Urinary APE1/Ref-1: A Potential Bladder Cancer Biomarker

Bladder cancer (BCa) is one of the most common urothelial cancers with still noticeable incidence rate. Early detection of BCa is highly correlated with successful therapeutic outcomes. We previously showed that apurinic/apyrimidinic endonuclease 1/redox factor-1 (APE1/Ref-1) was expressed at an inc...

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Veröffentlicht in:Disease markers 2016-01, Vol.2016 (2016), p.1-8
Hauptverfasser: Jeon, Byeong Hwa, Lim, Jae-Sung, Na, Yong-Gil, Song, Ki Hak, Joo, Hee Kyoung, Lee, Yu Ran, Shin, Ju-Hyun, Choi, Sunga, Chang, Seok Jong
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container_end_page 8
container_issue 2016
container_start_page 1
container_title Disease markers
container_volume 2016
creator Jeon, Byeong Hwa
Lim, Jae-Sung
Na, Yong-Gil
Song, Ki Hak
Joo, Hee Kyoung
Lee, Yu Ran
Shin, Ju-Hyun
Choi, Sunga
Chang, Seok Jong
description Bladder cancer (BCa) is one of the most common urothelial cancers with still noticeable incidence rate. Early detection of BCa is highly correlated with successful therapeutic outcomes. We previously showed that apurinic/apyrimidinic endonuclease 1/redox factor-1 (APE1/Ref-1) was expressed at an increased level in the serum of BCa patients when compared to the level in healthy controls. In this study, we investigated whether urinary APE1/Ref-1 was also elevated in patients with BCa. In this case-control study, voided urine was collected from 277 subjects including 169 BCa patients and 108 non-BCa controls. Urinary APE1/Ref-1 level was assessed by enzyme-linked immunosorbent assay (ELISA). APE1/Ref-1 levels were significantly elevated in BCa patients relative to levels in non-BCa controls and were correlated with tumor grade and stage. Urinary APE1/Ref-1 levels were also higher in patients with recurrence history of BCa. The receiver operating characteristics (ROC) curve of APE1/Ref-1 showed an area under the curve of 0.83, indicating the reliability and validity of this biomarker. The optimal combination of sensitivity and specificity was determined to be 82% and 80% at a cut-off value of 0.376 ng/100 μL for detection of APE1/Ref-1 in urine. In conclusion, urinary APE1/Ref-1 levels measured from noninvasively obtained body fluids would be clinically applicable for diagnosis of BCa.
doi_str_mv 10.1155/2016/7276502
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Early detection of BCa is highly correlated with successful therapeutic outcomes. We previously showed that apurinic/apyrimidinic endonuclease 1/redox factor-1 (APE1/Ref-1) was expressed at an increased level in the serum of BCa patients when compared to the level in healthy controls. In this study, we investigated whether urinary APE1/Ref-1 was also elevated in patients with BCa. In this case-control study, voided urine was collected from 277 subjects including 169 BCa patients and 108 non-BCa controls. Urinary APE1/Ref-1 level was assessed by enzyme-linked immunosorbent assay (ELISA). APE1/Ref-1 levels were significantly elevated in BCa patients relative to levels in non-BCa controls and were correlated with tumor grade and stage. Urinary APE1/Ref-1 levels were also higher in patients with recurrence history of BCa. The receiver operating characteristics (ROC) curve of APE1/Ref-1 showed an area under the curve of 0.83, indicating the reliability and validity of this biomarker. The optimal combination of sensitivity and specificity was determined to be 82% and 80% at a cut-off value of 0.376 ng/100 μL for detection of APE1/Ref-1 in urine. 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The optimal combination of sensitivity and specificity was determined to be 82% and 80% at a cut-off value of 0.376 ng/100 μL for detection of APE1/Ref-1 in urine. In conclusion, urinary APE1/Ref-1 levels measured from noninvasively obtained body fluids would be clinically applicable for diagnosis of BCa.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>27057081</pmid><doi>10.1155/2016/7276502</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Biomarkers, Tumor - urine
Bladder cancer
Care and treatment
Case-Control Studies
Comparative analysis
Development and progression
DNA-(Apurinic or Apyrimidinic Site) Lyase - urine
Early Detection of Cancer
Enzymes
Female
Gene expression
Genetic aspects
Health aspects
Humans
Male
Middle Aged
Regulation
ROC Curve
Sensitivity and Specificity
Up-Regulation
Urinary Bladder Neoplasms - diagnosis
Urinary Bladder Neoplasms - metabolism
Urinary Bladder Neoplasms - urine
title Urinary APE1/Ref-1: A Potential Bladder Cancer Biomarker
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