prostate cancer.

Laura S Graham, Michael C Haffner, Erolcan Sayar, Agnes Gawne, Michael T Schweizer, Colin C Pritchard, Ilsa Coleman, Peter S Nelson, Evan Y Yu

Abstract read
In one paragraph

Article in The Prostate, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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  5. Article
  6. Article
  7. Metabolic and imaging phenotypes associated withbioRxiv : the preprint server for biology · 2025
    Article
  8. Review
  9. Framework for the Pathology Workup of Metastatic Castration-Resistant Prostate Cancer Biopsies.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
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

9 authors.

Laura S GrahamDepartment of Internal Medicine, Division of Medical Oncology , University of Colorado, Aurora, Colorado, USA.ORCID 0000-0003-4371-572X
Michael C HaffnerDivisions of Human Biology and Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington, USA.ORCID 0000-0003-0809-6425
Erolcan SayarDivisions of Human Biology and Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington, USA.ORCID 0000-0002-3922-5683
Agnes GawneDivisions of Human Biology and Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington, USA.
Michael T SchweizerDepartment of Internal Medicine, Division of Medical Oncology, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-5510-0661
Colin C PritchardDepartment of Lab Medicine, University of Washington, Seattle, Washington, USA.
Ilsa ColemanDivisions of Human Biology and Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington, USA.
Peter S NelsonDivisions of Human Biology and Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington, USA.
Evan Y YuDepartment of Internal Medicine, Division of Medical Oncology, University of Washington, Seattle, Washington, USA.

Funding

TRANSCRIPTOME AND PROTEOME STRATIFICATION OF PROSTATE ADENOCARCINOMA PHENOTYPESP50CA097186 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI PETER S NELSON · 2002 to 2026
$58.1M
Steroid Metabolism in Castration-Resistant Prostate CancerP01CA163227 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI PETER S NELSON · 2013 to 2026
$25.0M
Defining and Targeting Lineage Transition Programs Operative in AR Pathway Independent Prostate CancerR01CA234715 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI NELSON, PETER S · 2020 to 2024
$2.0M
NCI NIH HHS P01 CA 163227NCI NIH HHS P01 CA163227NCI NIH HHS P50 CA097186NCI NIH HHS R01 CA234715
6 · The paper itself

Abstract

backgroundAmphicrine prostate carcinoma (AMPC) is a poorly defined subset of prostate cancer in which cells co-express luminal prostate epithelial and neuroendocrine markers. The optimal treatment strategy is unknown. We sought to further characterize the clinical, histomorphologic, and molecular characteristics of AMPC and to identify areas of potential future treatment investigations.

methodsWe retrospectively identified 17 cases of AMPC at a single institution, defined as synaptophysin expression in >70% of cells and co-expression of androgen receptor (AR) signaling markers (either AR, PSA, or NKX3.1) in >50% of cells. Clinical and histologic features of AMPC cases as well as response to treatment and clinical outcomes were described.

resultsFive AMPC cases arose de novo in the absence of prior systemic treatment and behaved distinctly from cases that were treatment-emergent. In these de novo cases, despite expression of neuroendocrine markers, prognosis appeared more favorable than high-grade neuroendocrine carcinoma, with two (40%) patients with de novo metastatic disease, universal response to androgen deprivation therapy, and no deaths at a median follow-up of 12.3 months. Treatment-emergent AMPC arose a median of 41.1 months after androgen deprivation therapy initiation and was associated with poor response to therapy.

conclusionsWe show that amphicrine prostate cancer is a unique entity and differs in clinical and molecular features from high-grade neuroendocrine carcinomas of the prostate. Our study highlights the need to recognize AMPC as a unique molecularly defined subgroup of prostate cancer.

Indexed as

Carcinoma, NeuroendocrineProstatic NeoplasmsProstatic Neoplasms, Castration-ResistantAndrogen AntagonistsAndrogensHumansMaleProstateRetrospective StudiesAndrogen AntagonistsAndrogensamphicrine prostate cancercastration resistant prostate cancerneuroendocrinesynaptophysin

Identifiers

PMID36779357
PMCPMC11023623

What OpenQuestion holds

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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.