hTERT mRNA expression in urine as a useful diagnostic tool in bladder cancer. Comparison with cytology and NMP22 BladderCheck Test

To study the relationship between quantitative mRNA determination (hTERT) in patients with bladder tumor, history of bladder tumor, and in subjects without a history of this neoplasia. A prospective randomized controlled study with 91 subjects included. The value of mRNA-hTERT was determined in 63 p...

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Veröffentlicht in:Actas urológicas españolas (English ed.) 2018-10, Vol.42 (8), p.524-530
Hauptverfasser: March-Villalba, J A, Panach-Navarrete, J, Herrero-Cervera, M J, Aliño-Pellicer, S, Martínez-Jabaloyas, J M
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container_title Actas urológicas españolas (English ed.)
container_volume 42
creator March-Villalba, J A
Panach-Navarrete, J
Herrero-Cervera, M J
Aliño-Pellicer, S
Martínez-Jabaloyas, J M
description To study the relationship between quantitative mRNA determination (hTERT) in patients with bladder tumor, history of bladder tumor, and in subjects without a history of this neoplasia. A prospective randomized controlled study with 91 subjects included. The value of mRNA-hTERT was determined in 63 patients with a history or suspicion of bladder tumor and in 28 controls. Urine samples were sent for evaluation of the mRNA level (hTERT), the cytological study and the NMP22 result. Differences were observed in mean hTERT levels in each of the groups: tumor presence 21.33+/- 40.66, tumor history 2.16+/- 2.67, controls 0.9+/- 1, 75 (p
doi_str_mv 10.1016/j.acuro.2018.02.002
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Comparison with cytology and NMP22 BladderCheck Test</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>March-Villalba, J A ; Panach-Navarrete, J ; Herrero-Cervera, M J ; Aliño-Pellicer, S ; Martínez-Jabaloyas, J M</creator><creatorcontrib>March-Villalba, J A ; Panach-Navarrete, J ; Herrero-Cervera, M J ; Aliño-Pellicer, S ; Martínez-Jabaloyas, J M</creatorcontrib><description>To study the relationship between quantitative mRNA determination (hTERT) in patients with bladder tumor, history of bladder tumor, and in subjects without a history of this neoplasia. A prospective randomized controlled study with 91 subjects included. The value of mRNA-hTERT was determined in 63 patients with a history or suspicion of bladder tumor and in 28 controls. Urine samples were sent for evaluation of the mRNA level (hTERT), the cytological study and the NMP22 result. Differences were observed in mean hTERT levels in each of the groups: tumor presence 21.33+/- 40.66, tumor history 2.16+/- 2.67, controls 0.9+/- 1, 75 (p&lt;0.001). In patients with tumor, there was no difference in mean hTERT levels between the different grades and stages, although there was a tendency: low grade tumor 9.04+/- 16.95, high grade 28.95+/- 48.36 (p=.069), stage Ta 10.33+/- 19.39, T1 17.88+/- 27.14, T2 54.8+/- 74.05 (p=.056). In addition, the sensitivity of hTERT was superior to that of other test (76%), although specificity and positive and negative predictive values were better for cytology (94%, 88.4% and 72.3% respectively) and NMP22 (88%, 80.6% and 73.3% respectively). hTERT mRNA levels in urine were higher in patients with bladder tumors compared to patients with a history of bladder tumor and with negative cystoscopy, as well as in the control group. 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In patients with tumor, there was no difference in mean hTERT levels between the different grades and stages, although there was a tendency: low grade tumor 9.04+/- 16.95, high grade 28.95+/- 48.36 (p=.069), stage Ta 10.33+/- 19.39, T1 17.88+/- 27.14, T2 54.8+/- 74.05 (p=.056). In addition, the sensitivity of hTERT was superior to that of other test (76%), although specificity and positive and negative predictive values were better for cytology (94%, 88.4% and 72.3% respectively) and NMP22 (88%, 80.6% and 73.3% respectively). hTERT mRNA levels in urine were higher in patients with bladder tumors compared to patients with a history of bladder tumor and with negative cystoscopy, as well as in the control group. 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In patients with tumor, there was no difference in mean hTERT levels between the different grades and stages, although there was a tendency: low grade tumor 9.04+/- 16.95, high grade 28.95+/- 48.36 (p=.069), stage Ta 10.33+/- 19.39, T1 17.88+/- 27.14, T2 54.8+/- 74.05 (p=.056). In addition, the sensitivity of hTERT was superior to that of other test (76%), although specificity and positive and negative predictive values were better for cytology (94%, 88.4% and 72.3% respectively) and NMP22 (88%, 80.6% and 73.3% respectively). hTERT mRNA levels in urine were higher in patients with bladder tumors compared to patients with a history of bladder tumor and with negative cystoscopy, as well as in the control group. This determination showed a higher diagnostic yield compared with the detection of NMP22 and urinary cytology.</abstract><cop>Spain</cop><pmid>29631914</pmid><doi>10.1016/j.acuro.2018.02.002</doi><tpages>7</tpages></addata></record>
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subjects Aged
Biomarkers, Tumor - urine
Female
Humans
Male
Nuclear Proteins - urine
Prospective Studies
RNA, Messenger - urine
Telomerase - genetics
Urinary Bladder Neoplasms - pathology
Urinary Bladder Neoplasms - urine
title hTERT mRNA expression in urine as a useful diagnostic tool in bladder cancer. Comparison with cytology and NMP22 BladderCheck Test
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