Genome-wide association study of genetic variations associated with treatment failure after intravesical bacillus Calmette–Guérin therapy for non-muscle invasive bladder cancer

Bacillus Calmette–Guérin (BCG) instillation is a key therapy to manage non-muscle invasive bladder cancer (NMIBC). However, intravesical BCG therapy fails in approximately half of the patients, leading to recurrence and progression. We aimed to reveal the genetic variations associated with treatment...

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Veröffentlicht in:Cancer Immunology, Immunotherapy Immunotherapy, 2020-07, Vol.69 (7), p.1155-1163
Hauptverfasser: Shiota, Masaki, Fujimoto, Naohiro, Yamamoto, Yoshiaki, Takeuchi, Ario, Tatsugami, Katsunori, Uchiumi, Takeshi, Matsuyama, Hideyasu, Eto, Masatoshi
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container_end_page 1163
container_issue 7
container_start_page 1155
container_title Cancer Immunology, Immunotherapy
container_volume 69
creator Shiota, Masaki
Fujimoto, Naohiro
Yamamoto, Yoshiaki
Takeuchi, Ario
Tatsugami, Katsunori
Uchiumi, Takeshi
Matsuyama, Hideyasu
Eto, Masatoshi
description Bacillus Calmette–Guérin (BCG) instillation is a key therapy to manage non-muscle invasive bladder cancer (NMIBC). However, intravesical BCG therapy fails in approximately half of the patients, leading to recurrence and progression. We aimed to reveal the genetic variations associated with treatment failure after intravesical BCG therapy for NMIBC. This study included 91 Japanese patients treated with BCG instillation for NMIBC. Genomic DNA was obtained from patient whole-blood samples, and a genome-wide association study and genotyping for target regions were performed. The association between genetic variation and treatment failure was analyzed by genome-wide association in 44 patients as the discovery cohort. As a validation study, candidate single nucleotide polymorphisms (SNPs) were examined among 47 patients in another cohort. The genome-wide association study indicated 19 candidate SNPs (rs1607282, rs7825442, rs1319325, rs3738088, rs4250, rs11894207, rs161448, rs2764326, rs2814707, rs3787194, rs58081719, rs3095966, rs73520681, rs16877113, rs16887173, rs10269584, rs11772249, rs118137814, and rs61094339) associated with BCG failure. Following the cumulative analysis of candidate SNPs, 2-gene (rs73520681 and rs61094339) and 4-gene (rs4250, rs11894207, rs73520681, and rs61094339) models successfully predicted treatment failure after intravesical BCG therapy. This study showed that several SNPs were possibly associated with outcome after intravesical BCG therapy in a Japanese population with NMIBC. The cumulative models of these SNPs may have value in clinical applications, although this should be confirmed in future studies.
doi_str_mv 10.1007/s00262-020-02533-8
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subjects Administration, Intravesical
Aged
Bacillus Calmette-Guerin vaccine
BCG
BCG Vaccine - administration & dosage
Biomarkers, Tumor - genetics
Bladder cancer
Cancer Research
Disease Progression
Female
Follow-Up Studies
Genetic diversity
Genome-wide association studies
Genome-Wide Association Study
Genomes
Genotyping
Humans
Immunology
Invasiveness
Male
Medicine
Medicine & Public Health
Middle Aged
Oncology
Original
Original Article
Patients
Polymorphism, Single Nucleotide
Retrospective Studies
Single-nucleotide polymorphism
Survival Rate
Therapeutic applications
Treatment Failure
Urinary Bladder Neoplasms - drug therapy
Urinary Bladder Neoplasms - genetics
Urinary Bladder Neoplasms - pathology
title Genome-wide association study of genetic variations associated with treatment failure after intravesical bacillus Calmette–Guérin therapy for non-muscle invasive bladder cancer
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