3. Introduction
• Prostate – an exocrine
gland of the male
reproductive system in
most mammals
• Plays a vital role during
reproductive process
• Prostate cancer occurs
when cells in the
prostate start to grow
uncontrollably
3
http://upload.wikimedia.org/wikipedia/co
mmons/a/a1/Prostatelead.jpg
4. ProstateCancer Prevalence
• More common among
men in North America
than in Europe or Asia
• most common cancer
among Canadian men - it
will afflict 1 in 7 elderly
men
4
New Cases
Deaths
http://www.prostatecancer.ca/Prostate-
Cancer/Prostate-Cancer/Prostate-Cancer-Facts Canadian Cancer Statistics 2011
5. Multifocality of Prostate Cancer
• 50-75% of prostate cancer
specimens contain more than one
area or focus of cancer and called
multifocal prostate cancer
• generally consists of a dominant
(or index) tumor and one or
multiple separate smaller tumors
5
Andreoiu and Cheng, Human Pathology. 2010; Squire et al., Advances in Cancer Research. 2011
Monoclonal Origin
Polyclonal
Origin
6. Copynumberalterations (CNA)disrupt
normalcellular behaviour
• CNAs are segments of a chromosome
~1Kb to whole chromosomes where
genetic material is lost or gained
• CNAs are a hallmark of tumour
genomes
• CNAs can lead to adverse expression
changes of targeted genes
• Current Focus: find CNAs for
diagnostics/prognostics, gene-disease
association, targets for therapeutics
6
Chek (2005) Nature
Sohrab Shah, Canadian Bioinformatics Workshop. 2010
8. Tissue Sample Selection
8
• Fresh-frozen tissue from 18
males with prostate cancer
• Histopathological techniques and
Immuno-histochemistry
techniques were used to find out
various cancer lesions
• High-Grade Prostatic
Intraepithelial Neoplasia (HGPIN)
lesions were also distinguished
from tumor lesions
• 48 foci from 18 samples were
selected for study
Boyd et al., Genes Chromosomes Cancer. 2012
10. Genotypingarrays - schematic
10
Sohrab Shah, Canadian Bioinformatics Workshop. 2010
• High density genotyping arrays:
• Higher resolution (more loci)
• Measurement of 2 alleles (Max. and Min. allele) at >1M loci
12. 12
• Identical genomic copy-number changes, shared by all same-
case cancer foci and defined by the same breakpoints, were
detected in 13 cases
Boyd et al., Genes Chromosomes Cancer. 2012
13. 13
Boyd et al., Genes Chromosomes Cancer. 2012
• copynumber changes with identical breakpoints found in separate
foci from the same case always affect the same allele
16. 16
• conserved genomic alterations in majority of the cases suggesting
monoclonal origin
Boyd et al., Genes Chromosomes Cancer. 2012
17. Conclusion
• From previous molecular studies in prostate cancer, polyclonal
origin is widely believed
• But these studies assume that, for foci to be monoclonal, same
case foci must share all genetic alterations
• Passenger mutations outnumber the Driver mutations
• Passenger mutations accumulate in cancer subclones
independently and may not be common to all the subclones
(or to all foci)
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18. Conclusion
• This paper hypothesize that,
• if foci were monoclonal in origin, all same-case foci would share
some early genetic changes, with conserved breakpoints,
• individual foci from that case would harbor additional genetic
changes acquired during subclonal progression.
• But does not completely rule out the polyclonal origin
• Though majority of cases exhibited monoclonal origin small
fraction of cases did not fit into this model !!!
• Study recommends further study with larger sample size
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19. Critiques
• Analyzed only the copy-number changes to study the clonal
origin of the multifocal cancers
• Sequence level variation as well as other Genomic Variation could
give more insight on the topic
• Did not use the sequence information of the cancer genome
to look for precise breakpoints in the genome
• DNA extraction from the micro-dissected tissue samples would
be very difficult
• DNA concentration may not be well enough for sequencing
19