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Variations in Key Gene Predict Prostate Cancer Patients’ Risk for Radiation-Induced Toxicity

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Key Points

  • Variations in the TANC1 gene are associated with a greater risk for radiation-driven side effects, such as incontinence, impotence, and diarrhea in patients with prostate cancer.
  • The findings may help optimize treatment plans for prostate cancer patients.

Key genetic variants may affect how cancer patients respond to radiation treatments, according to a study recently published in Nature Genetics. The research team, which included researchers at the Icahn School of Medicine at Mount Sinai, found that variations in the TANC1 gene are associated with a greater risk for radiation-driven side effects in prostate cancer patients, which include incontinence, impotence, and diarrhea.  

“Our findings, which were replicated in two additional patient groups, represent a significant step towards developing personalized treatment plans for prostate cancer patients,” said Barry S. Rosenstein, PhD, Professor, Radiation Oncology, Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, the lead Mount Sinai investigator on the study. “Within 5 years, through the use of a predictive genomic test that will be created using the data obtained in the recent study, it may be possible to optimize treatment for a large number of cancer patients.”

Study Details

In this genome-wide study, Dr. Rosenstein and his team obtained blood samples from nearly 400 patients who were receiving radiotherapy treatment for prostate cancer. The blood samples were screened for roughly 1 million genetic markers, and each patient was monitored for at least 2 years to track incidents of side effects from the radiation. Data analysis showed which genetic markers were consistently associated with the development of complications following radiotherapy.

“The next step is to validate the results, and see if the same markers predict similar outcomes in patients with other forms of cancer,” said Dr. Rosenstein.  Using the genomic test being developed, treatment plans can be adjusted to minimize adverse effects, thereby allowing for an improved quality of life for many cancer survivors.

Ana Vega, PhD, of the Fundación Pública Galega de Medicina Xenómica, Servizo Galego de Saúde, is the corresponding author for the Nature Genetics article.

The content in this post has not been reviewed by the American Society of Clinical Oncology, Inc. (ASCO®) and does not necessarily reflect the ideas and opinions of ASCO®.


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