Non-invasive detection of urothelial cancer through the analysis of driver gene mutations and aneuploidy

Current non-invasive approaches for detection of urothelial cancers are suboptimal. We developed a test to detect urothelial neoplasms using DNA recovered from cells shed into urine. UroSEEK incorporates massive parallel sequencing assays for mutations in 11 genes and copy number changes on 39 chrom...

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Main Authors: Simeon U Springer, Chung-Hsin Chen, Maria Del Carmen Rodriguez Pena, Lu Li, Christopher Douville, Yuxuan Wang, Joshua David Cohen, Diana Taheri, Natalie Silliman, Joy Schaefer, Janine Ptak, Lisa Dobbyn, Maria Papoli, Isaac Kinde, Bahman Afsari, Aline C Tregnago, Stephania M Bezerra, Christopher VandenBussche, Kazutoshi Fujita, Dilek Ertoy, Isabela W Cunha, Lijia Yu, Trinity J Bivalacqua, Arthur P Grollman, Luis A Diaz, Rachel Karchin, Ludmila Danilova, Chao-Yuan Huang, Chia-Tung Shun, Robert J Turesky, Byeong Hwa Yun, Thomas A Rosenquist, Yeong-Shiau Pu, Ralph H Hruban, Cristian Tomasetti, Nickolas Papadopoulos, Ken W Kinzler, Bert Vogelstein, Kathleen G Dickman, George J Netto
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2018-03-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/32143
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author Simeon U Springer
Chung-Hsin Chen
Maria Del Carmen Rodriguez Pena
Lu Li
Christopher Douville
Yuxuan Wang
Joshua David Cohen
Diana Taheri
Natalie Silliman
Joy Schaefer
Janine Ptak
Lisa Dobbyn
Maria Papoli
Isaac Kinde
Bahman Afsari
Aline C Tregnago
Stephania M Bezerra
Christopher VandenBussche
Kazutoshi Fujita
Dilek Ertoy
Isabela W Cunha
Lijia Yu
Trinity J Bivalacqua
Arthur P Grollman
Luis A Diaz
Rachel Karchin
Ludmila Danilova
Chao-Yuan Huang
Chia-Tung Shun
Robert J Turesky
Byeong Hwa Yun
Thomas A Rosenquist
Yeong-Shiau Pu
Ralph H Hruban
Cristian Tomasetti
Nickolas Papadopoulos
Ken W Kinzler
Bert Vogelstein
Kathleen G Dickman
George J Netto
spellingShingle Simeon U Springer
Chung-Hsin Chen
Maria Del Carmen Rodriguez Pena
Lu Li
Christopher Douville
Yuxuan Wang
Joshua David Cohen
Diana Taheri
Natalie Silliman
Joy Schaefer
Janine Ptak
Lisa Dobbyn
Maria Papoli
Isaac Kinde
Bahman Afsari
Aline C Tregnago
Stephania M Bezerra
Christopher VandenBussche
Kazutoshi Fujita
Dilek Ertoy
Isabela W Cunha
Lijia Yu
Trinity J Bivalacqua
Arthur P Grollman
Luis A Diaz
Rachel Karchin
Ludmila Danilova
Chao-Yuan Huang
Chia-Tung Shun
Robert J Turesky
Byeong Hwa Yun
Thomas A Rosenquist
Yeong-Shiau Pu
Ralph H Hruban
Cristian Tomasetti
Nickolas Papadopoulos
Ken W Kinzler
Bert Vogelstein
Kathleen G Dickman
George J Netto
Non-invasive detection of urothelial cancer through the analysis of driver gene mutations and aneuploidy
eLife
liquid biopsy
cancer
urine
bladder
renal pelvis
ureter
author_facet Simeon U Springer
Chung-Hsin Chen
Maria Del Carmen Rodriguez Pena
Lu Li
Christopher Douville
Yuxuan Wang
Joshua David Cohen
Diana Taheri
Natalie Silliman
Joy Schaefer
Janine Ptak
Lisa Dobbyn
Maria Papoli
Isaac Kinde
Bahman Afsari
Aline C Tregnago
Stephania M Bezerra
Christopher VandenBussche
Kazutoshi Fujita
Dilek Ertoy
Isabela W Cunha
Lijia Yu
Trinity J Bivalacqua
Arthur P Grollman
Luis A Diaz
Rachel Karchin
Ludmila Danilova
Chao-Yuan Huang
Chia-Tung Shun
Robert J Turesky
Byeong Hwa Yun
Thomas A Rosenquist
Yeong-Shiau Pu
Ralph H Hruban
Cristian Tomasetti
Nickolas Papadopoulos
Ken W Kinzler
Bert Vogelstein
Kathleen G Dickman
George J Netto
author_sort Simeon U Springer
title Non-invasive detection of urothelial cancer through the analysis of driver gene mutations and aneuploidy
title_short Non-invasive detection of urothelial cancer through the analysis of driver gene mutations and aneuploidy
title_full Non-invasive detection of urothelial cancer through the analysis of driver gene mutations and aneuploidy
title_fullStr Non-invasive detection of urothelial cancer through the analysis of driver gene mutations and aneuploidy
title_full_unstemmed Non-invasive detection of urothelial cancer through the analysis of driver gene mutations and aneuploidy
title_sort non-invasive detection of urothelial cancer through the analysis of driver gene mutations and aneuploidy
publisher eLife Sciences Publications Ltd
series eLife
issn 2050-084X
publishDate 2018-03-01
description Current non-invasive approaches for detection of urothelial cancers are suboptimal. We developed a test to detect urothelial neoplasms using DNA recovered from cells shed into urine. UroSEEK incorporates massive parallel sequencing assays for mutations in 11 genes and copy number changes on 39 chromosome arms. In 570 patients at risk for bladder cancer (BC), UroSEEK was positive in 83% of those who developed BC. Combined with cytology, UroSEEK detected 95% of patients who developed BC. Of 56 patients with upper tract urothelial cancer, 75% tested positive by UroSEEK, including 79% of those with non-invasive tumors. UroSEEK detected genetic abnormalities in 68% of urines obtained from BC patients under surveillance who demonstrated clinical evidence of recurrence. The advantages of UroSEEK over cytology were evident in low-grade BCs; UroSEEK detected 67% of cases whereas cytology detected none. These results establish the foundation for a new non-invasive approach for detection of urothelial cancer.
