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Digital PCR assays for prostate cancer gene variants

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Revolutionizing prostate cancer research with precision dPCR assays

Explore prostate cancer related dPCR assays by gene

Discover the QIAcuity family of dPCR instruments

Transform your research capabilities with QIAcuity digital PCR
QIAcuity is a fully automated digital PCR system that combines precision, efficiency and ease of use. Experience unparalleled accuracy and save resources with high-throughput multiplexing, allowing for the simultaneous detection of up to five genetic targets. A seamless transition from existing qPCR workflows ensures minimal disruption while significantly enhancing data quality and throughput.
Streamline your clinical PCR workflows with QIAcuityDx
QIAcuityDx is tailored for IVD applications. This fully automated system enhances diagnostic precision and operational efficiency by reducing hands-on time and ensuring accurate detection and quantification of important genetic variations. Easily develop your own assay menu* by using QIAcuityDx utility mode and IVD medical device consumables, reagents and software.

*In compliance with the FDA ‘Medical Devices; Laboratory Developed Tests’ final rule, May 6, 2024 and European Union regulation requirements on ‘In-House Assays’ (Regulation (EU) 2017/746 -IVDR- Art. 5(5))

Frequently asked questions

How do dPCR LNA Mutation Assays benefit cancer researchers?
dPCR LNA Mutation Assays offer significant advantages to cancer researchers working on precise and sensitive mutation detection. These assays are specifically designed for use with the QIAcuity Digital PCR System and are enhanced with Locked Nucleic Acid (LNA) technology. This enhancement greatly improves the specificity and sensitivity of mutation detection, making it possible to identify DNA sequence mutations at very low abundance, with a sensitivity as fine as 0.1% in a single nanoplate well.

The key benefits of dPCR LNA Mutation Assays for cancer researchers include:
  • High precision and sensitivity: The use of duplex, hydrolysis probe-based assays allows for highly precise detection of mutations. The presence of both mutant and wild-type probes in the same reaction ensures that researchers can detect and quantify minor genetic variations with great accuracy, crucial for studies in heterogeneous cancer samples where only a few cells may carry the mutation.
  • Enhanced specificity: The integration of LNA into the probes increases the binding affinity and specificity towards the target sequences, minimizing the risk of non-specific bindings and improving the overall reliability of the assays.
  • Multiplexing capability: Each assay is capable of detecting mutations using two different fluorescent dye combinations, allowing for the simultaneous analysis of mutant and wild-type alleles within the same reaction. This multiplexing ability is particularly useful in applications requiring the analysis of multiple targets, such as assessing co-occurring mutations in cancer.
  • Flexibility in sample analysis: By dividing the reaction across multiple wells, even greater sensitivity can be achieved, facilitating the detection of extremely rare mutations. This is especially valuable in cancer research, where detecting low-frequency mutations can inform prognosis and treatment strategies.
  • Streamlined workflow: Supplied in a single-tube format with ready-to-use primer pairs and probes, these assays simplify the experimental setup, enabling efficient and straightforward integration into existing research workflows.
What is the role of the AR gene in prostate cancer?
The AR (Androgen Receptor) gene encodes a nuclear receptor that is activated by binding to androgens, such as testosterone and dihydrotestosterone. AR is vital for the development and maintenance of male characteristics and reproductive functions. In prostate cancer, AR signaling is crucial for tumor growth and progression. Mutations and amplifications in the AR gene are commonly observed, particularly in advanced stages and castration-resistant prostate cancer (CRPC). These genetic alterations can lead to continuous AR activation, even in the absence of androgens, driving cancer cell proliferation and survival. Furthermore, AR regulates the expression of various genes involved in cell cycle progression, apoptosis and metabolism. Some AR variants relevant to prostate cancer include:
  • AR c.2632A>G / p.T878A: This point mutation results in a threonine-to-alanine substitution at position 878 that alters the ligand-binding domain of the AR, allowing it to be activated by other steroids and anti-androgens. This broadened ligand specificity disrupts normal regulatory mechanisms, enabling AR to drive gene expression that supports cancer cell survival and proliferation. The T878A mutation has also been associated with increased resistance to current anti-androgen therapies, necessitating the development of next-generation inhibitors to effectively target this variant.
