Department of Urology, Collegium Medicum, University of Zielona Góra, 65-046 Zielona Góra, Poland.
Int J Mol Sci. 2020 May 9;21(9):3360. doi: 10.3390/ijms21093360.
The high occurrence of bladder cancer and its tendency to recur in combination with a lifelong surveillance make the treatment of superficial bladder cancer one of the most expensive and time-consuming. Moreover, carcinoma in situ often leads to muscle invasion with an unfavorable prognosis. Currently, invasive methods including cystoscopy and cytology remain a gold standard. The aim of this study was to explore urine-based biomarkers to find the one with the best specificity and sensitivity, which would allow optimizing the treatment plan. In this review, we sum up the current knowledge about Cytokeratin fragments (CYFRA 21.1), Excision Repair Cross-Complementation 1 (ERCC1), Tumour Protein p53 (Tp53), Fibroblast Growth Factor Receptor 3 (FGFR3), Tumor-Associated Trypsin Inhibitor (TATI) and their potential applications in clinical practice.
膀胱癌的高发生率及其复发倾向,再加上终生监测,使得表浅性膀胱癌的治疗成为最昂贵和最耗时的治疗之一。此外,原位癌常导致肌肉浸润,预后不良。目前,包括膀胱镜检查和细胞学检查在内的侵袭性方法仍然是金标准。本研究旨在探讨基于尿液的生物标志物,以找到特异性和敏感性最佳的标志物,从而优化治疗方案。在这篇综述中,我们总结了细胞角蛋白片段(CYFRA 21.1)、切除修复交叉互补基因 1(ERCC1)、肿瘤蛋白 p53(Tp53)、成纤维细胞生长因子受体 3(FGFR3)、肿瘤相关胰蛋白酶抑制剂(TATI)的最新知识及其在临床实践中的潜在应用。