The Role of Checkpoint Inhibitor Expression Directly on Exfoliated Cells from Bladder Cancer: A Narrative Review

Bladder cancer (BCa) is a common type of cancer that affects the urinary bladder. The early detection and management of BCa is critical for successful treatment and patient outcomes. In recent years, researchers have been exploring the use of biomarkers as a non-invasive and effective tool for the d...

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Main Authors: Luca Di Gianfrancesco, Alessandro Crestani, Antonio Amodeo, Paolo Corsi, Davide De Marchi, Eugenio Miglioranza, Giuliana Lista, Francesca Simonetti, Gian Maria Busetto, Martina Maggi, Francesco Pierconti, Maurizio Martini, Isabella Monia Montagner, Debora Tormen, Antonio Scapinello, Filippo Marino, Angelo Porreca
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/19/3119
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author Luca Di Gianfrancesco
Alessandro Crestani
Antonio Amodeo
Paolo Corsi
Davide De Marchi
Eugenio Miglioranza
Giuliana Lista
Francesca Simonetti
Gian Maria Busetto
Martina Maggi
Francesco Pierconti
Maurizio Martini
Isabella Monia Montagner
Debora Tormen
Antonio Scapinello
Filippo Marino
Angelo Porreca
author_facet Luca Di Gianfrancesco
Alessandro Crestani
Antonio Amodeo
Paolo Corsi
Davide De Marchi
Eugenio Miglioranza
Giuliana Lista
Francesca Simonetti
Gian Maria Busetto
Martina Maggi
Francesco Pierconti
Maurizio Martini
Isabella Monia Montagner
Debora Tormen
Antonio Scapinello
Filippo Marino
Angelo Porreca
author_sort Luca Di Gianfrancesco
collection DOAJ
description Bladder cancer (BCa) is a common type of cancer that affects the urinary bladder. The early detection and management of BCa is critical for successful treatment and patient outcomes. In recent years, researchers have been exploring the use of biomarkers as a non-invasive and effective tool for the detection and monitoring of BCa. One such biomarker is programmed death-ligand 1 (PD-L1), which is expressed on the surface of cancer cells and plays a crucial role in the evasion of the immune system. Studies have shown that the PD-L1 expression is higher in BCa tumors than in healthy bladder tissue. Additionally, PD-L1 expression might even be detected in urine samples in BCa patients, in addition to the examination of a histological sample. The technique is being standardized and optimized. We reported how BCa patients had higher urinary PD-L1 levels than controls by considering BCa tumors expressing PD-L1 in the tissue specimen. The expression of PD-L1 in urinary BCa cells might represent both a diagnostic and a prognostic tool, with the perspective that the PD-L1 expression of exfoliate urinary cells might reveal and anticipate eventual BCa recurrence or progression. Further prospective and longitudinal studies are needed to assess the expression of PD-L1 as a biomarker for the monitoring of BCa patients. The use of PD-L1 as a biomarker for the detection and monitoring of BCa has the potential to significantly improve patient outcomes by allowing for earlier detection and more effective management of the disease.
