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BIOMARKER:

SPOP mutation

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Other names: SPOP, Speckle Type BTB/POZ Protein, Speckle-Type POZ Protein, Roadkill Homolog 1, HIB Homolog 1, BTBD32, TEF2, NEDMACE, NEDMIDF, NSDVS1, NSDVS2
Entrez ID:
Related biomarkers:
1d
ELK3 destabilization by speckle-type POZ protein suppresses prostate cancer progression and docetaxel resistance. (PubMed, Cell Death Dis)
Notably, this observation was correlated with the protein levels of ELK3. Taken together, our study reveals the precise mechanism of SPOP-mediated degradation of ELK3 and provides evidence that SPOP mutations contribute to docetaxel resistance in PCa.
Journal
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SPOP (Speckle Type BTB/POZ Protein) • FOS (Fos Proto-Oncogene AP-1 Transcription Factor Subunit 2)
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SPOP mutation
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docetaxel
1m
Genetic ancestry associations with prostate adenocarcinoma mutational profiles: New Insights from a diverse 5,959-patient real-world cohort (AACR 2024)
Lastly, we identified novel positive associations between AMR and driver mutations in PIK3C3A (OR=1.12, p=0.0003) as well as small NS mutations or CNAs in the PI3K/AKT/mTOR pathway genes (OR=1.03, p=0.04). By analyzing a large, diverse real-world cohort and leveraging NGS-inferred genetic ancestry, our study confirms known associations between somatic alterations in PRAD cancer genes and race and ethnicity, while unveiling novel associations in understudied populations of potential significance for understanding disparities in disease outcomes.
Real-world evidence • Clinical • Real-world
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TP53 (Tumor protein P53) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • PTEN (Phosphatase and tensin homolog) • ERG (ETS Transcription Factor ERG) • SPOP (Speckle Type BTB/POZ Protein) • FOXA1 (Forkhead Box A1) • TMPRSS2 (Transmembrane serine protease 2) • PIK3C3 (Phosphatidylinositol 3-Kinase Catalytic Subunit Type 3)
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TP53 mutation • PIK3CA mutation • PTEN mutation • MTOR mutation • SPOP mutation • TMPRSS2-ERG fusion • FOXA1 mutation
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Tempus xT Assay
2ms
SPOP point mutations regulate substrate preference and affect its function. (PubMed, Cell Death Dis)
SPOP-M35L promotes HCC cell proliferation and metastasis, suggesting that M35L mutation possibly reprograms SPOP from a tumor suppressor to an oncoprotein. Taken together, this study uncovers mutations in SPOP's MATH lead to distinct functional consequences in context-dependent manners, rather than simply disrupting its interactions with substrates, raising a noteworthy concern that we should be prudent to select SPOP as therapeutic target for cancers.
Journal
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SPOP (Speckle Type BTB/POZ Protein)
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SPOP mutation
3ms
Deficiency in SPOP-mediated ubiquitination and degradation of TIAM1 promotes gastric cancer progression. (PubMed, Biochim Biophys Acta Mol Basis Dis)
Notably, SPOP protein were negatively associated with TIAM1 protein in human gastric cancer tissue specimens. In conclusion, our results elucidate a molecular mechanism by which SPOP regulates the stability of TIAM1, and further demonstrate that SPOP inhibits the progression of gastric cancer by promoting the ubiquitination and degradation of TIAM1 protein.
Journal
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SPOP (Speckle Type BTB/POZ Protein) • TIAM1 (TIAM Rac1 Associated GEF 1)
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SPOP mutation
4ms
The impact of SPOP gene alterations in men with metastatic prostate cancer: Results from the Prostate Cancer Precision Medicine Multi-Institutional Collaborative Effort (PROMISE) consortium. (ASCO-GU 2024)
Our hypothesis generating data support that SPOP-mutated prostate cancer likely represents a unique molecular subtype of prostate cancer that may confer prolonged survival. Future studies of novel androgen-receptor targeting treatments should be tested in this molecular population.
