Screening and identification of specific markers for bladder transitional cell carcinoma from urine urothelial cells with suppressive subtractive hybridization and cDNA microarray
DOI:
https://doi.org/10.5489/cuaj.757Abstract
Objective: The objective of this study was to screen and identify
differentially expressed genes in invasive bladder transitional cell
carcinoma (BTCC).
Methods: Voided urine samples were collected from consecutive
patients with BTCC and patients under surveillance for bladder
cancer recurrence; voided urine samples from patients with nonmalignant
diseases served as control. We identified the differentially
expressed genes by comparing urine samples of bladder
carcinoma to that of the control group with suppressive subtractive
hybridization (SSH) and cDNA microarray. The differentially
expressed genes were verified by quantitative real-time polymerase
chain reaction (QPCR).
Results: From the 762 white colonies, a total of 449 positive clones
were obtained in which 112 were found to be upregulated in BTCC.
Sequencing and homology analysis were performed for these 112
clonies. The detection rates of some known genes (including IGF-
1, human telomerase reverse transcriptase [hTERT], bladder cancer
specific nuclear matrix protein 4 [BLCA-4] and homeobox A13
[HOXA13]) for BTCC at the Ta, T1 and >T1 stages were 48%, 90%
and 100%, respectively, with a specificity of 85%. The test specificity
was 80% for the 30 control patients with urinary tract infections. The
combination of BLCA-4 and HOXA13 could distinguish between
low- and high-grade tumours, with specificity and sensitivity of 80%.
Conclusion: We successfully constructed a reliable SSH library of
BTCC and found that combination detection insulin-like growth
factor 1 (IGF-1), hTERT, BLCA-4 and HOXA13 genes could help
to evaluate BTCC at different stages.
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