Gene-based urinary biomarkers for bladder cancer: An unfulfilled promise?

Abstract Objective Noninvasive biomarkers are used routinely in the clinical management of several cancers but bladder cancer detection and surveillance remains dependent on invasive procedures such as cystoscopy. No validated biomarker currently exists in routine clinical practice other than cytolo...

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Veröffentlicht in:Urologic oncology 2014, Vol.32 (1), p.48.e9-48.e17
Hauptverfasser: Sapre, Nikhil, M.B.Ch.B, Anderson, Paul D., M.B.B.S., F.R.A.C.S, Costello, Anthony J., M.B.B.S., M.D., F.R.A.C.S., F.R.C.S.I. (Hon), Hovens, Christopher M., Ph.D, Corcoran, Niall M., M.B.B.Ch., B.A.O., Ph.D., F.R.A.C.S
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container_end_page 48.e17
container_issue 1
container_start_page 48.e9
container_title Urologic oncology
container_volume 32
creator Sapre, Nikhil, M.B.Ch.B
Anderson, Paul D., M.B.B.S., F.R.A.C.S
Costello, Anthony J., M.B.B.S., M.D., F.R.A.C.S., F.R.C.S.I. (Hon)
Hovens, Christopher M., Ph.D
Corcoran, Niall M., M.B.B.Ch., B.A.O., Ph.D., F.R.A.C.S
description Abstract Objective Noninvasive biomarkers are used routinely in the clinical management of several cancers but bladder cancer detection and surveillance remains dependent on invasive procedures such as cystoscopy. No validated biomarker currently exists in routine clinical practice other than cytology. Gene-based testing has shown great promise for biomarker profiling and this review addresses the current state of biomarker research in bladder cancer. Materials and methods A comprehensive review of all published literature on urinary biomarkers from 1970 - 2012 was conducted in PubMed. Keywords used alone or in combination were bladder cancer, diagnosis, surveillance, urinary biomarker, molecular biomarkers, methylation, gene expression, single nucleotide polymorphism and microRNA. The cited references of the manuscripts included in the review were also screened. Results We have reviewed various strategies currently used for gene-based biomarker profiling of bladder cancer. We have comprehensively summarized the performance of several biomarkers in the diagnosis and surveillance of bladder cancer. Finally we have identified biomarkers that have shown potential and now deserve the opportunity to be validated in the clinical setting. Conclusion Several gene-based urinary biomarkers have demonstrated promise in initial studies, which now need to be rigorously validated in the clinical setting for them to be translated into clinically useful tests in diagnosis, surveillance or risk-stratification of bladder cancer.
doi_str_mv 10.1016/j.urolonc.2013.07.002
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(Hon) ; Hovens, Christopher M., Ph.D ; Corcoran, Niall M., M.B.B.Ch., B.A.O., Ph.D., F.R.A.C.S</creator><creatorcontrib>Sapre, Nikhil, M.B.Ch.B ; Anderson, Paul D., M.B.B.S., F.R.A.C.S ; Costello, Anthony J., M.B.B.S., M.D., F.R.A.C.S., F.R.C.S.I. (Hon) ; Hovens, Christopher M., Ph.D ; Corcoran, Niall M., M.B.B.Ch., B.A.O., Ph.D., F.R.A.C.S</creatorcontrib><description>Abstract Objective Noninvasive biomarkers are used routinely in the clinical management of several cancers but bladder cancer detection and surveillance remains dependent on invasive procedures such as cystoscopy. No validated biomarker currently exists in routine clinical practice other than cytology. Gene-based testing has shown great promise for biomarker profiling and this review addresses the current state of biomarker research in bladder cancer. Materials and methods A comprehensive review of all published literature on urinary biomarkers from 1970 - 2012 was conducted in PubMed. Keywords used alone or in combination were bladder cancer, diagnosis, surveillance, urinary biomarker, molecular biomarkers, methylation, gene expression, single nucleotide polymorphism and microRNA. The cited references of the manuscripts included in the review were also screened. Results We have reviewed various strategies currently used for gene-based biomarker profiling of bladder cancer. We have comprehensively summarized the performance of several biomarkers in the diagnosis and surveillance of bladder cancer. Finally we have identified biomarkers that have shown potential and now deserve the opportunity to be validated in the clinical setting. Conclusion Several gene-based urinary biomarkers have demonstrated promise in initial studies, which now need to be rigorously validated in the clinical setting for them to be translated into clinically useful tests in diagnosis, surveillance or risk-stratification of bladder cancer.</description><identifier>ISSN: 1078-1439</identifier><identifier>EISSN: 1873-2496</identifier><identifier>DOI: 10.1016/j.urolonc.2013.07.002</identifier><identifier>PMID: 24140246</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Biomarkers, Tumor - genetics ; Biomarkers, Tumor - urine ; Bladder cancer ; Cystoscopy ; DNA Methylation ; Humans ; microRNA ; MicroRNAs - genetics ; Microsatellite Repeats - genetics ; Molecular biomarkers ; Polymorphism, Single Nucleotide ; Recurrence ; Sensitivity and Specificity ; Urinary biomarker ; Urinary Bladder Neoplasms - diagnosis ; Urinary Bladder Neoplasms - genetics ; Urology</subject><ispartof>Urologic oncology, 2014, Vol.32 (1), p.48.e9-48.e17</ispartof><rights>2014</rights><rights>Crown Copyright © 2014. 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Keywords used alone or in combination were bladder cancer, diagnosis, surveillance, urinary biomarker, molecular biomarkers, methylation, gene expression, single nucleotide polymorphism and microRNA. The cited references of the manuscripts included in the review were also screened. Results We have reviewed various strategies currently used for gene-based biomarker profiling of bladder cancer. We have comprehensively summarized the performance of several biomarkers in the diagnosis and surveillance of bladder cancer. Finally we have identified biomarkers that have shown potential and now deserve the opportunity to be validated in the clinical setting. 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(Hon)</au><au>Hovens, Christopher M., Ph.D</au><au>Corcoran, Niall M., M.B.B.Ch., B.A.O., Ph.D., F.R.A.C.S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gene-based urinary biomarkers for bladder cancer: An unfulfilled promise?</atitle><jtitle>Urologic oncology</jtitle><addtitle>Urol Oncol</addtitle><date>2014</date><risdate>2014</risdate><volume>32</volume><issue>1</issue><spage>48.e9</spage><epage>48.e17</epage><pages>48.e9-48.e17</pages><issn>1078-1439</issn><eissn>1873-2496</eissn><abstract>Abstract Objective Noninvasive biomarkers are used routinely in the clinical management of several cancers but bladder cancer detection and surveillance remains dependent on invasive procedures such as cystoscopy. No validated biomarker currently exists in routine clinical practice other than cytology. Gene-based testing has shown great promise for biomarker profiling and this review addresses the current state of biomarker research in bladder cancer. 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subjects Biomarkers, Tumor - genetics
Biomarkers, Tumor - urine
Bladder cancer
Cystoscopy
DNA Methylation
Humans
microRNA
MicroRNAs - genetics
Microsatellite Repeats - genetics
Molecular biomarkers
Polymorphism, Single Nucleotide
Recurrence
Sensitivity and Specificity
Urinary biomarker
Urinary Bladder Neoplasms - diagnosis
Urinary Bladder Neoplasms - genetics
Urology
title Gene-based urinary biomarkers for bladder cancer: An unfulfilled promise?
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