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Genetic variant as a selection marker for anti-prostate stem cell antigen immunotherapy of bladder cancer

  • Indu Kohaar
  • , Patricia Porter-Gill
  • , Petra Lenz
  • , Yi Ping Fu
  • , Adam Mumy
  • , Wei Tang
  • , Andrea B. Apolo
  • , Nathaniel Rothman
  • , Dalsu Baris
  • , Alan R. Schned
  • , Kris Ylaya
  • , Molly Schwenn
  • , Alison Johnson
  • , Michael Jones
  • , Masatoshi Kida
  • , Debra T. Silverman
  • , Stephen M. Hewitt
  • , Lee E. Moore
  • , Ludmila Prokunina-Olsson*
  • *Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

A monoclonal antibody against prostate stem cell antigen (PSCA) has emerged as a novel cancer therapy currently being tested in clinical trials for prostate and pancreatic cancers, but this treatment is likely to be efficient only in patients with PSCA-expressing tumors. The present study demonstrates that a genetic variant (rs2294008) discovered by bladder cancer genome-wide association studies is a strong predictor of PSCA protein expression in bladder tumors, as measured by two-sided multivariable linear regression (P = 6.46×10-11; n = 278). The association pattern is similar in non-muscle-invasive tumors, stages Ta (P = 3.10×10-5; n = 173) and T1 (P = 2.64×10-5; n = 60), and muscle-invasive tumors, stages T2 (P =.01; n = 23) and T3/4 (P =.03; n = 22). The study suggests that anti-PSCA immunotherapy might be beneficial for bladder cancer patients with high tumor PSCA expression, which is statistically significantly associated with the presence of CT and TT genotypes of a common genetic variant, rs2294008. Future clinical studies will be needed to validate PSCA as a therapeutic target for bladder cancer.

Original languageEnglish
Pages (from-to)69-73
Number of pages5
JournalJournal of the National Cancer Institute
Volume105
Issue number1
DOIs
StatePublished - 2 Jan 2013
Externally publishedYes

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