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Case series exploring hormonal sensitivity in prostate cancer patients harboring the germline African-ancestry HOXB13 X285K variant.

Prostate cancer and prostatic diseases 2025

Kanayama M, Colomba E, Shao Y, Nielsen SM, Esplin ED, Lu C, Isaacs WB, Henegan JC, Heath EI, Luo J, Marlin R, Antonarakis ES

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[BACKGROUND] Recently, a germline HOXB13 variant, X285K was identified as a risk factor for prostate cancer in men of African ancestry.

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APA Kanayama M, Colomba E, et al. (2025). Case series exploring hormonal sensitivity in prostate cancer patients harboring the germline African-ancestry HOXB13 X285K variant.. Prostate cancer and prostatic diseases. https://doi.org/10.1038/s41391-025-00994-5
MLA Kanayama M, et al.. "Case series exploring hormonal sensitivity in prostate cancer patients harboring the germline African-ancestry HOXB13 X285K variant.." Prostate cancer and prostatic diseases, 2025.
PMID 40542273

Abstract

[BACKGROUND] Recently, a germline HOXB13 variant, X285K was identified as a risk factor for prostate cancer in men of African ancestry. While this variant is likely associated with more aggressive prostate cancer, there has not yet been an in-depth clinical description of individual patients carrying this variant and their response to systemic therapies.

[METHODS] We studied six cases of germline X285K carriers with metastatic hormone-sensitive prostate cancer to characterize their hormonal sensitivity or resistance.

[CONCLUSIONS] Longitudinal outcome analysis indicates that patients carrying X285K generally show favorable responses to therapies targeting the androgen receptor (AR), a finding that requires confirmation.

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