The 5-Hydroxymethylcytosine Landscape of Prostate Cancer

Author:

Sjöström Martin123ORCID,Zhao Shuang G.45,Levy Samuel6ORCID,Zhang Meng12ORCID,Ning Yuhong6,Shrestha Raunak12ORCID,Lundberg Arian12ORCID,Herberts Cameron7ORCID,Foye Adam18ORCID,Aggarwal Rahul18ORCID,Hua Junjie T.12ORCID,Li Haolong12,Bergamaschi Anna6ORCID,Maurice-Dror Corinne79ORCID,Maheshwari Ashutosh12,Chen Sujun1011,Ng Sarah W.S.7ORCID,Ye Wenbin101112ORCID,Petricca Jessica1011,Fraser Michael1113,Chesner Lisa12,Perry Marc D.12ORCID,Moreno-Rodriguez Thaidy12ORCID,Chen William S.12,Alumkal Joshi J.14ORCID,Chou Jonathan18ORCID,Morgans Alicia K.15,Beer Tomasz M.16ORCID,Thomas George V.1617,Gleave Martin7,Lloyd Paul6ORCID,Phillips Tierney6,McCarthy Erin6ORCID,Haffner Michael C.1819ORCID,Zoubeidi Amina7ORCID,Annala Matti720,Reiter Robert E.2122ORCID,Rettig Matthew B.212223ORCID,Witte Owen N.24ORCID,Fong Lawrence18ORCID,Bose Rohit182526ORCID,Huang Franklin W.18,Luo Jianhua27ORCID,Bjartell Anders2829,Lang Joshua M.30ORCID,Mahajan Nupam P.31ORCID,Lara Primo N.3233,Evans Christopher P.3334ORCID,Tran Phuoc T.35ORCID,Posadas Edwin M.36ORCID,He Chuan3738,Cui Xiao-Long3738,Huang Jiaoti39,Zwart Wilbert40ORCID,Gilbert Luke A.12541,Maher Christopher A.31424344ORCID,Boutros Paul C.104546ORCID,Chi Kim N.7ORCID,Ashworth Alan18ORCID,Small Eric J.18,He Housheng H.1011ORCID,Wyatt Alexander W.747ORCID,Quigley David A.12548ORCID,Feng Felix Y.12825ORCID

Affiliation:

1. 1Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, San Francisco, CA.

2. 2Department of Radiation Oncology, University of California, San Francisco, San Francisco, CA.

3. 3Division of Oncology, Department of Clinical Sciences Lund, Faculty of Medicine, Lund University, Lund, Sweden.

4. 4Department of Human Oncology, University of Wisconsin-Madison, Madison, WI.

5. 5William S. Middleton Memorial Veterans’ Hospital, Madison, WI.

6. 6Bluestar Genomics Inc., San Diego, CA.

7. 7Vancouver Prostate Centre, Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.

8. 8Division of Hematology and Oncology, Department of Medicine, University of California, San Francisco, San Francisco, CA.

9. 9BC Cancer, Vancouver, BC, Canada.

10. 10Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada.

11. 11Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.

12. 12Department of Automation, Xiamen University, Xiamen, Fujian, China.

13. 13Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

14. 14Division of Hematology and Oncology, University of Michigan Rogel Cancer Center, Ann Arbor, MI.

15. 15Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.

16. 16Knight Cancer Institute, Oregon Health and Science University, Portland, OR.

17. 17Department of Pathology, Oregon Health & Science University, Portland, OR.

18. 18Divisions of Human Biology and Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA.

19. 19University of Washington, Seattle, WA.

20. 20Faculty of Medicine and Health Technology, Tampere University and Tays Cancer Centre, Tampere, Finland.

21. 21Departments of Medicine, Hematology/Oncology and Urology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA.

22. 22Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, CA.

23. 23VA Greater Los Angeles Healthcare System, Los Angeles, CA.

24. 24Department of Microbiology, Immunology, and Molecular Genetics, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA.

25. 25Department of Urology, University of California, San Francisco, San Francisco, CA.

26. 26Department of Anatomy, University of California, San Francisco, San Francisco, CA.

