1. The impact of telomere length on prostate cancer aggressiveness, genomic instability and health disparities
- Author
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Ruotian Huang, M. S. Riana Bornman, Phillip D. Stricker, Ilma Simoni Brum, Shingai B. A. Mutambirwa, Weerachai Jaratlerdsiri, and Vanessa M. Hayes
- Subjects
Prostate cancer ,Telomere length ,Health disparity ,Aggressive disease ,African ancestry ,Genomic instability ,Medicine ,Science - Abstract
Abstract The telomere repetitive TTAGGG motif at the ends of chromosomes, serves to preserve genomic integrity and chromosomal stability. In turn, genomic instability is a hallmark of cancer—implicating telomere disturbance. Prostate cancer (PCa) shows significant ancestral disparities, with men of African ancestry at the greatest risk for aggressive disease and associated genomic instability. Yet, no study has explored the role of telomere length (TL) with respect to ancestrally driven PCa health disparities. Patient- and technically-matched tumour-blood whole genome sequencing data for 179 ancestrally defined treatment naïve PCa patients (117 African, 62 European), we assessed for TL (blood and tumour) associations. We found shortened tumour TL to be associated with aggressive PCa presentation and elevated genomic instabilities, including percentage of genome alteration and copy number gains, in men of African ancestry. For European patients, tumour TL showed significant associations with PCa driver genes PTEN, TP53, MSH2, SETBP1 and DDX11L1, while shorter blood TL (
- Published
- 2024
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