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GWAS from a multicenter prospective study of radium-223 in bone-metastatic castration-resistant prostate cancer - PubMed

5 hours ago
  • #Prostate cancer
  • #Genome-wide association study
  • #Radium-223
  • Radium-223 dichloride improves survival in bone-metastatic castration-resistant prostate cancer, but individual responses vary.
  • A genome-wide association study identified the germline variant rs1568679 in MEIS2 as significantly associated with a ≥30% decline in prostate-specific antigen.
  • Patients with the rs1568679 CC genotype had better PSA decline, longer symptomatic skeletal event-free survival, radiographic progression-free survival, and overall survival.
  • The rs1568679 CC genotype remained an independent favorable prognostic factor after adjusting for clinical factors.
  • Pathway analysis linked MEIS2 to DNA repair and genomic stability, suggesting a role in susceptibility to radium-223's effects.
  • rs1568679 may serve as a biomarker for favorable response to radium-223, aiding in personalized treatment strategies.