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
Hauptverfasser: 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
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container_issue 22
container_start_page 14481
container_title International journal of molecular sciences
container_volume 23
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.
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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 &lt; 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 &lt; 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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