  • AR c.2623C>T / p.H875Y: This point mutation results in a histidine-to-tyrosine substitution at position 875 that also affects the ligand-binding domain and alters receptor activation. The H875Y variant increases the receptor's affinity for alternative ligands, which can lead to aberrant activation of AR signaling pathways. This change facilitates cancer progression by promoting uncontrolled cell division and resistance to apoptosis. The altered receptor dynamics in the presence of the H875Y mutation pose significant challenges for the efficacy of traditional androgen deprivation therapies, highlighting the need for more personalized treatment approaches.
How is the BRCA2 gene involved in prostate cancer?
The BRCA2 (Breast Cancer 2) gene is essential for the repair of DNA double-strand breaks via homologous recombination. It facilitates the recruitment of RAD51 to sites of DNA damage, thereby promoting accurate DNA repair and maintaining genomic integrity. BRCA2 also interacts with other proteins involved in DNA repair and cell cycle control, such as PALB2 and DSS1. This gene plays a critical role in ensuring the stability of the cell's genetic material and preventing the development of cancer. Mutations in BRCA2 are associated with an increased risk of developing prostate cancer, particularly aggressive forms of the disease. Some BRCA2 variants relevant to prostate cancer include:
  • BRCA2 c.7234_7235insG: This variant is an insertion mutation that results in a frameshift, leading to a premature stop codon. This mutation disrupts the normal function of the BRCA2 protein, which is essential for homologous recombination repair of DNA double-strand breaks. The loss of functional BRCA2 protein leads to genomic instability, promoting tumorigenesis and progression of prostate cancer. This variant has been identified in Moroccan prostate cancer patients with a positive family history, indicating its significance in hereditary prostate cancer.
  • BRCA2 ΔE12: This variant involves a deletion of exon 12, which results in the loss of a significant portion of the BRCA2 protein. This deletion impairs the protein's ability to interact with RAD51, a key protein in the homologous recombination repair pathway. The resulting deficiency in DNA repair mechanisms leads to increased susceptibility to DNA damage and contributes to the development and progression of prostate cancer. This variant has also been reported in Moroccan patients, highlighting its role in familial prostate cancer.
  • BRCA2 c.1280_1281delGA / p.Asp427Thrfs*3: This variant is a frameshift mutation that introduces a premature stop codon, truncating the BRCA2 protein. This truncation eliminates critical domains required for DNA repair, leading to defective homologous recombination and increased genomic instability. This variant has been identified in Japanese patients with castration-resistant prostate cancer, suggesting its relevance in advanced stages of the disease.
What is the role of the CHEK2 gene in prostate cancer?
CHEK2 (Checkpoint Kinase 2) is a tumor suppressor that encodes a protein kinase involved in the DNA damage response. It plays a critical role in cell cycle control by phosphorylating and activating key proteins such as p53, BRCA1 and CDC25C in response to DNA damage. This activation leads to cell cycle arrest, allowing time for DNA repair or triggering apoptosis if the damage is irreparable. Mutations in CHEK2 can impair these processes, leading to genomic instability and increased cancer risk. In prostate cancer, CHEK2 mutations have been linked to disease progression and may make tumors susceptible to targeted therapies. Some CHEK2 variants relevant to prostate cancer include:
  • CHEK2 c.1100delC: This variant is a frameshift mutation that results in a truncated CHEK2 protein, impairing its function in DNA repair and cell cycle control. This mutation is associated with an increased risk of several cancers, including prostate cancer. The loss of CHEK2 function compromises the cell's ability to respond to DNA damage, contributing to genomic instability and cancer development.
  • CHEK2 c.470T>C / p.I157T: The I157T variant is a missense mutation that alters the protein structure and function of CHEK2, leading to a compromised DNA damage response. This variant is associated with an increased risk of prostate cancer and other cancers, such as breast and thyroid cancer. The altered protein function due to this mutation diminishes the cell's ability to effectively repair DNA, increasing the likelihood of cancerous transformations.
What is the significance of the KRAS gene in prostate cancer?

