Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Research Briefing
  • Published:

Towards accurate genomics for newly diagnosed metastatic prostate cancer

Genomic features of de novo metastatic prostate cancer can clarify prognosis and direct therapy. Using multi-region profiling of synchronous primary and metastatic patient tissues, we reveal the complex evolutionary histories of this lethal disease and identify strategies to better capture the genomic features of dominant metastatic populations.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Polyclonal metastatic spread in de novo metastatic prostate cancer.

References

  1. Helgstrand, J. T. et al. Trends in incidence and 5-year mortality in men with newly diagnosed, metastatic prostate cancer-A population-based analysis of 2 national cohorts. Cancer 124, 2931–2938 (2018). This paper describes the survival of individuals with de novo metastatic prostate cancer from two cohorts in the USA and Denmark.

    Article  PubMed  Google Scholar 

  2. Espiritu, S. M. G. et al. The evolutionary landscape of localized prostate cancers drives clinical aggression. Cell 173, 1003–1013.e15 (2018). This study reports that heterogeneity within localized prostate cancers is associated with poor prognosis. It uses samples obtained from radical surgery, which are commonly available in the localized setting.

    Article  CAS  PubMed  Google Scholar 

  3. Mateo, J. et al. Genomics of lethal prostate cancer at diagnosis and castration resistance. J. Clin. Invest. 130, 1743–1751 (2020). This paper reports on the genomic landscape of metastatic prostate cancer and tracks cancer evolution from a single biopsy at diagnosis to a biopsy at treatment resistance.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Stopsack, K. H. et al. oncogenic genomic alterations, clinical phenotypes, and outcomes in metastatic castration-sensitive prostate cancer. Clin. Cancer Res. 26, 3230–3238 (2020). This paper reports the common genomic alterations and corresponding clinical correlates in metastatic castration-sensitive prostate cancer using a single biopsy sample.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Sathianathen, N. J. et al. Emergence of triplet therapy for metastatic castration-sensitive prostate cancer: an updated systematic review and network meta-analysis. Urologic Oncol. 41, 233–239 (2023). A review article presenting the treatment landscape of metastatic prostate cancer.

    Article  CAS  Google Scholar 

Download references

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This is a summary of: Warner, E. W. et al. Multiregion sampling of de novo metastatic prostate cancer reveals complex polyclonality and augments clinical genotyping. Nat. Cancer https://doi.org/10.1038/s43018-023-00692-y (2024).

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Towards accurate genomics for newly diagnosed metastatic prostate cancer. Nat Cancer 5, 8–9 (2024). https://doi.org/10.1038/s43018-023-00693-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s43018-023-00693-x

Search

Quick links

Nature Briefing: Cancer

Sign up for the Nature Briefing: Cancer newsletter — what matters in cancer research, free to your inbox weekly.

Get what matters in cancer research, free to your inbox weekly. Sign up for Nature Briefing: Cancer