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Rare Genetic Drivers of Lethal Prostate Cancer | Genetics and Genomics | JAMA Oncology | ÌÇÐÄvlog

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Editorial
September 21, 2023

Rare Genetic Drivers of Lethal Prostate Cancer

Author Affiliations
  • 1Department of Urologic Sciences, Vancouver Prostate Centre, University of British Columbia, Vancouver, British Columbia, Canada
  • 2Michael Smith Genome Sciences Centre, British Columbia Cancer, Vancouver, British Columbia, Canada
JAMA Oncol. 2023;9(11):1499-1501. doi:10.1001/jamaoncol.2023.3352

Genetic testing is a recently adopted standard of care for male patients with metastatic or high-risk localized prostate cancer.1 Rare deleterious germline alterations in a small number of cancer-associated genes are relevant for clinical management and/or selection of systemic therapy.2 The most well-known prostate cancer predisposition gene is BRCA2, with deleterious germline BRCA2 variants strongly associated with poor prognosis across the spectrum of disease, and also conferring sensitivity to poly (adenosine diphosphate-ribose) polymerase (PARP) inhibitors in the metastatic castration-resistant setting.3,4 The genes TP53, ATM, MSH2, and several other genes directly or indirectly linked with DNA damage repair processes are also associated with clinically-aggressive prostate cancer and/or response to PARP inhibitors or immune checkpoint inhibitors.2,5

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