Utility of a Molecular Signature for Predicting Recurrence and Progression in Non-Muscle-Invasive Bladder Cancer Patients: Comparison with the EORTC, CUETO and 2021 EAU Risk Groups
To evaluate the utility of different risk assessments in non-muscle-invasive bladder cancer (NMIBC) patients, a total of 178 NMIBC patients from Chungbuk National University Hospital (CBNUH) were enrolled, and the predictive value of the molecular signature-based subtype predictor (MSP888) and risk...
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Veröffentlicht in: | International journal of molecular sciences 2022-11, Vol.23 (22), p.14481 |
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creator | Piao, Xuan-Mei Kim, Seon-Kyu Byun, Young Joon Zheng, Chuang-Ming Kang, Ho Won Kim, Won Tae Kim, Yong-June Lee, Sang-Cheol Kim, Wun-Jae Moon, Sung-Kwon Choi, Yung Hyun Yun, Seok Joong |
description | To evaluate the utility of different risk assessments in non-muscle-invasive bladder cancer (NMIBC) patients, a total of 178 NMIBC patients from Chungbuk National University Hospital (CBNUH) were enrolled, and the predictive value of the molecular signature-based subtype predictor (MSP888) and risk calculators based on clinicopathological factors (EORTC, CUETO and 2021 EAU risk scores) was compared. Of the 178 patients, 49 were newly analyzed by the RNA-sequencing, and their MSP888 subtype was evaluated. The ability of the EORTC, MSP888 and two molecular subtyping systems of bladder cancer (Lund and UROMOL subtypes) to predict progression of 460 NMIBC patients from the UROMOL project was assessed. Cox regression analyses showed that the MSP888 was an independent predictor of NMIBC progression in the CBNUH cohort (p = 0.043). Particularly in patients without an intravesical BCG immunotherapy, MSP888 significantly linked with risk of disease recurrence and progression (both p < 0.05). However, the EORTC, CUETO and 2021 EAU risk scores showed disappointing results with respect to estimating the NMIBC prognosis. In the UROMOL cohort, the MSP888, Lund and UROMOL subtypes demonstrated a similar capacity to predict NMIBC progression (all p < 0.05). Conclusively, the MSP888 is favorable for stratifying patients to facilitate optimal treatment. |
doi_str_mv | 10.3390/ijms232214481 |
format | Article |
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Of the 178 patients, 49 were newly analyzed by the RNA-sequencing, and their MSP888 subtype was evaluated. The ability of the EORTC, MSP888 and two molecular subtyping systems of bladder cancer (Lund and UROMOL subtypes) to predict progression of 460 NMIBC patients from the UROMOL project was assessed. Cox regression analyses showed that the MSP888 was an independent predictor of NMIBC progression in the CBNUH cohort (p = 0.043). Particularly in patients without an intravesical BCG immunotherapy, MSP888 significantly linked with risk of disease recurrence and progression (both p < 0.05). However, the EORTC, CUETO and 2021 EAU risk scores showed disappointing results with respect to estimating the NMIBC prognosis. In the UROMOL cohort, the MSP888, Lund and UROMOL subtypes demonstrated a similar capacity to predict NMIBC progression (all p < 0.05). Conclusively, the MSP888 is favorable for stratifying patients to facilitate optimal treatment.