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Science 28 October 2005:
Vol. 310. no. 5748, pp. 644 - 648
DOI: 10.1126/science.1117679

Research Articles

Recurrent Fusion of TMPRSS2 and ETS Transcription Factor Genes in Prostate Cancer

Scott A. Tomlins,1 Daniel R. Rhodes,1,2 Sven Perner,7,9 Saravana M. Dhanasekaran,1 Rohit Mehra,1 Xiao-Wei Sun,7 Sooryanarayana Varambally,1,6 Xuhong Cao,1 Joelle Tchinda,7 Rainer Kuefer,10 Charles Lee,7 James E. Montie,3,5,6 Rajal B. Shah,1,3,5,6 Kenneth J. Pienta,3,4,5,6 Mark A. Rubin,7,8 Arul M. Chinnaiyan1,2,3,5,6*

Recurrent chromosomal rearrangements have not been well characterized in common carcinomas. We used a bioinformatics approach to discover candidate oncogenic chromosomal aberrations on the basis of outlier gene expression. Two ETS transcription factors, ERG and ETV1, were identified as outliers in prostate cancer. We identified recurrent gene fusions of the 5' untranslated region of TMPRSS2 to ERG or ETV1 in prostate cancer tissues with outlier expression. By using fluorescence in situ hybridization, we demonstrated that 23 of 29 prostate cancer samples harbor rearrangements in ERG or ETV1. Cell line experiments suggest that the androgen-responsive promoter elements of TMPRSS2 mediate the overexpression of ETS family members in prostate cancer. These results have implications in the development of carcinomas and the molecular diagnosis and treatment of prostate cancer.

1 Department of Pathology, University of Michigan Medical School, 1301 Catherine Street, Ann Arbor, MI 48109–0602, USA.
2 Bioinformatics Program, University of Michigan Medical School, 1301 Catherine Street, Ann Arbor, MI 48109–0602, USA.
3 Department of Urology, University of Michigan Medical School, 1301 Catherine Street, Ann Arbor, MI 48109–0602, USA.
4 Department of Internal Medicine, University of Michigan Medical School, 1301 Catherine Street, Ann Arbor, MI 48109–0602, USA.
5 Michigan Urology Center, University of Michigan Medical School, 1301 Catherine Street, Ann Arbor, MI 48109–0602, USA.
6 Comprehensive Cancer Center, University of Michigan Medical School, 1301 Catherine Street, Ann Arbor, MI 48109–0602, USA.
7 Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
8 Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA 02115, USA.
9 Department of Pathology, Harvard Medical School, Boston, MA 02115, USA.
10 Department of Urology, Faculty of Medicine, University of Ulm, Ulm 89075, Germany.

