Publications by authors named "Irene Casanova-Salas"

Extracellular vesicles (EVs) secreted by tumors are abundant in plasma, but their potential for interrogating the molecular features of tumors through multi-omic profiling remains widely unexplored. Genomic and transcriptomic profiling of circulating EV-DNA and EV-RNA isolated from in vitro and in vivo models of metastatic prostate cancer (mPC) reveal a high contribution of tumor material to EV-loaded DNA/RNA, validating the findings in two cohorts of longitudinal plasma samples collected from patients during androgen receptor signaling inhibitor (ARSI) or taxane-based therapy. EV-DNA genomic features recapitulate matched-patient biopsies and circulating tumor DNA (ctDNA) and associate with clinical progression.

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Purpose: To study the impact of standard-of-care hormonal therapies on metastatic prostate cancer (mPC) clinical genomic profiles in real-world practice, with a focus on homologous recombination-repair (HRR) genes.

Patients And Methods: Targeted next-generation sequencing of 1,302 patients with mPC was pursued using the FoundationOne or FoundationOne CDx assays. Longitudinal clinical data for correlative analysis were curated via technology-enabled abstraction of electronic health records.

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Purpose: Relationships between diffusion-weighted MRI signals and hepatocyte microstructure were investigated to inform liver diffusion MRI modeling, focusing on the following question: Can cell size and diffusivity be estimated at fixed diffusion time, realistic SNR, and negligible contribution from extracellular/extravascular water and exchange?

Methods: Monte Carlo simulations were performed within synthetic hepatocytes for varying cell size/diffusivity / , and clinical protocols (single diffusion encoding; maximum b-value: {1000, 1500, 2000} s/mm ; 5 unique gradient duration/separation pairs; SNR = { , 100, 80, 40, 20}), accounting for heterogeneity in and perfusion contamination. Diffusion ( ) and kurtosis ( ) coefficients were calculated, and relationships between and were visualized. Functions mapping to were computed to predict unseen values, tested for their ability to classify discrete cell-size contrasts, and deployed on 9.

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Context: Genomic stratification can impact prostate cancer (PC) care through diagnostic, prognostic, and predictive biomarkers that aid in clinical decision-making. The temporal and spatial genomic heterogeneity of PC together with the challenges of acquiring metastatic tissue biopsies hinder implementation of tissue-based molecular profiling in routine clinical practice. Blood-based liquid biopsies are an attractive, minimally invasive alternative.

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Article Synopsis
  • The study investigates the role of ATM (Ataxia Telangiectasia Mutated) gene alterations in metastatic prostate cancer, revealing that about 11% of patients show ATM loss in biopsies, which is often linked to genomic instability.
  • Researchers utilized advanced techniques like immunohistochemistry and next-generation sequencing to analyze cancer biopsies and created modified cell models to test drug responses, finding that ATM-deficient cancers respond variably to PARP inhibitors but exhibit better results with combined ATR and PARP inhibition.
  • Despite ATM loss not correlating with worse clinical outcomes, it signifies a distinct and potentially targetable subtype of aggressive prostate cancer, emphasizing the need for tailored treatment strategies.
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The development of effective therapies against brain metastasis is currently hindered by limitations in our understanding of the molecular mechanisms driving it. Here we define the contributions of tumour-secreted exosomes to brain metastatic colonization and demonstrate that pre-conditioning the brain microenvironment with exosomes from brain metastatic cells enhances cancer cell outgrowth. Proteomic analysis identified cell migration-inducing and hyaluronan-binding protein (CEMIP) as elevated in exosomes from brain metastatic but not lung or bone metastatic cells.

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  • Metastatic prostate cancer typically shows bi-allelic mutations in key tumor suppressor genes, but often has large deletions of genes like PHLPP2 on chromosome 16q, which usually inhibits tumor growth.
  • In a study using a mutant mouse model, researchers discovered that losing PHLPP2 can surprisingly hinder prostate cancer progression while supporting Myc, a critical driver of aggressive cancer.
  • The researchers also found that inhibitors targeting PHLPP2 can effectively reduce Myc levels and eliminate mutant cancer cells, suggesting a potential treatment strategy by exploiting these frequent deletions as a therapeutic target.
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A hallmark of advanced prostate cancer (PC) is the concomitant loss of PTEN and p53 function. To selectively eliminate such cells, we screened cytotoxic compounds on Pten;Trp53 fibroblasts and their Pten-WT reference. Highly selective killing of Pten-null cells can be achieved by deguelin, a natural insecticide.

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  • Prostate cancer displays varying clinical and biological characteristics, making it crucial to find molecular changes to develop tailored treatment strategies based on progression risk.
  • A study analyzed the insulin-like growth factor (IGF) system's significance in patients with local prostate cancer, focusing on those with and without the TMPRSS2-ERG gene fusion.
  • Findings revealed that higher IGF-1R expression is linked to better progression-free survival in T2E-negative patients, suggesting that assessing IGF-1/IGF-1R alongside TMPRSS2-ERG status might be valuable for predicting tumor progression.
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  • PCA3 has been integrated into a nomogram, which surpasses previous models in predicting prostate cancer and high-grade prostate cancer during initial biopsies.
  • The study aims to validate this nomogram using data from 401 men and assess its practical utility by defining risk groups based on probability thresholds.
  • Validation results showed a decent predictive performance for PCA3, with a calibrated threshold suggesting that a probability over 40% is beneficial for determining the need for an initial biopsy.
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miRNAs are predicted to control the activity of approximately 60% of all protein-coding genes participating in the regulation of several cellular processes and diseases, including cancer. Recently, we have demonstrated that miR-187 is significantly downregulated in prostate cancer (PCa) and here we propose a proteomic approach to identify its potential targets. For this purpose, PC-3 cells were transiently transfected with miR-187 precursor and miRNA mimic negative control.

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Identifying patients who may benefit from targeted therapy is an urgent clinical issue in prostate cancer (PCa). We investigated the molecular relationship between TMPRSS2-ERG (T2E) fusion gene and insulin-like growth factor receptor (IGF-1R) to optimize the use of IGF-1R inhibitors.IGF-1R was analyzed in cell lines and in radical prostatectomy specimens in relation to T2E status.

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Aims: Speckle-type POZ protein (SPOP) is an E3 ubiquitin ligase adaptor recently described to be mutated in prostate cancer (PCa). Hence, studying the gene expression profile and the presence of SPOP mutations in PCa and understanding its clinico-pathological significance as prognostic and therapeutic biomarker are important to further understand its role in PCa development.

Patients And Methods: A cohort of 265 paraffin-embedded PCa samples from patients with more than 5 years of follow-up and treated with radical prostatectomy were collected at our institution for SPOP evaluation.

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Article Synopsis
  • * Valid and reproducible tools for risk estimation could encourage more patients to participate in active surveillance programs, reducing unnecessary overtreatment and its related costs and health risks.
  • * This review explores new genomic techniques for discovering biomarkers and discusses how they can be validated within active surveillance protocols to help identify patients at risk for cancer progression.
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Purpose: miRNAs are noncoding RNAs that negatively regulate target mRNA gene expression. Aberrant miRNA expression is associated with prostate cancer pathogenesis. We identified miRNAs as potential biomarkers for prostate cancer diagnosis and prognosis.

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Current prostate cancer (PCa) diagnosis is based in the serum prostate-specific antigen biomarker and digital rectal examination. However, these methods are limited by a low predictive value (24-37 %) and a high risk of mistaken results. During last years, new promising biomarkers such as Prostate Cancer Antigen 3 (PCA-3) and TMPRSS2-ETS fusion genes have been evaluated for their clinical use.

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