Clinical • Metastases
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TP53 (Tumor protein P53) • AR (Androgen receptor) • SPOP (Speckle Type BTB/POZ Protein)
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TP53 mutation • SPOP mutation
4ms
The influence of the germline HSD3B1 adrenal-permissive variant (c.1100 C) on somatic alteration landscape, transcriptome, and immune-cell infiltration in prostate cancer. (ASCO-GU 2024)
The homozygous adrenal-permissive HSD3B1 variant (c.1100 CC) is associated with distinct tumoral features characterized by elevated AR signaling and MAPK activation. It is also associated with a unique immune-cell regulatory landscape, with higher B7-H3 expression, increased intratumoral dendritic cells and decreased immunosuppressive neutrophils. This distinct molecular landscape of HSD3B1 c.1100 CC–associated prostate cancers warrants special therapeutic considerations, including possibly using B7-H3–targeted therapies.
IO biomarker • Immune cell
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ERG (ETS Transcription Factor ERG) • SPOP (Speckle Type BTB/POZ Protein) • FOXA1 (Forkhead Box A1) • TMPRSS2 (Transmembrane serine protease 2) • HSD3B1 (Hydroxy-Delta-5-Steroid Dehydrogenase 3 Beta- And Steroid Delta-Isomerase 1) • KLK2 (Kallikrein-related peptidase 2) • HOXB13 (Homeobox B13)
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CD276 expression • AR expression • AR splice variant 7 • SPOP mutation • TMPRSS2-ERG fusion • FOXA1 mutation • HOXB13 expression
4ms
Canonical Wnt signaling pathway (WSP) alterations in metastatic prostate cancer. (ASCO-GU 2024)
WSP-act prostate cancer demonstrated a pronounced upregulation of ROR1 gene expression, underscoring its potential involvement in the crosstalk between the canonical and non-canonical Wnt signaling pathways. Additionally, the augmented levels of M2 macrophages in WSP-act tumors, combined with the reported role of ROR1 in tumor immunosuppression, suggests that ROR1 may contribute to immune evasion in WSP-act mPCa. Our findings may provide rationale for developing novel therapeutic strategies targeting Wnt-activated prostate cancers.
MSi-H Biomarker • Metastases
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RNF43 (Ring Finger Protein 43) • CTNNB1 (Catenin (cadherin-associated protein), beta 1) • ROR1 (Receptor Tyrosine Kinase Like Orphan Receptor 1) • SPOP (Speckle Type BTB/POZ Protein) • RSPO2 (R-Spondin 2)
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MSI-H/dMMR • ROR1 expression • RNF43 mutation • SPOP mutation • RNF43 G659fs • CTNNB1 expression
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MI Tumor Seek™
4ms
Co-occurring BRCA2/SPOP Mutations Predict Exceptional Poly (ADP-ribose) Polymerase Inhibitor Sensitivity in Metastatic Castration-Resistant Prostate Cancer. (PubMed, Eur Urol Oncol)
In this retrospective analysis, PARP inhibitors appeared more effective in patients with BRCA2mut/SPOPmut than in patients with BRCA2mut/SPOPwt mCRPC. This may be related to an increase in HRR defects in coaltered disease.
Journal • BRCA Biomarker • PARP Biomarker • Metastases
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BRCA2 (Breast cancer 2, early onset) • HRD (Homologous Recombination Deficiency) • SPOP (Speckle Type BTB/POZ Protein)
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BRCA2 mutation • SPOP mutation
4ms
Molecular Alterations in Intraductal Carcinoma of the Prostate. (PubMed, Cancers (Basel))
Molecular alterations that may predispose a person to the development of IDC-P include the loss of BRCA2 and PTEN as well as mutations in SPOP. However, the causative nature of these genetic alterations is yet to be validated.
