title: Molecular subtyping of prostate cancer.
abstract: OBJECTIVE
  The recent publication of The Cancer Genome Atlas molecular taxonomy of primary prostate cancer highlights the increased understanding of the genomic basis of human prostate cancer, but also emphasizes the complexity and heterogeneity of prostate cancer.
  
  
  RESULTS
  Seven molecular subclasses have been defined on the basis of early genomic alterations, which are largely mutually exclusive.
  
  
  CONCLUSIONS
  We review the recent advances in the genomic understanding of human prostate cancer, with focus on molecular subclassification. Broadly, prostate cancer can be classified based upon whether specific genomic rearrangements, such as the Transmembrane Protease, Serine 2-ETS-related gene fusion occur or whether specific alterations such as Speckle-type POZ protein and forkhead box A1 mutations occur. The molecular drivers remain to be identified in a further quarter of human prostate cancers. Depending upon the molecular subclassification and the coincident genomic alterations, specific clinical insights can be gained from this information, including associations with pathologic factors, race, and prognosis, as well as the possibility for future precision therapies.
authors.affiliation: aUrology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center bDepartment of Urology, Weill Medical College of Cornell University, New York, USA.
authors.forename: Samuel D
authors.initials: SD
authors.lastname: Kaffenberger
authors.forename: Christopher E
authors.initials: CE
authors.lastname: Barbieri
mesh_terms: D033942:Adaptor Proteins, Vesicular Transport / Q000235:genetics / Q000378:metabolism; D002352:Carrier Proteins / Q000235:genetics / Q000378:metabolism; D023281:Genomics; D051541:Hepatocyte Nuclear Factor 3-alpha / Q000235:genetics / Q000378:metabolism; D006801:Humans; D007521:Isocitrate Dehydrogenase / Q000235:genetics / Q000378:metabolism; D008297:Male; D009154:Mutation; D050596:Oncogene Fusion; D011471:Prostatic Neoplasms / Q000145:classification* / Q000235:genetics* / Q000378:metabolism; D050783:Proto-Oncogene Proteins c-ets / Q000235:genetics*; D012697:Serine Endopeptidases / Q000235:genetics / Q000378:metabolism; D014359:Trypsin Inhibitor, Kazal Pancreatic
chemical_list: D033942:Adaptor Proteins, Vesicular Transport; D002352:Carrier Proteins; C496499:FOXA1 protein, human; D051541:Hepatocyte Nuclear Factor 3-alpha; D050783:Proto-Oncogene Proteins c-ets; C486642:SPINK1 protein, human; C000612949:SPOPL protein, human; D014359:Trypsin Inhibitor, Kazal Pancreatic; D007521:Isocitrate Dehydrogenase; C543588:IDH1 protein, human; D012697:Serine Endopeptidases; C421305:TMPRSS2 protein, human