</description><identifier>ISSN: 1422-0067</identifier><identifier>ISSN: 1661-6596</identifier><identifier>EISSN: 1422-0067</identifier><identifier>DOI: 10.3390/ijms232214481</identifier><identifier>PMID: 36430959</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Bladder cancer ; Cancer ; Disease Progression ; Evaluation ; Humans ; Immunotherapy ; Invasiveness ; Medical prognosis ; Muscles ; Neoplasm Invasiveness ; Neoplasm Recurrence, Local - genetics ; Neoplasm Recurrence, Local - pathology ; Patients ; Risk assessment ; Risk Factors ; Risk groups ; Tumors ; Urinary Bladder Neoplasms - genetics ; Urinary Bladder Neoplasms - pathology ; Urology</subject><ispartof>International journal of molecular sciences, 2022-11, Vol.23 (22), p.14481</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-aa10a75fdeeaa62722e9e6976961e99e3c352399e689be49955943a3e92d28193</citedby><cites>FETCH-LOGICAL-c415t-aa10a75fdeeaa62722e9e6976961e99e3c352399e689be49955943a3e92d28193</cites><orcidid>0000-0003-1925-0571 ; 0000-0001-6847-7743 ; 0000-0002-1454-3124 ; 0000-0002-4176-5187 ; 0000-0002-8060-8926 ; 0000-0001-7737-4746</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9696895/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9696895/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,883,27907,27908,53774,53776</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36430959$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Piao, Xuan-Mei</creatorcontrib><creatorcontrib>Kim, Seon-Kyu</creatorcontrib><creatorcontrib>Byun, Young Joon</creatorcontrib><creatorcontrib>Zheng, Chuang-Ming</creatorcontrib><creatorcontrib>Kang, Ho Won</creatorcontrib><creatorcontrib>Kim, Won Tae</creatorcontrib><creatorcontrib>Kim, Yong-June</creatorcontrib><creatorcontrib>Lee, Sang-Cheol</creatorcontrib><creatorcontrib>Kim, Wun-Jae</creatorcontrib><creatorcontrib>Moon, Sung-Kwon</creatorcontrib><creatorcontrib>Choi, Yung Hyun</creatorcontrib><creatorcontrib>Yun, Seok Joong</creatorcontrib><title>Utility of a Molecular Signature for Predicting Recurrence and Progression in Non-Muscle-Invasive Bladder Cancer Patients: Comparison with the EORTC, CUETO and 2021 EAU Risk Groups</title><title>International journal of molecular sciences</title><addtitle>Int J Mol Sci</addtitle><description>To evaluate the utility of different risk assessments in non-muscle-invasive bladder cancer (NMIBC) patients, a total of 178 NMIBC patients from Chungbuk National University Hospital (CBNUH) were enrolled, and the predictive value of the molecular signature-based subtype predictor (MSP888) and risk calculators based on clinicopathological factors (EORTC, CUETO and 2021 EAU risk scores) was compared. Of the 178 patients, 49 were newly analyzed by the RNA-sequencing, and their MSP888 subtype was evaluated. The ability of the EORTC, MSP888 and two molecular subtyping systems of bladder cancer (Lund and UROMOL subtypes) to predict progression of 460 NMIBC patients from the UROMOL project was assessed. Cox regression analyses showed that the MSP888 was an independent predictor of NMIBC progression in the CBNUH cohort (p = 0.043). Particularly in patients without an intravesical BCG immunotherapy, MSP888 significantly linked with risk of disease recurrence and progression (both p < 0.05). However, the EORTC, CUETO and 2021 EAU risk scores showed disappointing results with respect to estimating the NMIBC prognosis. In the UROMOL cohort, the MSP888, Lund and UROMOL subtypes demonstrated a similar capacity to predict NMIBC progression (all p < 0.05). Conclusively, the MSP888 is favorable for stratifying patients to facilitate optimal treatment.</description><subject>Bladder cancer</subject><subject>Cancer</subject><subject>Disease Progression</subject><subject>Evaluation</subject><subject>Humans</subject><subject>Immunotherapy</subject><subject>Invasiveness</subject><subject>Medical prognosis</subject><subject>Muscles</subject><subject>Neoplasm Invasiveness</subject><subject>Neoplasm Recurrence, Local - genetics</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Patients</subject><subject>Risk assessment</subject><subject>Risk Factors</subject><subject>Risk groups</subject><subject>Tumors</subject><subject>Urinary Bladder Neoplasms - genetics</subject><subject>Urinary Bladder Neoplasms - pathology</subject><subject>Urology</subject><issn>1422-0067</issn><issn>1661-6596</issn><issn>1422-0067</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkk1v1DAQhiMEoh9w5IosceFAwF9xYg6VSrSUSi2Llt1zNE0mu14Se7Gdrfq_-IEYWqqW04w0z7zzjvRm2StG3wuh6QezHQMXnDMpK_YkO2SS85xSVT590B9kRyFsKU1goZ9nB0JJQXWhD7Nfq2gGE2-I6wmQSzdgOw3gyXezthAnj6R3nnzz2Jk2GrsmiwR4j7ZFArZLE7f2GIJxlhhLvjqbX06hHTA_t3sIZo_k0wBdh57UkJaSFkSDNoaPpHbjDrwJafXaxA2JGySz-WJZvyP1arac_z3AKWdkdroiCxN-kDPvpl14kT3rYQj48q4eZ6vPs2X9Jb-Yn53Xpxd5K1kRcwBGoSz6DhFA8ZJz1Kh0qbRiqDWKVhRcpEZV-gql1kWhpQCBmne8YlocZye3urvpasSuTbY9DM3OmxH8TePANI8n1myatds3Op2odJEE3t4JePdzwhCb0YQWhwEsuik0vJS0oEpVKqFv_kO3bvI2vZcooaWkiU1Ufku13oXgsb83w2jzJw_Nozwk_vXDD-7pfwEQvwGzzrG7</recordid><startdate>20221121</startdate><enddate>20221121</enddate><creator>Piao, Xuan-Mei</creator><creator>Kim, Seon-Kyu</creator><creator>Byun, Young Joon</creator><creator>Zheng, Chuang-Ming</creator><creator>Kang, Ho Won</creator><creator>Kim, Won Tae</creator><creator>Kim, Yong-June</creator><creator>Lee, Sang-Cheol</creator><creator>Kim, Wun-Jae</creator><creator>Moon, Sung-Kwon</creator><creator>Choi, Yung Hyun</creator><creator>Yun, Seok Joong</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1925-0571</orcidid><orcidid>https://orcid.org/0000-0001-6847-7743</orcidid><orcidid>https://orcid.org/0000-0002-1454-3124</orcidid><orcidid>https://orcid.org/0000-0002-4176-5187</orcidid><orcidid>https://orcid.org/0000-0002-8060-8926</orcidid><orcidid>https://orcid.org/0000-0001-7737-4746</orcidid></search><sort><creationdate>20221121</creationdate><title>Utility of a Molecular Signature for Predicting Recurrence and Progression in Non-Muscle-Invasive Bladder Cancer Patients: Comparison with the EORTC, CUETO and 2021 EAU Risk Groups</title><author>Piao, Xuan-Mei ; Kim, Seon-Kyu ; Byun, Young Joon ; Zheng, Chuang-Ming ; Kang, Ho Won ; Kim, Won Tae ; Kim, Yong-June ; Lee, Sang-Cheol ; Kim, Wun-Jae ; Moon, Sung-Kwon ; Choi, Yung Hyun ; Yun, Seok Joong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-aa10a75fdeeaa62722e9e6976961e99e3c352399e689be49955943a3e92d28193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Bladder cancer</topic><topic>Cancer</topic><topic>Disease Progression</topic><topic>Evaluation</topic><topic>Humans</topic><topic>Immunotherapy</topic><topic>Invasiveness</topic><topic>Medical prognosis</topic><topic>Muscles</topic><topic>Neoplasm Invasiveness</topic><topic>Neoplasm Recurrence, Local - 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Of the 178 patients, 49 were newly analyzed by the RNA-sequencing, and their MSP888 subtype was evaluated. The ability of the EORTC, MSP888 and two molecular subtyping systems of bladder cancer (Lund and UROMOL subtypes) to predict progression of 460 NMIBC patients from the UROMOL project was assessed. Cox regression analyses showed that the MSP888 was an independent predictor of NMIBC progression in the CBNUH cohort (p = 0.043). Particularly in patients without an intravesical BCG immunotherapy, MSP888 significantly linked with risk of disease recurrence and progression (both p < 0.05). However, the EORTC, CUETO and 2021 EAU risk scores showed disappointing results with respect to estimating the NMIBC prognosis. In the UROMOL cohort, the MSP888, Lund and UROMOL subtypes demonstrated a similar capacity to predict NMIBC progression (all p < 0.05). 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subjects | Bladder cancer Cancer Disease Progression Evaluation Humans Immunotherapy Invasiveness Medical prognosis Muscles Neoplasm Invasiveness Neoplasm Recurrence, Local - genetics Neoplasm Recurrence, Local - pathology Patients Risk assessment Risk Factors Risk groups Tumors Urinary Bladder Neoplasms - genetics Urinary Bladder Neoplasms - pathology Urology |
title | Utility of a Molecular Signature for Predicting Recurrence and Progression in Non-Muscle-Invasive Bladder Cancer Patients: Comparison with the EORTC, CUETO and 2021 EAU Risk Groups |
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