Chromosomal imbalance in the progression of high-risk non-muscle invasive bladder cancer
<p>Abstract</p> <p>Background</p> <p>Non-muscle invasive bladder neoplasms with invasion of the <it>lamina propria </it>(stage T1) or high grade of dysplasia are at "high risk" of progression to life-threatening cancer. However, the individual cour...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2009-05-01
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| Series: | BMC Cancer |
| Online Access: | http://www.biomedcentral.com/1471-2407/9/149 |
| _version_ | 1818766188574932992 |
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| author | Ørntoft Torben Jensen Klaus Wiuf Carsten Zieger Karsten Dyrskjøt Lars |
| author_facet | Ørntoft Torben Jensen Klaus Wiuf Carsten Zieger Karsten Dyrskjøt Lars |
| author_sort | Ørntoft Torben |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Non-muscle invasive bladder neoplasms with invasion of the <it>lamina propria </it>(stage T1) or high grade of dysplasia are at "high risk" of progression to life-threatening cancer. However, the individual course is difficult to predict. Chromosomal instability (CI) is associated with high tumor stage and grade, and possibly with the risk of progression.</p> <p>Methods</p> <p>To investigate the relationship between CI and subsequent disease progression, we performed a case-control-study of 125 patients with "high-risk" non-muscle invasive bladder neoplasms, 67 with later disease progression, and 58 with no progression. Selection criteria were conservative (non-radical) resections and full prospective clinical follow-up (> 5 years). We investigated primary lesions in 59, and recurrent lesions in 66 cases.</p> <p>We used Affymetrix GeneChip<sup>® </sup>Mapping 10 K and 50 K SNP microarrays to evaluate genome wide chromosomal imbalance (loss-of-heterozygosity and DNA copy number changes) in 48 representative tumors. DNA copy number changes of 15 key instability regions were further investigated using QPCR in 101 tumors (including 25 tumors also analysed on 50 K SNP microarrays).</p> <p>Results</p> <p>Chromosomal instability did not predict any higher risk of subsequent progression. Stage T1 and high-grade tumors had generally more unstable genomes than tumors of lower stage and grade (mostly non-primary tumors following a "high-risk" tumor). However, about 25% of the "high-risk" tumors had very few alterations. This was independent of subsequent progression. Recurrent lesions represent underlying field disease. A separate analysis of these lesions did neither reflect any difference in the risk of progression. Of specific chromosomal alterations, a possible association between loss of chromosome 8p11 and the risk of progression was found. However, the predictive value was limited by the heterogeneity of the changes.</p> <p>Conclusion</p> <p>Chromosomal instability (CI) was associated with "high risk" tumors (stage T1 or high-grade), but did not predict subsequent progression. Recurrences after "high-risk" tumors had fewer chromosomal alterations, but there was no association with the risk of progression in this group either. Thus, the prediction of progression of "high risk" non-muscle invasive bladder tumors using chromosomal changes is difficult. Loss of chromosome 8p11 may play a role in the progression process. About 25% of the "high risk" tumors were chromosomal stable.</p> |
| first_indexed | 2024-12-18T08:30:01Z |
| format | Article |
| id | doaj.art-524a10a095564d31817e40be46ad1be7 |
| institution | Directory Open Access Journal |
| issn | 1471-2407 |
| language | English |
| last_indexed | 2024-12-18T08:30:01Z |
| publishDate | 2009-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cancer |
| spelling | doaj.art-524a10a095564d31817e40be46ad1be72022-12-21T21:14:29ZengBMCBMC Cancer1471-24072009-05-019114910.1186/1471-2407-9-149Chromosomal imbalance in the progression of high-risk non-muscle invasive bladder cancerØrntoft TorbenJensen KlausWiuf CarstenZieger KarstenDyrskjøt Lars<p>Abstract</p> <p>Background</p> <p>Non-muscle invasive bladder neoplasms with invasion of the <it>lamina propria </it>(stage T1) or high grade of dysplasia are at "high risk" of progression to life-threatening cancer. However, the individual course is difficult to predict. Chromosomal instability (CI) is associated with high tumor stage and grade, and possibly with the risk of progression.</p> <p>Methods</p> <p>To investigate the relationship between CI and subsequent disease progression, we performed a case-control-study of 125 patients with "high-risk" non-muscle invasive bladder neoplasms, 67 with later disease progression, and 58 with no progression. Selection criteria were conservative (non-radical) resections and full prospective clinical follow-up (> 5 years). We investigated primary lesions in 59, and recurrent lesions in 66 cases.</p> <p>We used Affymetrix GeneChip<sup>® </sup>Mapping 10 K and 50 K SNP microarrays to evaluate genome wide chromosomal imbalance (loss-of-heterozygosity and DNA copy number changes) in 48 representative tumors. DNA copy number changes of 15 key instability regions were further investigated using QPCR in 101 tumors (including 25 tumors also analysed on 50 K SNP microarrays).</p> <p>Results</p> <p>Chromosomal instability did not predict any higher risk of subsequent progression. Stage T1 and high-grade tumors had generally more unstable genomes than tumors of lower stage and grade (mostly non-primary tumors following a "high-risk" tumor). However, about 25% of the "high-risk" tumors had very few alterations. This was independent of subsequent progression. Recurrent lesions represent underlying field disease. A separate analysis of these lesions did neither reflect any difference in the risk of progression. Of specific chromosomal alterations, a possible association between loss of chromosome 8p11 and the risk of progression was found. However, the predictive value was limited by the heterogeneity of the changes.</p> <p>Conclusion</p> <p>Chromosomal instability (CI) was associated with "high risk" tumors (stage T1 or high-grade), but did not predict subsequent progression. Recurrences after "high-risk" tumors had fewer chromosomal alterations, but there was no association with the risk of progression in this group either. Thus, the prediction of progression of "high risk" non-muscle invasive bladder tumors using chromosomal changes is difficult. Loss of chromosome 8p11 may play a role in the progression process. About 25% of the "high risk" tumors were chromosomal stable.</p>http://www.biomedcentral.com/1471-2407/9/149 |
| spellingShingle | Ørntoft Torben Jensen Klaus Wiuf Carsten Zieger Karsten Dyrskjøt Lars Chromosomal imbalance in the progression of high-risk non-muscle invasive bladder cancer BMC Cancer |
| title | Chromosomal imbalance in the progression of high-risk non-muscle invasive bladder cancer |
| title_full | Chromosomal imbalance in the progression of high-risk non-muscle invasive bladder cancer |
| title_fullStr | Chromosomal imbalance in the progression of high-risk non-muscle invasive bladder cancer |
| title_full_unstemmed | Chromosomal imbalance in the progression of high-risk non-muscle invasive bladder cancer |
| title_short | Chromosomal imbalance in the progression of high-risk non-muscle invasive bladder cancer |
| title_sort | chromosomal imbalance in the progression of high risk non muscle invasive bladder cancer |
| url | http://www.biomedcentral.com/1471-2407/9/149 |
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