Review • Journal • BRCA Biomarker
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TP53 (Tumor protein P53) • BRCA2 (Breast cancer 2, early onset) • PTEN (Phosphatase and tensin homolog) • RB1 (RB Transcriptional Corepressor 1) • ERG (ETS Transcription Factor ERG) • SPOP (Speckle Type BTB/POZ Protein)
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SPOP mutation
5ms
Metastatic prostate cancer is associated with distinct higher frequency of genetic mutations at diagnosis. (PubMed, Urol Oncol)
Patients with M1PCa demonstrated characteristic genetic mutations compared to M0PCa, which most often influenced androgen receptor signaling and is associated with worse survival. In addition, we identified distinct genetic mutations between castration sensitive and resistant M1PCa. These findings may be used to further our understanding and management of men with PCa.
Journal • Tumor mutational burden • Metastases
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TP53 (Tumor protein P53) • TMB (Tumor Mutational Burden) • PTEN (Phosphatase and tensin homolog) • RB1 (RB Transcriptional Corepressor 1) • CDK12 (Cyclin dependent kinase 12) • SPOP (Speckle Type BTB/POZ Protein) • FOXA1 (Forkhead Box A1)
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TP53 mutation • PTEN mutation • CDK12 mutation • SPOP mutation
5ms
Testing the Effect of M1774 on Hard-to-Treat Refractory SPOP-mutant Prostate Cancer (clinicaltrials.gov)
P2, N=20, Recruiting, National Cancer Institute (NCI) | Initiation date: Apr 2024 --> Oct 2023
Trial initiation date
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SPOP (Speckle Type BTB/POZ Protein) • RAC1 (Rac Family Small GTPase 1) • FDFT1 (Farnesyl-Diphosphate Farnesyltransferase 1) • MVD (Mevalonate Diphosphate Decarboxylase)
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SPOP mutation
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tuvusertib (M1774)
5ms
SPOP promotes CREB5 ubiquitination to inhibit MET signaling in liver cancer. (PubMed, Biochim Biophys Acta Mol Cell Res)
Moreover, liver cancer-associated SPOP mutant S119N disrupts the SPOP-CREB5 interactions and impairs the ubiquitination of CREB5.This disruption ultimately leads to the activation of the MET signaling pathway and enhances metastatic properties of hepatoma cells both in vitro and in vivo. In conclusion, our findings highlight the functional significance of the SPOP-CREB5-MET axis in liver cancer metastasis.
Journal
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SPOP (Speckle Type BTB/POZ Protein) • CREB5 (CAMP Responsive Element Binding Protein 5)
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SPOP mutation
5ms
Journal
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SPOP (Speckle Type BTB/POZ Protein)
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SPOP mutation
6ms
Reduction of oligomer size modulates the competition between cluster formation and phase separation of the tumor suppressor SPOP. (PubMed, J Biol Chem)
Our findings also suggest that tuning of linear SPOP self-association could be used by the cell to modulate activity and provide insights into the mechanisms underlying hypermorphic SPOP mutations. The characteristics of cancer-associated SPOP mutations suggest a route for designing separation-of-function mutations in other phase-separating systems.
Journal
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SPOP (Speckle Type BTB/POZ Protein) • DAXX (Death-domain associated protein)
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SPOP mutation
6ms
SPOP mutations target STING1 signaling in prostate cancer and create therapeutic vulnerabilities to PARP inhibitor-induced growth suppression. (PubMed, Clin Cancer Res)
We provide evidence that SPOP is critical in regulating immunosuppressive versus anti-tumor activity downstream of DNA damage-induced STING activation in prostate cancer. PARPi treatment of SPOPmut CRPC alters this NC-STING signaling toward canonical, anti-tumor cGAS-STING-IFN-β signaling, highlighting a novel biomarker-informed treatment strategy for prostate cancer.
Journal • PARP Biomarker
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SPOP (Speckle Type BTB/POZ Protein) • STING (stimulator of interferon response cGAMP interactor 1) • IFNB1 (Interferon Beta 1)
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SPOP mutation • STING mutation
6ms
The Mutational and Transcriptional Landscapes of Speckle-Type POZ Protein (SPOP) and Androgen Receptor (AR) in a Single-Center pT3 Prostatectomy Cohort. (PubMed, J Environ Pathol Toxicol Oncol)
The mutational results represented a possible subgroup characterized by carrying the novel variants in SPOP and AR in pT3 PCa patients. In addition to the significant clinicopathological parameters, the mutational results provide a better understanding of the molecular structure of pathologically advanced PCa in the SPOP and AR aspects.
