MONDAY, Feb. 11 (HealthDay News) -- Scientists have uncovered at
least 10 new genetic variations associated with an increased risk
for prostate cancer.
The new findings double the number of genetic variants that are
known to be associated with prostate cancer. Three reports detail
the discoveries in the Feb. 10 online edition of
Nature Genetics.
"Predisposition to prostate cancer, at least in part, is due to
variations in a person's genetic code," said Dr. Rosalind Eeles, a
Reader in Clinical Cancer Genetics in The Institute of Cancer
Research, in Sutton, U.K., and lead author of one of the
reports.
"There are many variants in the genome which confer prostate
cancer risk, and these results move us nearer to being able to
develop a profile of genetic variation which predicts for increased
risk of the disease. This will enable us to target screening,
prevention strategies and treatment," she said.
Each of the three reports was done by a different group, one in
the United States, one in Great Britain, and one in Iceland. Each
group studied thousands of men with and without prostate
cancer.
In the first report, Eeles, and her colleagues identified seven
genetic variances that were associated with prostate cancer on
chromosomes 3, 6, 7, 10, 11, 19 and X.
"We have studied hundreds of thousands of genetic variants in
over 10,000 men both with and without prostate cancer," Eeles said.
"We have found seven new sites in the human genome that are linked
to men's risk of developing prostate cancer."
Among these new sites is one gene called MSMB which could
possibly be used in screening for prostate cancer and disease
monitoring, Eeles noted. "Another of the sites harbors a gene
called LMTK2, which might be a target for new treatments. These
newly identified genetic alterations are present in over half of
all prostate cancer cases. They each increase a person's risk of
the disease by up to 60 percent."
In the second report, Dr. Stephen Chanock, head of the Genomic
Variation Section at the U.S. National Cancer Institute, and his
colleagues found genes associated with prostate cancer on
chromosomes 7, 10 and 11, as well as nine other gene locations that
are suggestive of an association with prostate cancer.
"We are finding the places in the genome that are associated
with the risk for prostate cancer," Chanock said. "The reason this
is so important is that prostate cancer is a complex disease and is
not due to one genetic defect or one environmental exposure," he
said.
Similar findings are being reported with breast cancer, colon
cancer and lung cancer, Chanock said. "The same thing is happening
in other diseases, such as diabetes, heart disease and stroke," he
said. "Most diseases are complex and associated with multiple
genes."
Exactly how each of these genes contributes to the risk for
prostate cancer isn't clear, Chanock said. "Some of them may be
responsive to environmental triggers, such as what you eat or what
you inhale," he said. "Somewhere down the line, these findings may
be clinically relevant, but it's too early to do that, because we
are still discovering more."
In the third report, Julius Gudmundsson's team from deCODE
Genetics Corp. in Iceland, found genes associated risk of prostate
cancer on chromosomes 2 and X.
Although most of the gene variants are associated with a
moderate risk, they are common in the population. Some of these
variants are linked to more than less aggressive disease,
Gudmundsson's team noted.
A substantial number of men have many risk variants that
together confer clinically significant risk. In fact, 10 percent of
men are at twice the risk and 1 percent of men are at three times
the risk of developing the disease in the general population,
Gudmundsson's group said.
One expert thinks these papers add to the general knowledge
about prostate cancer's genetic underpinnings. However, how this
will be translated into clinical practice is still unknown.
"These papers are adding a little bit to our knowledge of
prostate cancer in the genome," said Dr. Durado Brooks, director of
prostate and colorectal cancers at the American Cancer Society.
Brooks thinks the Gudmundsson paper is important, because it
shows a link between genes and aggressive prostate cancer. "This is
the sort of information that has the potential to be most useful in
a clinical setting," he said.
Identifying which men are at risk for developing aggressive
prostate cancer will be important in terms of offering care and not
over treating men whose prostate cancer is less aggressive, Brooks
said. "The ability to identify aggressive tumors is likely to be a
great benefit," he said.
In addition, Brooks thinks that genetic information will help
find ways to modify the risk of developing prostate cancer. This
could involve medication and/or lifestyle changes, he said.
"This knowledge could also lead to better diagnosis and
treatment," Brooks said.
More information
For more on prostate cancer, visit the
U.S. National Cancer Institute.