topic liquid biopsy
cancer
urine
bladder
renal pelvis
ureter
url https://elifesciences.org/articles/32143
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spelling doaj-035e9fc0aa4749039ab3ee51913706ab2021-05-05T15:44:27ZengeLife Sciences Publications LtdeLife2050-084X2018-03-01710.7554/eLife.32143Non-invasive detection of urothelial cancer through the analysis of driver gene mutations and aneuploidySimeon U Springer0https://orcid.org/0000-0002-2891-2111Chung-Hsin Chen1Maria Del Carmen Rodriguez Pena2https://orcid.org/0000-0002-3439-7013Lu Li3https://orcid.org/0000-0002-1920-4965Christopher Douville4https://orcid.org/0000-0002-2510-4151Yuxuan Wang5https://orcid.org/0000-0002-2932-6042Joshua David Cohen6https://orcid.org/0000-0003-1158-5668Diana Taheri7Natalie Silliman8Joy Schaefer9Janine Ptak10Lisa Dobbyn11Maria Papoli12Isaac Kinde13Bahman Afsari14Aline C Tregnago15Stephania M Bezerra16Christopher VandenBussche17Kazutoshi Fujita18Dilek Ertoy19Isabela W Cunha20Lijia Yu21https://orcid.org/0000-0001-6735-9569Trinity J Bivalacqua22Arthur P Grollman23Luis A Diaz24Rachel Karchin25Ludmila Danilova26Chao-Yuan Huang27Chia-Tung Shun28Robert J Turesky29Byeong Hwa Yun30Thomas A Rosenquist31Yeong-Shiau Pu32Ralph H Hruban33Cristian Tomasetti34Nickolas Papadopoulos35Ken W Kinzler36Bert Vogelstein37https://orcid.org/0000-0003-0766-3854Kathleen G Dickman38https://orcid.org/0000-0003-1308-2992George J Netto39https://orcid.org/0000-0003-3915-9134Howard Hughes Medical Institute, Ludwig Center for Cancer Genetics and Therapeutics, Baltimore, United States; Sidney Kimmel Comprehensive Cancer Center, Baltimore, United StatesDepartment of Urology, National Taiwan University Hospital, Taipei, TaiwanDepartment of Pathology, Johns Hopkins University, Baltimore, United States; Department of Pathology, University of Alabama at Birmingham, Birmingham, United StatesDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, United StatesDepartment of Biomedical Engineering, Institute for Computational Medicine, Johns Hopkins University, Baltimore, United StatesHoward Hughes Medical Institute, Ludwig Center for Cancer Genetics and Therapeutics, Baltimore, United States; Sidney Kimmel Comprehensive Cancer Center, Baltimore, United StatesHoward Hughes Medical Institute, Ludwig Center for Cancer Genetics and Therapeutics, Baltimore, United States; Sidney Kimmel Comprehensive Cancer Center, Baltimore, United StatesDepartment of Pathology, Johns Hopkins University, Baltimore, United States; Department of Pathology, Isfahan Kidney Diseases Research Center, Isfahan University of Medical Sciences, Isfahan, IranHoward Hughes Medical Institute, Ludwig Center for Cancer Genetics and Therapeutics, Baltimore, United States; Sidney Kimmel Comprehensive Cancer Center, Baltimore, United StatesHoward Hughes Medical Institute, Ludwig Center for Cancer Genetics and Therapeutics, Baltimore, United States; Sidney Kimmel Comprehensive Cancer Center, Baltimore, United StatesHoward Hughes Medical Institute, Ludwig Center for Cancer Genetics and Therapeutics, Baltimore, United States; Sidney Kimmel Comprehensive Cancer Center, Baltimore, United StatesHoward Hughes Medical Institute, Ludwig Center for Cancer Genetics and Therapeutics, Baltimore, United States; Sidney Kimmel Comprehensive Cancer Center, Baltimore, United StatesHoward Hughes Medical Institute, Ludwig Center for Cancer Genetics and Therapeutics, Baltimore, United States; Sidney Kimmel Comprehensive Cancer Center, Baltimore, United StatesHoward Hughes Medical Institute, Ludwig Center for Cancer Genetics and Therapeutics, Baltimore, United States; Sidney Kimmel Comprehensive Cancer Center, Baltimore, United StatesDepartment of Oncology, Johns Hopkins University, Baltimore, United States; Division of Biostatistics and Bioinformatics, Department of Oncology, Sidney Kimmel Cancer Center, Johns Hopkins School of Medicine, Baltimore, United StatesDepartment of Pathology, Johns Hopkins University, Baltimore, United StatesDepartment of Pathology, AC Camargo