* To whom correspondence should be addressed. E-mail: arul{at}umich.edu

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Delineation of TMPRSS2-ERG Splice Variants in Prostate Cancer.
Y. Hu, A. Dobi, T. Sreenath, C. Cook, A. Y. Tadase, L. Ravindranath, J. Cullen, B. Furusato, Y. Chen, R. L. Thangapazham, et al. (2008)
Clin. Cancer Res. 14, 4719-4725
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Dissecting prostate carcinogenesis through ETS gene rearrangement studies: implications for anticancer drug development.
G Attard, J E Ang, D Olmos, and J S de Bono (2008)
J. Clin. Pathol. 61, 891-896
   Abstract »    Full Text »    PDF »
Microsatellites as EWS/FLI response elements in Ewing's sarcoma.
K. Gangwal, S. Sankar, P. C. Hollenhorst, M. Kinsey, S. C. Haroldsen, A. A. Shah, K. M. Boucher, W. S. Watkins, L. B. Jorde, B. J. Graves, et al. (2008)
PNAS 105, 10149-10154
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Steroid Receptor Coactivator-3/AIB1 Promotes Cell Migration and Invasiveness through Focal Adhesion Turnover and Matrix Metalloproteinase Expression.
J. Yan, H. Erdem, R. Li, Y. Cai, G. Ayala, M. Ittmann, L.-y. Yu-Lee, S. Y. Tsai, and M.-J. Tsai (2008)
Cancer Res. 68, 5460-5468
   Abstract »    Full Text »    PDF »
MOST: detecting cancer differential gene expression.
H. Lian (2008)
Biostat. 9, 411-418
   Abstract »    Full Text »    PDF »
Induction of Chromosomal Translocations in Mouse and Human Cells Using Site-Specific Endonucleases.
D. M. Weinstock, E. Brunet, and M. Jasin (2008)
J Natl Cancer Inst Monographs 2008, 20-24
   Abstract »    Full Text »    PDF »
Rapid Testosterone Cycling and Chemotherapy for Prostate Cancer: A Way Forward or Return to the Past?.
M. R. Smith (2008)
J. Clin. Oncol. 26, 2932-2933
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Prostate Cancer Stem Cells: A New Target for Therapy.
N. J. Maitland and A. T. Collins (2008)
J. Clin. Oncol. 26, 2862-2870
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Estrogen-Dependent Signaling in a Molecularly Distinct Subclass of Aggressive Prostate Cancer.
S. R. Setlur, K. D. Mertz, Y. Hoshida, F. Demichelis, M. Lupien, S. Perner, A. Sboner, Y. Pawitan, O. Andren, L. A. Johnson, et al. (2008)
J Natl Cancer Inst 100, 815-825
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Characterization of TMPRSS2-ERG Fusion High-Grade Prostatic Intraepithelial Neoplasia and Potential Clinical Implications.
J.-M. Mosquera, S. Perner, E. M. Genega, M. Sanda, M. D. Hofer, K. D. Mertz, P. L. Paris, J. Simko, T. A. Bismar, G. Ayala, et al. (2008)
Clin. Cancer Res. 14, 3380-3385
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TMPRSS2:ERG Fusion Identifies a Subgroup of Prostate Cancers with a Favorable Prognosis.
O. R. Saramaki, A. E. Harjula, P. M. Martikainen, R. L. Vessella, T. L.J. Tammela, and T. Visakorpi (2008)
Clin. Cancer Res. 14, 3395-3400
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Characterization of TMPRSS2-ETS Gene Aberrations in Androgen-Independent Metastatic Prostate Cancer.
R. Mehra, S. A. Tomlins, J. Yu, X. Cao, L. Wang, A. Menon, M. A. Rubin, K. J. Pienta, R. B. Shah, and A. M. Chinnaiyan (2008)
Cancer Res. 68, 3584-3590
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Two Unique Novel Prostate-Specific and Androgen-Regulated Fusion Partners of ETV4 in Prostate Cancer.
K. G. Hermans, A. A. Bressers, H. A. van der Korput, N. F. Dits, G. Jenster, and J. Trapman (2008)
Cancer Res. 68, 3094-3098
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Functions of Normal and Malignant Prostatic Stem/Progenitor Cells in Tissue Regeneration and Cancer Progression and Novel Targeting Therapies.
M. Mimeault, P. P. Mehta, R. Hauke, and S. K. Batra (2008)
Endocr. Rev. 29, 234-252
   Abstract »    Full Text »    PDF »
Detection of chromosome changes in pathology archives: an application of microwave-assisted fluorescence in situ hybridization to human carcinogenesis studies.
H. Sugimura (2008)
Carcinogenesis 29, 681-687
   Abstract »    Full Text »    PDF »
Identification of Prognostic Biomarkers for Prostate Cancer.
F. Kosari, J. M. A. Munz, C. D. Savci-Heijink, C. Spiro, E. W. Klee, D. M. Kube, L. Tillmans, J. Slezak, R. J. Karnes, J. C. Cheville, et al. (2008)
Clin. Cancer Res. 14, 1734-1743
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Inhibition of the Ras-Net (Elk-3) Pathway by a Novel Pyrazole that Affects Microtubules.
C. Wasylyk, H. Zheng, C. Castell, L. Debussche, M.-C. Multon, and B. Wasylyk (2008)
Cancer Res. 68, 1275-1283
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Humoral Response Profiling Reveals Pathways to Prostate Cancer Progression.
B. S. Taylor, M. Pal, J. Yu, B. Laxman, S. Kalyana-Sundaram, R. Zhao, A. Menon, J. T. Wei, A. I. Nesvizhskii, D. Ghosh, et al. (2008)
Mol. Cell. Proteomics 7, 600-611
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WDR19 Expression is Increased in Prostate Cancer Compared with Normal Cells, but Low-Intensity Expression in Cancers is Associated with Shorter Time to Biochemical Failures and Local Recurrence.
B. Lin, A. G. Utleg, K. Gravdal, J. T. White, O. J. Halvorsen, W. Lu, L. D. True, R. Vessella, P. H. Lange, P. S. Nelson, et al. (2008)
Clin. Cancer Res. 14, 1397-1406
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A causal role for ERG in neoplastic transformation of prostate epithelium.
O. Klezovitch, M. Risk, I. Coleman, J. M. Lucas, M. Null, L. D. True, P. S. Nelson, and V. Vasioukhin (2008)
PNAS 105, 2105-2110
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A First-Generation Multiplex Biomarker Analysis of Urine for the Early Detection of Prostate Cancer.
B. Laxman, D. S. Morris, J. Yu, J. Siddiqui, J. Cao, R. Mehra, R. J. Lonigro, A. Tsodikov, J. T. Wei, S. A. Tomlins, et al. (2008)
Cancer Res. 68, 645-649
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Interplay of Nuclear Factor-{kappa}B and B-myb in the Negative Regulation of Androgen Receptor Expression by Tumor Necrosis Factor {alpha}.
S. Ko, L. Shi, S. Kim, C. S. Song, and B. Chatterjee (2008)
Mol. Endocrinol. 22, 273-286
   Abstract »    Full Text »    PDF »
Starvation Induces Genomic Rearrangements and Starvation-Resilient Phenotypes in Yeast.
S. Coyle and E. Kroll (2008)
Mol. Biol. Evol. 25, 310-318
   Abstract »    Full Text »    PDF »
Oncogenes and Cancer.
C. M. Croce (2008)
N. Engl. J. Med. 358, 502-511
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