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Journal of Clinical Pathology 2007;60:1185-1186; doi:10.1136/jcp.2007.046557
Copyright © 2007 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

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COMMENTARY

Molecular pathology

TMPRSS2-ETS fusion prostate cancer: biological and clinical implications

Francesca Demichelis, Mark A Rubin

Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA

Correspondence to:
Dr Mark A Rubin, Department of Pathology and Laboratory Medicine, 1300 York Ave, Room C410-A, New York, NY 10021, USA; rubinma@med.cornell.edu

Accepted 17 March 2007


Commentary on the paper by Rajput et al (see page 1238)

Keywords: erg; gene fusion; prognosis; prostate cancer; tmprss2

The first 150 words of the full text of this article appear below.

The fusion of TMPRSS2 with ETS genes was recently reported by Tomlins et al1 as the first recurrent genomic alteration in prostate cancer and has been now confirmed by multiple independent groups. The ETS-related gene (ERG) is the most common fusion partner for the androgen regulated gene TMPRSS2. Both genes are located within 3 Mb on chromosome 21 and the most common mechanism for fusion is through an interstitial deletion. ETV1 and ETV4, other members of the ETS family, have been detected in only a minority of cases.24 The underlying biology of TMPRSS2-ERG fusion prostate cancer is poorly understood. However, emerging data shows that TMPRSS2-ERG fusion is a frequent and early event in prostate cancer pathogenesis, with distinct biology and a more aggressive phenotype. In this issue, Rajput et al show the association between TMPRSS2-ERG fusion and more aggressive prostate cancer based on an . . . [Full text of this article]


Relevant Article

Frequency of the TMPRSS2:ERG gene fusion is increased in moderate to poorly differentiated prostate cancers
Ashish B Rajput, Melinda A Miller, Alessandro De Luca, Niki Boyd, Sam Leung, Antonio Hurtado-Coll, Ladan Fazli, Edward C Jones, Jodie B Palmer, Martin E Gleave, Michael E Cox, and David G Huntsman
J. Clin. Pathol. 2007 60: 1238-1243. [Abstract] [Full Text] [PDF]



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