Journal
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AR (Androgen receptor) • SPOP (Speckle Type BTB/POZ Protein)
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SPOP mutation
6ms
CDH1 is an Uncommon but Recurrent Tumor Suppressor Gene Mutated in Advanced Prostate Cancer (AMP 2023)
Prostate cancer patients with CDH1 mutations had long disease courses that were managed aggressively with overall survival that ranged from 2 to 16 years from the time of diagnosis. CDH1 variants are an uncommon but recurrently mutated gene in prostate cancer that overlaps with mutations in TP53 and no other tumor suppressor genes. These findings suggest an alternative mechanism for loss-of-function mutations in advanced prostate cancers.
Tumor mutational burden • Metastases
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TP53 (Tumor protein P53) • TMB (Tumor Mutational Burden) • PTEN (Phosphatase and tensin homolog) • KMT2C (Lysine Methyltransferase 2C) • CDH1 (Cadherin 1) • SPOP (Speckle Type BTB/POZ Protein)
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TP53 mutation • PTEN mutation • TMB-L • SPOP mutation • CDH1 mutation
7ms
Opposing Roles of SPOP Mutations in Human Prostate and Endometrial Cancers. (PubMed, JCO Precis Oncol)
These data indicate that SPOP mutations drive opposing molecular and immune landscapes in prostate and endometrial cancers-suggesting a loss-of-function mechanism in prostate cancer and gain-of-function mechanism in endometrial cancer-and provide a rationale for tailored therapeutic approaches.
Journal
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SPOP (Speckle Type BTB/POZ Protein) • BRD2 (Bromodomain Containing 2)
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AR expression • SPOP mutation
7ms
Molecular features of prostate cancer post-neoadjuvant therapy in the Phase 3 CALGB 90203 trial. (PubMed, J Natl Cancer Inst)
Distinct recurrent PCa genomic and transcriptomic features are observed after CHT exposure. Tumor fraction assessed by DNA sequencing quantifies pathologic response and could be a useful trial endpoint or prognostic biomarker. TP53 mutations and high cell cycle transcriptomic activity are linked with aggressive residual disease despite potent CHT.
P3 data • Journal
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TP53 (Tumor protein P53) • SPOP (Speckle Type BTB/POZ Protein)
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TP53 mutation • AR expression • SPOP mutation
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docetaxel
8ms
Cleavage and Polyadenylation-Specific Factor 4 (CPSF4) Expression Is Associated with Enhanced Prostate Cancer Cell Migration and Cell Cycle Dysregulation, In Vitro. (PubMed, Int J Mol Sci)
In vitro, CPSF4 knockdown reduced cell invasion and migration while also causing G1 and G2 arrest in PC3 cell lines. Our findings demonstrate that CPSF4 may be used as a possible biomarker in PCa and support its oncogenic function in cellular proliferation and metastasis.
Preclinical • Journal
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ERG (ETS Transcription Factor ERG) • SPOP (Speckle Type BTB/POZ Protein) • ETV1 (ETS Variant Transcription Factor 1)
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SPOP mutation
8ms
Testing the Effect of M1774 on Hard-to-Treat Refractory SPOP-mutant Prostate Cancer (clinicaltrials.gov)
P2, N=20, Recruiting, National Cancer Institute (NCI) | Not yet recruiting --> Recruiting | Initiation date: Aug 2023 --> Apr 2024
Enrollment open • Trial initiation date
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SPOP (Speckle Type BTB/POZ Protein)
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SPOP mutation
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tuvusertib (M1774)
9ms
Clinical significance of SPOP and APC gene alterations in colorectal cancer in Indian population. (PubMed, Mol Genet Genomics)
A significant link is found between promoter hyper methylation and protein expression in all mutant cases of APC and SPOP, suggesting that both genes may be associated in the development of colorectal cancer in people of Indian decent. Hypermethylation of APC gene and loss of SPOP expression have shown an association with disease prognosis and could be further studied looking at its potential role in planning adjuvant treatment in CRC patients.
