YB-1 variant and androgen receptor axis-targeted agents in metastatic castration-resistant prostate cancer patients

Pharmacogenomics. 2020 Aug;21(13):919-928. doi: 10.2217/pgs-2020-0008. Epub 2020 Aug 13.

Abstract

Aim: To evaluate the influence of YB-1 rs10493112 variant as a genetic marker for response to second-generation androgen receptor axis-target agents. Methods: A hospital-based cohort study of 78 patients with metastatic castration-resistant prostate cancer was conducted. Genotyping was performed by TaqMan® allelic discrimination technology. Main results: In abiraterone-treated and high-risk patients, YB-1 rs10493112 AA genotype carriers showed lower progression-free survival than C allele genotype patients (4 vs 17 months; p = 0.009). For carriers of AA genotype, multivariate Cox regression analysis revealed a fivefold increased risk of progression (p = 0.035). Conclusion: The study findings suggest that, for metastatic and castration-resistant prostate cancer patients, this polymorphism might be a putative marker for the clinical outcome.

Keywords: YB-1; abiraterone acetate; enzalutamide; polymorphism; prognosis; prostate cancer; second-generation androgen receptor axis-targeted agents.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Androstenes / therapeutic use
  • Antineoplastic Agents / therapeutic use
  • Cohort Studies
  • Disease Progression
  • Disease-Free Survival
  • Drug Resistance, Neoplasm / genetics*
  • Genotype
  • Humans
  • Male
  • Middle Aged
  • Prostatic Neoplasms, Castration-Resistant / drug therapy
  • Prostatic Neoplasms, Castration-Resistant / genetics*
  • Receptors, Androgen / genetics*
  • Y-Box-Binding Protein 1 / genetics*

Substances

  • AR protein, human
  • Androstenes
  • Antineoplastic Agents
  • Receptors, Androgen
  • Y-Box-Binding Protein 1
  • YBX1 protein, human
  • abiraterone