chinnaiyanArul M. Chinnaiyan, M.D., Ph.D.

S.P. Hicks Endowed Professor of Pathology

Professor of Urology

Director, U-M Center for Translational Pathology

Howard Hughes Medical Institute Investigator

Using Advanced Technology to Diagnose and Treat Prostate Cancer

Prostate cancer is the most common form of cancer in American men. Currently, physicians have no way to tell which prostate cancers will metastasize or spread and which cancers will remain localized.

The shuffling and subsequent joining together of two separate genes in the genome causes “gene fusions” that can be an important mechanism in prostate and other cancers. Gene fusions had long been thought to be the driving agent exclusively of blood cancers (i.e., leukemias and lymphomas). In 2005, the research team in Arul Chinnaiyan’s laboratory discovered a gene fusion for the first time in a common solid tumor. “TMPRSS2-ETS” gene fusion was found in approximately 60-70 percent of the prostate cancer cases that were tested. Since then, multiple gene fusions have been identified in a variety of tumors such as breast and lung and melanoma.

The overarching theme of the Chinnaiyan laboratory at the Michigan Center for Translational Pathology (MCTP) is to discover the genetic lesions that initiate cancer development, dissect the molecular mechanisms involved in cancer progression, and exploit those findings to impact clinical diagnosis and treatment of cancers.

Researchers at MCTP are studying a variety of cancers for recurrent gene fusions and other genetic and molecular lesions that drive cancer progression. Gene fusions (as well as other genetic aberrations) in cancer can potentially serve as “biomarkers” (or signatures), allowing a precise molecular characterization of the cancer that can be developed as diagnostic and/or prognostic tests. In addition, characterizations of gene fusion sub-types and other cancer-driving genetic abnormalities can lead to the identity of targets for drug intervention, often with readily available medications.

 


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