The KRAS gene is a proto-oncogene that encodes a small GTPase involved in the RAS/MAPK signaling pathway. This pathway regulates cell proliferation, differentiation and survival. Mutations in KRAS lead to constitutive activation of the RAS/MAPK pathway, driving oncogenic processes. Although KRAS mutations are less common in prostate cancer compared to other cancers, they are associated with more aggressive disease and poor prognosis when present. The constitutive activation of KRAS due to mutations enhances oncogenic signaling, contributing to tumor aggressiveness and resistance to treatment.

How does the MYC gene affect prostate cancer?
The MYC gene is a proto-oncogene that encodes a transcription factor involved in regulating various cellular processes, including cell proliferation, growth and metabolism. MYC promotes the expression of genes involved in ribosome biogenesis, protein synthesis and cell cycle progression. Amplification and overexpression of MYC are frequently observed in prostate cancer and contribute to tumor development and progression. MYC is considered a key driver of oncogenesis in many cancers, including prostate cancer. MYC amplification results in an increased number of copies of the MYC gene, leading to overexpression of the MYC protein. This overexpression drives uncontrolled cell proliferation and tumor growth in prostate cancer.
How does the PIK3CA gene influence prostate cancer?
The PIK3CA gene encodes the p110α catalytic subunit of the PI3K enzyme, which is involved in the PI3K/AKT signaling pathway. This pathway plays a key role in regulating cell growth, survival and metabolism. Mutations in PIK3CA can lead to constitutive activation of the PI3K/AKT pathway, promoting cancer cell proliferation and survival. In prostate cancer, PIK3CA mutations are implicated in disease progression and are potential targets for therapeutic intervention. By driving continuous activation of this pathway, PIK3CA mutations contribute to the uncontrolled growth and survival of cancer cells.
How does the PTEN gene affect prostate cancer?
PTEN (Phosphatase and Tensin Homolog) is a tumor suppressor that encodes a phosphatase involved in the negative regulation of the PI3K/AKT signaling pathway. PTEN dephosphorylates phosphatidylinositol (3,4,5)-trisphosphate (PIP3), thereby inhibiting AKT activation and downstream signaling pathways that promote cell growth, survival and proliferation. Loss of PTEN function, through mutations or deletions, is a common event in prostate cancer and leads to uncontrolled cell growth and survival. PTEN loss is associated with more aggressive disease and poor prognosis. Some PTEN variants relevant to prostate cancer include:
  • PTEN c.388C>T / p.Arg130*: This variant in the PTEN gene results in a nonsense mutation, leading to a truncated protein that lacks functional phosphatase activity. This mutation disrupts the normal regulation of the PI3K/AKT pathway, promoting tumorigenesis and progression of prostate cancer. The loss of PTEN function due to this mutation allows for unregulated cell growth and survival, contributing to more aggressive cancer phenotypes.
  • PTEN c.697C>T / p.Arg233*: This variant is another nonsense mutation that results in a truncated PTEN protein. This mutation impairs the tumor suppressor function of PTEN, contributing to the development and progression of prostate cancer. By disrupting the PI3K/AKT pathway regulation, this mutation leads to enhanced cellular proliferation and resistance to apoptosis, exacerbating the severity of the disease.
How does the SPOP gene affect prostate cancer?
The SPOP (Speckle-Type POZ Protein) gene encodes an E3 ubiquitin ligase adaptor protein involved in the ubiquitin-proteasome pathway. It plays a role in the degradation of various proteins, including those involved in cell cycle regulation, signal transduction and transcription. Mutations in SPOP are among the most common genetic alterations in prostate cancer and define a distinct molecular subtype of the disease. These mutations can affect the stability and function of target proteins, influencing cancer cell behavior and response to therapy. Some SPOP variants relevant to prostate cancer include:
  • SPOP c.397T>G / p.F133V: The F133V variant results in a phenylalanine-to-valine substitution at position 133. This mutation affects the substrate-binding cleft of the SPOP protein, altering its ability to target specific proteins for degradation. The F133V mutation is associated with increased sensitivity to androgen deprivation therapy (ADT) in prostate cancer. By changing the substrate affinity, this mutation can influence the degradation rates of critical regulatory proteins, impacting tumor growth.
  • SPOP c.260A>G / p.Y87C: The Y87C variant involves a tyrosine-to-cysteine substitution at position 87. This mutation also affects the substrate-binding cleft, leading to dysregulation of key regulatory pathways in prostate cancer. The Y87C mutation is linked to increased tumor growth and progression. The altered binding dynamics due to this mutation result in the improper degradation of proteins that regulate cell proliferation and survival.
What is the role of the TP53 gene in prostate cancer?
TP53 encodes the p53 protein, a vital tumor suppressor that functions as a transcription factor that responds to various cellular stresses by inducing cell cycle arrest, DNA repair or apoptosis. Mutations in TP53 are common in many cancers, including prostate cancer, and are associated with more aggressive and advanced disease. Loss of p53 function allows cells with damaged DNA to proliferate, contributing to tumor development and progression. Some TP53 variants relevant to prostate cancer include:
  • TP53 c.818G>A / p.R273H: This variant results in an arginine-to-histidine substitution at position 273. This mutation affects the DNA-binding domain of p53, impairing its ability to regulate target genes involved in cell cycle control and apoptosis. The R273H mutation is associated with poor prognosis and resistance to therapy in prostate cancer. By compromising the DNA-binding capability, this mutation allows for unchecked cell proliferation and survival.
  • TP53 c.524G>A / p.R175H: This variant involves an arginine-to-histidine substitution at position 175. This mutation disrupts the structural integrity of the p53 protein, leading to loss of its tumor suppressor function. The R175H mutation is commonly found in aggressive forms of prostate cancer. This structural alteration prevents p53 from effectively controlling the cell cycle and promoting apoptosis in damaged cells.

Disclaimers

dPCR LNA Mutation Assays are intended for molecular biology applications. These products are not intended for the diagnosis, prevention, or treatment of a disease.

The QIAcuity is intended for molecular biology applications. This product is not intended for the diagnosis, prevention or treatment of a disease. Therefore, the performance characteristics of the product for clinical use (i.e., diagnostic, prognostic, therapeutic or blood banking) is unknown.

The QIAcuityDx dPCR System is intended for in vitro diagnostic use, using automated multiplex quantification dPCR technology, for the purpose of providing diagnostic information concerning pathological states.

QIAcuity and QIAcuityDx dPCR instruments are sold under license from Bio-Rad Laboratories, Inc. and exclude rights for use with pediatric applications. The QIAcuityDx medical device is currently under development and will be available in 20 countries in H2 2024.