Metabolomic-Based Stratification in Prostate Cancer

Part of the Molecular Pathology Library book series (MPLB)


Prostate cancer is a complex disease characterized by significant molecular heterogeneity and different clinical outcomes. Metabolic reprogramming is crucial for cancer cells to provide energy fuel and building blocks needed to sustain high proliferative rates and antagonize cell death signals. This chapter introduces some of the most common genetic alterations relevant to the pathogenesis of prostate cancer and proposes metabolomics as a tool to stratify this disease into molecularly and clinically diverse subtypes. The prevalent metabolic alterations in prostate cancer will be discussed with a particular focus on the link between driving oncogenes and cancer metabolism rewiring. In addition, we will tackle the potential use of metabolic profiling to predict disease behavior and to identify novel therapeutic targets and diagnostic tools.

Many different platforms are currently employed in the global assessment of metabolic changes, including but not limited to mass spectrometry (MS) and nuclear magnetic resonance (NMR). Current state-of-the-art techniques to study global metabolic alterations will be also described in this chapter.

Finally, we will discuss the feasibility to use metabolomics in formalin-fixed paraffin-embedded samples as an untapped opportunity to characterize patients with long-term follow-up.


Prostate cancer Stratification Metabolomics NMR Mass spectrometry Oncogene FFPE 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Stefano Cacciatore
    • 1
    • 2
  • Giorgia Zadra
    • 1
    • 3
  • Massimo Loda
    • 1
    • 3
    • 4
    • 5
  1. 1.Department of Oncologic PathologyDana-Farber Cancer InstituteBostonUSA
  2. 2.Institute of Reproductive and Developmental BiologyImperial College LondonLondonUK
  3. 3.Department of PathologyBrigham and Women’s HospitalBostonUSA
  4. 4.The Broad InstituteBostonUSA
  5. 5.Division of Cancer StudiesKing’s College LondonLondonUK

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