Cancer Center, Sao Paulo, BrazilDepartment of Pathology, Johns Hopkins University, Baltimore, United StatesDepartment of Pathology, Osaka University, Osaka, JapanDepartment of Pathology, Hacettepe University, Ankara, TurkeyDepartment of Pathology, AC Camargo Cancer Center, Sao Paulo, BrazilDepartment of Pathology, University of Alabama at Birmingham, Birmingham, United StatesDepartment of Urology, Johns Hopkins University, Baltimore, United StatesDepartment of Pharmacological Sciences, Stony Brook University, Stony Brook, United States; Department of Medicine, Stony Brook University, Stony Brook, United StatesDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, United StatesDepartment of Biomedical Engineering, Institute for Computational Medicine, Johns Hopkins University, Baltimore, United States; Department of Oncology, Johns Hopkins University, Baltimore, United StatesDivision of Biostatistics and Bioinformatics, Department of Oncology, Sidney Kimmel Cancer Center, Johns Hopkins School of Medicine, Baltimore, United States; Department of Pathology, Hacettepe University, Ankara, TurkeyDepartment of Urology, National Taiwan University Hospital, Taipei, TaiwanDepartment of Forensic Medicine and Pathology, National Taiwan University Hospital, Taipei, TaiwanMasonic Cancer Center, University of Minnesota, Minneapolis, United States; Department of Medicinal Chemistry, University of Minnesota, Minneapolis, United StatesMasonic Cancer Center, University of Minnesota, Minneapolis, United States; Department of Medicinal Chemistry, University of Minnesota, Minneapolis, United StatesDepartment of Pharmacological Sciences, Stony Brook University, Stony Brook, United StatesDepartment of Urology, National Taiwan University Hospital, Taipei, TaiwanDepartment of Pathology, Johns Hopkins University, Baltimore, United StatesDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States; Division of Biostatistics and Bioinformatics, Department of Oncology, Sidney Kimmel Cancer Center, Johns Hopkins School of Medicine, Baltimore, United StatesHoward Hughes Medical Institute, Ludwig Center for Cancer Genetics and Therapeutics, Baltimore, United States; Sidney Kimmel Comprehensive Cancer Center, Baltimore, United StatesHoward Hughes Medical Institute, Ludwig Center for Cancer Genetics and Therapeutics, Baltimore, United States; Sidney Kimmel Comprehensive Cancer Center, Baltimore, United StatesHoward Hughes Medical Institute, Ludwig Center for Cancer Genetics and Therapeutics, Baltimore, United States; Sidney Kimmel Comprehensive Cancer Center, Baltimore, United StatesDepartment of Pharmacological Sciences, Stony Brook University, Stony Brook, United States; Department of Medicine, Stony Brook University, Stony Brook, United StatesDepartment of Pathology, Johns Hopkins University, Baltimore, United States; Department of Pathology, University of Alabama at Birmingham, Birmingham, United StatesCurrent non-invasive approaches for detection of urothelial cancers are suboptimal. We developed a test to detect urothelial neoplasms using DNA recovered from cells shed into urine. UroSEEK incorporates massive parallel sequencing assays for mutations in 11 genes and copy number changes on 39 chromosome arms. In 570 patients at risk for bladder cancer (BC), UroSEEK was positive in 83% of those who developed BC. Combined with cytology, UroSEEK detected 95% of patients who developed BC. Of 56 patients with upper tract urothelial cancer, 75% tested positive by UroSEEK, including 79% of those with non-invasive tumors. UroSEEK detected genetic abnormalities in 68% of urines obtained from BC patients under surveillance who demonstrated clinical evidence of recurrence. The advantages of UroSEEK over cytology were evident in low-grade BCs; UroSEEK detected 67% of cases whereas cytology detected none. These results establish the foundation for a new non-invasive approach for detection of urothelial cancer.https://elifesciences.org/articles/32143liquid biopsycancerurinebladderrenal pelvisureter