PMID- 17922029 OWN - NLM STAT- MEDLINE DCOM- 20080416 LR - 20220331 IS - 1476-5594 (Electronic) IS - 0950-9232 (Linking) VI - 27 IP - 14 DP - 2008 Mar 27 TI - Complex patterns of ETS gene alteration arise during cancer development in the human prostate. PG - 1993-2003 AB - An ERG gene 'break-apart' fluorescence in situ hybridization (FISH) assay has been used to screen whole-mount prostatectomy specimens for rearrangements at the ERG locus. In cancers containing ERG alterations the observed pattern of changes was often complex. Different categories of ERG gene alteration were found either together in a single cancerous region or within separate foci of cancer in the same prostate slice. In some cases the juxtaposition of particular patterns of ERG alterations suggested possible mechanisms of tumour progression. Prostates harbouring ERG alterations commonly also contained cancer that lacked rearrangements of the ERG gene. A single trans-urethral resection of the prostate specimen examined harboured both ERG and ETV1 gene rearrangements demonstrating that the observed complexity may, at least in part, be explained by multiple ETS gene alterations arising independently in a single prostate. In a search for possible precursor lesions clonal ERG rearrangements were found both in high grade prostatic intraepithelial neoplasia (PIN) and in atypical in situ epithelial lesions consistent with the diagnosis of low grade PIN. Our observations support the view that ERG gene alterations represent an initiating event that promotes clonal expansion initially to form regions of epithelial atypia. The complex patterns of ERG alteration found in prostatectomy specimens have important implications for the design of experiments investigating the clinical significance and mechanism of development of individual prostate cancers. FAU - Clark, J AU - Clark J AD - Institute of Cancer Research, Male Urological Cancer Research Centre, Sutton, Surrey, UK. jeremy.clark@icr.ac.uk FAU - Attard, G AU - Attard G FAU - Jhavar, S AU - Jhavar S FAU - Flohr, P AU - Flohr P FAU - Reid, A AU - Reid A FAU - De-Bono, J AU - De-Bono J FAU - Eeles, R AU - Eeles R FAU - Scardino, P AU - Scardino P FAU - Cuzick, J AU - Cuzick J FAU - Fisher, G AU - Fisher G FAU - Parker, M D AU - Parker MD FAU - Foster, C S AU - Foster CS FAU - Berney, D AU - Berney D FAU - Kovacs, G AU - Kovacs G FAU - Cooper, C S AU - Cooper CS LA - eng GR - G0501019/MRC_/Medical Research Council/United Kingdom GR - CRUK_/Cancer Research UK/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20071008 PL - England TA - Oncogene JT - Oncogene JID - 8711562 RN - 0 (DNA-Binding Proteins) RN - 0 (ERG protein, human) RN - 0 (Proto-Oncogene Proteins c-ets) RN - 0 (Trans-Activators) RN - 0 (Transcriptional Regulator ERG) RN - EC 3.4.21.- (Serine Endopeptidases) RN - EC 3.4.21.- (TMPRSS2 protein, human) SB - IM MH - Adult MH - Aged MH - *Chromosome Aberrations MH - DNA-Binding Proteins/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Precancerous Conditions/*genetics/pathology MH - Prostatic Intraepithelial Neoplasia/*genetics/pathology MH - Prostatic Neoplasms/*genetics MH - Proto-Oncogene Proteins c-ets/*genetics MH - Serine Endopeptidases/genetics MH - Tissue Array Analysis MH - Trans-Activators/*genetics MH - Transcriptional Regulator ERG EDAT- 2007/10/09 09:00 MHDA- 2008/04/17 09:00 CRDT- 2007/10/09 09:00 PHST- 2007/10/09 09:00 [pubmed] PHST- 2008/04/17 09:00 [medline] PHST- 2007/10/09 09:00 [entrez] AID - 1210843 [pii] AID - 10.1038/sj.onc.1210843 [doi] PST - ppublish SO - Oncogene. 2008 Mar 27;27(14):1993-2003. doi: 10.1038/sj.onc.1210843. Epub 2007 Oct 8.