Urology Service, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, Maryland 20889, USA.
Center for Prostate Disease Research, Department of Surgery, Uniformed Services University of the Health Sciences and the Walter Reed National Military Medical Center, 4301 Jones Bridge Rd, Bethesda, Maryland 20814, USA.
Nat Rev Urol. 2018 Feb;15(2):125-131. doi: 10.1038/nrurol.2017.140. Epub 2017 Sep 5.
Emerging observations emphasize a distinct biology of prostate cancer among men of different ethnicities and races, as demonstrated by remarkable differences in the frequency of ERG oncogenic activation, one of the most common and widely studied prostate cancer driver genes. Worldwide assessment of ERG alterations frequencies show consistent trends, with men of European ancestry having the highest rates of alteration and men of African or Asian ancestries having considerably lower alteration rates. However, data must be interpreted cautiously, owing to variations in assay platforms and specimen types, as well as ethnic and geographical classifications. Many opportunities and challenges remain in assessing cancer-associated molecular alterations at a global level, and these need to be addressed in order to realize the true potential of precision medicine for all cancer patients.
新兴的观察结果强调了不同种族和民族的男性前列腺癌的独特生物学特征,这一点在 ERG 致癌基因激活的频率上表现得尤为明显,而 ERG 是最常见和广泛研究的前列腺癌驱动基因之一。对 ERG 改变频率的全球评估显示出一致的趋势,具有欧洲血统的男性改变率最高,而具有非洲或亚洲血统的男性改变率则低得多。然而,由于检测平台和标本类型的差异,以及种族和地理分类的差异,数据的解读必须谨慎。在全球范围内评估与癌症相关的分子改变方面仍然存在许多机会和挑战,为了实现精准医学对所有癌症患者的真正潜力,这些问题都需要得到解决。