PMID- 24516518 OWN - NLM STAT- MEDLINE DCOM- 20150522 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 2 DP - 2014 TI - ERG rearrangement is associated with prostate cancer-related death in Chinese prostate cancer patients. PG - e84959 LID - 10.1371/journal.pone.0084959 [doi] LID - e84959 AB - Recently, ETS-related gene (ERG) gene rearrangements, phosphatase tensin homologue (PTEN) deletions and EGFR family aberrations were characterized as potential biomarkers for prostate cancer (PCa) patient management. Although ERG gene rearrangement has been identified in approximately 50% of localized prostate cancers in western countries, the prognostic significance of this critical molecular event remains unknown in Chinese patients. Using fluorescence in situ hybridization (FISH) and immunohistochemistry, we evaluated ERG, PTEN and EGFR family aberrations in a cohort of 224 Chinese prostate cancer patients diagnosed in transurethral resection of the prostate (TUR-P). Overall, ERG rearrangement was detected in 23.2% (44/190) cases, of which 54.5% (24/44) showed deletion of the 5'end of ERG. PTEN deletion was identified in 10.8% (19/176) cases. Amplification of EGFR and HER2 genes was present in 1.1% (2/178) and 5.8% (10/173) of cases, respectively. Significant correlation between ERG rearrangement and PTEN deletion was identified in this cohort. EGFR and HER2 aberrations occurred more frequently in PCas without ERG rearrangement than in those with ERG rearrangement, although this did not reach statistical significance. Overall, ERG rearrangement was associated with pre-operative PSA values (P = 0.038) and cancer-related death (P = 0.02), but not with the age, clinical T stage, Gleason score, or Ki-67 labeling index (LI). Notably, multivariate analysis including known prognostic markers revealed ERG rearrangement was an independent prognostic factor (P = 0.022). Additionally, ERG rearrangement status was helpful to identify patients with poor prognosis from PCa group with low Ki-67 LI. In summary, we reported that ERG rearrangement was associated with cancer-related death in Chinese PCa patients. Determination of ERG rearrangement status allows stratification of PCa patients into different survival categories. FAU - Qi, Mei AU - Qi M AD - Department of Pathology, Shandong University Medical School, Jinan, China. FAU - Yang, Xiaoqing AU - Yang X AD - Department of Pathology, Shandong University Medical School, Jinan, China. FAU - Zhang, Fan AU - Zhang F AD - Department of Orthodontics, Shandong University School of Stomatology, Jinan, China. FAU - Lin, Tao AU - Lin T AD - Department of Surgery, The Central Hospital of Jinan, Jinan, China. FAU - Sun, Xiubin AU - Sun X AD - Department of Statistics, Shandong University School of Public Health, Jinan, China. FAU - Li, Yanjiang AU - Li Y AD - Department of Urology, The Affiliated Hospital of Qingdao University Medical College, Qingdao, China. FAU - Yuan, Huiqing AU - Yuan H AD - Department of Biochemistry, Shandong University Medical School, Jinan, China. FAU - Ren, Yubo AU - Ren Y AD - Department of Pathology, Liaocheng General Hospital, Liaocheng, China. FAU - Zhang, Juan AU - Zhang J AD - Department of Pathology, Shandong University Qilu hospital, Jinan, China. FAU - Qin, Xiaomin AU - Qin X AD - Department of Pathology, Shandong University Qilu hospital, Jinan, China. FAU - Han, Bo AU - Han B AD - Department of Pathology, Shandong University Medical School, Jinan, China ; Department of Pathology, Shandong University Qilu hospital, Jinan, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140207 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (ERG protein, mouse) RN - 0 (Oncogene Proteins) RN - 0 (Transcription Factors) RN - 0 (Transcriptional Regulator ERG) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 3.1.3.67 (PTEN Phosphohydrolase) RN - EC 3.1.3.67 (PTEN protein, human) SB - IM MH - Adenocarcinoma/*genetics/mortality/pathology MH - Aged MH - China MH - ErbB Receptors/genetics/metabolism MH - Gene Rearrangement MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Neoplasm Grading MH - Oncogene Proteins/*genetics/metabolism MH - PTEN Phosphohydrolase/genetics/metabolism MH - Prognosis MH - Prostatic Neoplasms/*genetics/mortality/pathology MH - Survival Rate MH - Transcription Factors/*genetics/metabolism MH - Transcriptional Regulator ERG PMC - PMC3917829 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/02/12 06:00 MHDA- 2015/05/23 06:00 PMCR- 2014/02/07 CRDT- 2014/02/12 06:00 PHST- 2013/08/15 00:00 [received] PHST- 2013/11/20 00:00 [accepted] PHST- 2014/02/12 06:00 [entrez] PHST- 2014/02/12 06:00 [pubmed] PHST- 2015/05/23 06:00 [medline] PHST- 2014/02/07 00:00 [pmc-release] AID - PONE-D-13-33701 [pii] AID - 10.1371/journal.pone.0084959 [doi] PST - epublish SO - PLoS One. 2014 Feb 7;9(2):e84959. doi: 10.1371/journal.pone.0084959. eCollection 2014.