27. 27Department of Pathology, University of Pittsburgh, Pittsburgh, PA.

28. 28Department of Translational Medicine, Medical Faculty, Lund University, Malmö, Sweden.

29. 29Department of Urology, Skåne University Hospital, Malmö, Sweden.

30. 30Department of Medicine, University of Wisconsin-Madison, Madison, WI.

31. 31Siteman Cancer Center, Washington University, St. Louis, MO.

32. 32Division of Hematology Oncology, Department of Internal Medicine, University of California Davis, Sacramento, CA.

33. 33Comprehensive Cancer Center, University of California Davis, Sacramento, CA.

34. 34Department of Urologic Surgery, University of California Davis, Sacramento, CA.

35. 35Department of Radiation Oncology, University of Maryland, College Park, Baltimore, MD.

36. 36Urologic Oncology Program & Uro-Oncology Research Laboratories, Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA.

37. 37Department of Chemistry, Department of Biochemistry and Molecular Biology, Institute for Biophysical Dynamics, University of Chicago, Chicago, IL.

38. 38Howard Hughes Medical Institute, University of Chicago, Chicago, IL.

39. 39Department of Pathology, Duke University, Durham, NC.

40. 40Netherlands Cancer Institute, Oncode Institute, Amsterdam, the Netherlands.

41. 41Arc Institute, Palo Alto, CA.

42. 42McDonnell Genome Institute, Washington University, St. Louis, MO.

43. 43Department of Internal Medicine, Washington University, St. Louis, MO.

44. 44Department of Biomedical Engineering, Washington University, St. Louis, MO.

45. 45Department of Human Genetics, Institute for Precision Health, UCLA, Los Angeles, CA.

46. 46Jonsson Comprehensive Cancer Center, Departments of Human Genetics and Urology, University of California Los Angeles, Los Angeles, CA.

47. 47Michael Smith Genome Sciences Centre, BC Cancer, Vancouver, BC, Canada.

48. 48Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA.

Abstract

Abstract Analysis of DNA methylation is a valuable tool to understand disease progression and is increasingly being used to create diagnostic and prognostic clinical biomarkers. While conversion of cytosine to 5-methylcytosine (5mC) commonly results in transcriptional repression, further conversion to 5-hydroxymethylcytosine (5hmC) is associated with transcriptional activation. Here we perform the first study integrating whole-genome 5hmC with DNA, 5mC, and transcriptome sequencing in clinical samples of benign, localized, and advanced prostate cancer. 5hmC is shown to mark activation of cancer drivers and downstream targets. Furthermore, 5hmC sequencing revealed profoundly altered cell states throughout the disease course, characterized by increased proliferation, oncogenic signaling, dedifferentiation, and lineage plasticity to neuroendocrine and gastrointestinal lineages. Finally, 5hmC sequencing of cell-free DNA from patients with metastatic disease proved useful as a prognostic biomarker able to identify an aggressive subtype of prostate cancer using the genes TOP2A and EZH2, previously only detectable by transcriptomic analysis of solid tumor biopsies. Overall, these findings reveal that 5hmC marks epigenomic activation in prostate cancer and identify hallmarks of prostate cancer progression with potential as biomarkers of aggressive disease. Significance: In prostate cancer, 5-hydroxymethylcytosine delineates oncogene activation and stage-specific cell states and can be analyzed in liquid biopsies to detect cancer phenotypes. See related article by Wu and Attard, p. 3880

Funder

Stand Up To Cancer

Prostate Cancer Foundation

American Association for Cancer Research

Movember Foundation

Vetenskapsrådet

Svenska Läkaresällskapet

U.S. Department of Defense

National Institutes of Health

University of Wisconsin Carbone Cancer Center

National Cancer Institute

Safeway Foundation

Jane and Aatos Erkko Foundation

Prostate Cancer Canada

CIHR

Terry Fox New Frontiers Program

BRCA Foundation

UCSF Benioff Initiative for Prostate Cancer Research

Publisher

American Association for Cancer Research (AACR)

Subject

Cancer Research,Oncology

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