Journal
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APC (APC Regulator Of WNT Signaling Pathway) • SPOP (Speckle Type BTB/POZ Protein)
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APC mutation • SPOP mutation
9ms
Genomic alterations related to HPV infection status in a cohort of Chinese prostate cancer patients. (PubMed, Eur J Med Res)
The genomic mutational landscape of PCa differs based on HPV infection status. This work adds evidence for the direct involvement of HPV in PCa etiology. Different genomic features render HPV-positive PCa a unique subpopulation that might benefit from virus-targeted therapy.
Journal • Tumor mutational burden
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TMB (Tumor Mutational Burden) • NTRK1 (Neurotrophic tyrosine kinase, receptor, type 1) • RB1 (RB Transcriptional Corepressor 1) • CCND1 (Cyclin D1) • KMT2D (Lysine Methyltransferase 2D) • ERCC2 (Excision repair cross-complementation group 2) • KMT2C (Lysine Methyltransferase 2C) • JAK1 (Janus Kinase 1) • SPOP (Speckle Type BTB/POZ Protein) • FOXA1 (Forkhead Box A1) • FCGR2B (Fc Fragment Of IgG Receptor IIb)
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RB1 deletion • KMT2C mutation • SPOP mutation
9ms
Enrollment open • Metastases
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SPOP (Speckle Type BTB/POZ Protein)
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SPOP mutation
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Zejula (niraparib) • abiraterone acetate • Akeega (abiraterone/niraparib)
10ms
Genetic Profiling of African American Patients With Prostatic Adenocarcinoma Metastatic to the Lymph Nodes: A Pilot Study. (PubMed, Arch Pathol Lab Med)
African American patients with metastatic prostate adenocarcinoma might have a higher prevalence of mutant SPOP (30%), compared to ∼10% in unselected cohorts with lower expressions of SPOP substrates. In our study, in patients with mutant SPOP, the mutation was associated with decreased SPOP substrate expression and androgen receptor signaling, raising concern for suboptimal efficacy of androgen deprivation therapy in this subset of patients.
Journal • Metastases
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SPOP (Speckle Type BTB/POZ Protein) • TRIM24 (Tripartite Motif Containing 24) • G3BP1 (G3BP Stress Granule Assembly Factor 1) • NCOA3 (Nuclear Receptor Coactivator 3)
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AR expression • SPOP mutation
12ms
Genetic ancestry associations with somatic mutations in a real-world cohort of over 3,000 patients with prostate cancer. (ASCO 2023)
Analysis of a large real-world cohort leveraging genetic ancestry inferred from NGS data confirms previously known associations between the presence of somatic alterations in prostate cancer genes and race/ethnicity, and identifies novel associations of potential precision therapeutic relevance.
Real-world evidence • Clinical • Real-world
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TP53 (Tumor protein P53) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • PTEN (Phosphatase and tensin homolog) • SPOP (Speckle Type BTB/POZ Protein)
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TP53 mutation • PIK3CA mutation • ER mutation • SPOP mutation
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Tempus xT Assay
12ms
Trial initiation date • Metastases
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SPOP (Speckle Type BTB/POZ Protein)
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SPOP mutation
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Zejula (niraparib) • abiraterone acetate • Akeega (abiraterone/niraparib)
12ms
New P2 trial
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SPOP (Speckle Type BTB/POZ Protein)
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SPOP mutation
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tuvusertib (M1774)
1year
DNA methylation landscapes of prostate cancer brain metastasis are shaped by early driver genetic alterations. (PubMed, Cancer Res)
While PCBM displayed a CpG island hypermethylator phenotype, hypomethylation at the promoters of genes involved in neuroactive ligand-receptor interaction and cell adhesion molecules such as GABRB3, CLDN8, and CLDN4 was also observed, suggesting that cells from primary tumors may require specific reprogramming to form brain metastasis. This study revealed the DNA methylation landscapes of PCBM and the potential mechanisms and effects of PCBM-associated aberrant DNA methylation.
