Language

English

Publication Date

6-1-2026

Journal

Cancer Reports

DOI

10.1002/cnr2.70588

PMID

42220083

PMCID

PMC13238700

PubMedCentral® Posted Date

6-1-2026

PubMedCentral® Full Text Version

Post-print

Abstract

Background: Prostate cancer is the most common non-cutaneous malignancy in men and remains a leading cause of cancer-related mortality, particularly in aggressive variants. These tumors are usually associated with alterations in TP53, RB1, and PTEN. The microphthalmia-associated transcription factor (MITF) has been implicated in several malignancies, but its role in prostate cancer is less defined.

Case: We report the first case of metastatic prostate adenocarcinoma harboring a gain-of-function MITF E318K mutation. The patient presented with high tumor burden, rapid progression, and evidence of tumor heterogeneity. The E318K mutation, previously linked to melanoma and renal cell carcinoma, enhances MITF transcriptional activity and may contribute to aggressive disease behavior.

Conclusion: This case expands current understanding of MITF in prostate cancer and raises important questions regarding its prognostic and therapeutic significance.

Keywords

Humans, Male, Prostatic Neoplasms, Microphthalmia-Associated Transcription Factor, Adenocarcinoma, Gain of Function Mutation

Published Open-Access

yes

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