Journal • Epigenetic controller
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ERG (ETS Transcription Factor ERG) • SPOP (Speckle Type BTB/POZ Protein) • TMPRSS2 (Transmembrane serine protease 2) • CLDN8 (Claudin 8)
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SPOP mutation • TMPRSS2-ERG fusion
1year
Determination of TMPRSS2-ERG, SPOP, FOXA1, and IDH1 prostate cancer molecular subtypes in Colombian patients and their possible implications for prognosis. (PubMed, Cell Biol Int)
The synonym SNP rs11554137 IDH1 was found in tumor tissue but not in the normal tissue in one case. A larger cohort of Colombian PCa patients is needed for future studies to validate these findings and gain a better understanding of the molecular profile of this cancer in our population and if there are any differences by Colombian regions.
Journal
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IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • ERG (ETS Transcription Factor ERG) • SPOP (Speckle Type BTB/POZ Protein) • FOXA1 (Forkhead Box A1)
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SPOP mutation
1year
Molecular features and race-associated outcomes of SPOP-mutant metastatic castration-resistant prostate cancer. (PubMed, Prostate)
Inactivating mutations in SPOP are associated with better response to ARSI treatment in mCRPC overall. Additional analysis with a larger cohort is needed to evaluate the association of SPOP status and outcomes with docetaxel. Race-associated clinical outcomes and molecular features were observed, suggesting the benefit of biomarker-directed therapy selection for individualized patient subsets in guiding treatment decisions for mCRPC patients.
Retrospective data • Journal • Metastases
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APC (APC Regulator Of WNT Signaling Pathway) • SPOP (Speckle Type BTB/POZ Protein)
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APC mutation • SPOP mutation
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docetaxel • Xtandi (enzalutamide capsule) • abiraterone acetate
1year
Glycyl-tRNA Synthetase (GARS) Expression Is Associated with Prostate Cancer Progression and Its Inhibition Decreases Migration, and Invasion In Vitro. (PubMed, Int J Mol Sci)
Gene Set Enrichment Analysis (GSEA) of GARS through the TCGA PRAD database provided evidence for upregulation of biological processes such as cellular proliferation. Our findings support the oncogenic role of GARS involved in cellular proliferation and poor clinical outcome and provide further evidence for its use as a potential biomarker in PCa.
Preclinical • Journal
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TP53 (Tumor protein P53) • PTEN (Phosphatase and tensin homolog) • IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • SPOP (Speckle Type BTB/POZ Protein) • ETV1 (ETS Variant Transcription Factor 1) • ETV4 (ETS Variant Transcription Factor 4)
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TP53 mutation • PTEN mutation • SPOP mutation
1year
SPOP: An essential gene for normal and prostate tumor cells (AACR 2023)
Our data illustrate for the first time a critical role for SPOP in the growth and survival of the prostate epithelium and prostate cancer cell. Our findings further validates SPOP as a important therapeutic target for the treatment of prostate cancer.
Tumor cell
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SPOP (Speckle Type BTB/POZ Protein)
|
SPOP mutation
1year
Higher-order SPOP assembly reveals a basis for cancer mutant dysregulation. (PubMed, Mol Cell)
Herein, we present the first structure of SPOP in its oligomeric form, uncovering several new interfaces important for SPOP self-assembly and normal function. Given that many previously unaccounted-for cancer mutations are localized in these newly identified interfaces, we uncover molecular mechanisms underlying dysregulation of SPOP function, with effects ranging from gross structural changes to enhanced self-association, and heightened stability and activity.
Journal
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SPOP (Speckle Type BTB/POZ Protein)
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SPOP mutation
1year
SPOP is essential for DNA replication licensing through maintaining translation of CDT1 and CDC6 in HaCaT cells. (PubMed, Biochem Biophys Res Commun)
CDT1 and CDC6 downregulation induced p21 expression without p53 activation. Our results suggest that SPOP is essential for DNA replication licensing in non-cancerous keratinocyte HaCaT cells.
Journal
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TP53 (Tumor protein P53) • SPOP (Speckle Type BTB/POZ Protein) • CDKN1A (Cyclin-dependent kinase inhibitor 1A) • CDC6 (Cell Division Cycle 6) • CDT1 (Chromatin Licensing And DNA Replication Factor 1)
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SPOP mutation • TP53 expression
1year
SPOP mutations promote tumor immune escape in endometrial cancer via the IRF1-PD-L1 axis. (PubMed, Cell Death Differ)
EC-associated SPOP mutations accelerate xenograft tumor growth partially by increasing IRF1 and PD-L1 expression. Together, we identify SPOP as a negative regulator of the IRF1-PD-L1 axis and characterize the critical roles of IRF1 and PD-L1 in SPOP mutation-driven tumor immune evasion in EC.
Journal • PD(L)-1 Biomarker • IO biomarker
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SPOP (Speckle Type BTB/POZ Protein) • IRF1 (Interferon Regulatory Factor 1)
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SPOP mutation • IRF1 expression
1year
New P2 trial • Metastases
|
SPOP (Speckle Type BTB/POZ Protein)
|
SPOP mutation
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Zejula (niraparib) • abiraterone acetate • Akeega (abiraterone/niraparib)
over1year
Role of adenomatous polyposis coli (APC) gene in SPOP-mutant prostate cancer and clinical outcomes. (ASCO-GU 2023)
In SPOPMT PCs, inactivation of APC is a common event and associated with more aggressive disease (higher metastatic potential and faster progression to castration resistance). This observation may help identify SPOPMT PC patients who are at higher risk for early castration resistance and could benefit from more intensive treatment.
Clinical data • Clinical
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AR (Androgen receptor) • APC (APC Regulator Of WNT Signaling Pathway) • SPOP (Speckle Type BTB/POZ Protein)
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APC mutation • SPOP mutation
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Tempus xT Assay • Tempus xF Assay
over1year
Genomic, clinical characteristics, and treatment outcomes of patients with metastatic castration-sensitive prostate cancer with SPOP mutations: Analysis from the Kaiser Permanente Northern California Healthcare System. (ASCO-GU 2023)
Background: Androgen deprivation therapy (ADT) plus either Abiraterone, Docetaxel or Enzalutamide (ADE) improves overall survival (OS) of men with metastatic M1 castrate-sensitive prostate cancer (mCSPC), compared to ADT alone and is currently standard of care. In this real-world study within KPNC, we confirmed the durable benefit of ADT based therapy in patients with mutSPOP. Patients with mutSPOP derived similar benefit regardless of 1st line therapy (ADT vs ADT + ADE). We also noted durable responses to abiraterone or enzalutamide for CRPC after initial treatment with ADE for CSPC.
Clinical • BRCA Biomarker • Metastases
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TP53 (Tumor protein P53) • BRCA1 (Breast cancer 1, early onset) • MSH6 (MutS homolog 6) • MSH2 (MutS Homolog 2) • ERG (ETS Transcription Factor ERG) • SPOP (Speckle Type BTB/POZ Protein)
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TP53 mutation • BRCA1 mutation • MSH2 mutation • SPOP mutation
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docetaxel • Xtandi (enzalutamide capsule) • abiraterone acetate
over1year
Clinical impact of mutations in driver oncogenes and TP53/RB1 in advanced prostate cancer. (ASCO-GU 2023)
In a cohort of aggressive PCa, oncogenic driver mutations were associated with significant differences in prognosis. ETS fusions and SPOP mutations correlated with improved outcomes for men with localized disease at presentation. TP53 loss was associated with worse prognosis, as was the combination with RB1 loss, across the disease spectrum.
Clinical • Metastases
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TP53 (Tumor protein P53) • RB1 (RB Transcriptional Corepressor 1) • CDK12 (Cyclin dependent kinase 12) • SPOP (Speckle Type BTB/POZ Protein) • FOXA1 (Forkhead Box A1)
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TP53 mutation • CDK12 mutation • RB1 mutation • SPOP mutation • RB1 mutation + TP53 mutation