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spelling doaj.art-662c8c7583fb4a5a9b10d95caf389d732023-11-19T14:15:03ZengMDPI AGDiagnostics2075-44182023-10-011319311910.3390/diagnostics13193119The Role of Checkpoint Inhibitor Expression Directly on Exfoliated Cells from Bladder Cancer: A Narrative ReviewLuca Di Gianfrancesco0Alessandro Crestani1Antonio Amodeo2Paolo Corsi3Davide De Marchi4Eugenio Miglioranza5Giuliana Lista6Francesca Simonetti7Gian Maria Busetto8Martina Maggi9Francesco Pierconti10Maurizio Martini11Isabella Monia Montagner12Debora Tormen13Antonio Scapinello14Filippo Marino15Angelo Porreca16Department of Urology, Veneto Institute of Oncology (IOV)—IRCCS, Headquarter of Castelfranco Veneto, 35128 Padua, ItalyDepartment of Urology, Veneto Institute of Oncology (IOV)—IRCCS, Headquarter of Castelfranco Veneto, 35128 Padua, ItalyDepartment of Urology, Veneto Institute of Oncology (IOV)—IRCCS, Headquarter of Castelfranco Veneto, 35128 Padua, ItalyDepartment of Urology, Veneto Institute of Oncology (IOV)—IRCCS, Headquarter of Castelfranco Veneto, 35128 Padua, ItalyDepartment of Urology, Veneto Institute of Oncology (IOV)—IRCCS, Headquarter of Castelfranco Veneto, 35128 Padua, ItalyDepartment of Urology, Veneto Institute of Oncology (IOV)—IRCCS, Headquarter of Castelfranco Veneto, 35128 Padua, ItalyDepartment of Urology, Veneto Institute of Oncology (IOV)—IRCCS, Headquarter of Castelfranco Veneto, 35128 Padua, ItalyDepartment of Urology, Veneto Institute of Oncology (IOV)—IRCCS, Headquarter of Castelfranco Veneto, 35128 Padua, ItalyDepartment of Urology, University of Foggia, 71122 Foggia, ItalyDepartment of Urology, Sapienza University, 00185 Rome, ItalyDepartment of Pathology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, University of Sacred Heart, 00168 Rome, ItalyDepartment of Pathology, University of Messina, 98122 Messina, ItalyAnatomy and Pathological Histology Unit, Veneto Institute of Oncology IOV—IRCCS, 35128 Padua, ItalyAnatomy and Pathological Histology Unit, Veneto Institute of Oncology IOV—IRCCS, 35128 Padua, ItalyAnatomy and Pathological Histology Unit, Veneto Institute of Oncology IOV—IRCCS, 35128 Padua, ItalyDepartment of Urology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, University of Sacred Heart, 00168 Rome, ItalyDepartment of Urology, Veneto Institute of Oncology (IOV)—IRCCS, Headquarter of Castelfranco Veneto, 35128 Padua, ItalyBladder cancer (BCa) is a common type of cancer that affects the urinary bladder. The early detection and management of BCa is critical for successful treatment and patient outcomes. In recent years, researchers have been exploring the use of biomarkers as a non-invasive and effective tool for the detection and monitoring of BCa. One such biomarker is programmed death-ligand 1 (PD-L1), which is expressed on the surface of cancer cells and plays a crucial role in the evasion of the immune system. Studies have shown that the PD-L1 expression is higher in BCa tumors than in healthy bladder tissue. Additionally, PD-L1 expression might even be detected in urine samples in BCa patients, in addition to the examination of a histological sample. The technique is being standardized and optimized. We reported how BCa patients had higher urinary PD-L1 levels than controls by considering BCa tumors expressing PD-L1 in the tissue specimen. The expression of PD-L1 in urinary BCa cells might represent both a diagnostic and a prognostic tool, with the perspective that the PD-L1 expression of exfoliate urinary cells might reveal and anticipate eventual BCa recurrence or progression. Further prospective and longitudinal studies are needed to assess the expression of PD-L1 as a biomarker for the monitoring of BCa patients. The use of PD-L1 as a biomarker for the detection and monitoring of BCa has the potential to significantly improve patient outcomes by allowing for earlier detection and more effective management of the disease.https://www.mdpi.com/2075-4418/13/19/3119bladder cancerPD-L1urinary biomarkerdiagnostic toolprognostic tool
spellingShingle Luca Di Gianfrancesco
Alessandro Crestani
Antonio Amodeo
Paolo Corsi
Davide De Marchi
Eugenio Miglioranza
Giuliana Lista
Francesca Simonetti
Gian Maria Busetto
Martina Maggi
Francesco Pierconti
Maurizio Martini
Isabella Monia Montagner
Debora Tormen
Antonio Scapinello
Filippo Marino
Angelo Porreca
The Role of Checkpoint Inhibitor Expression Directly on Exfoliated Cells from Bladder Cancer: A Narrative Review
Diagnostics
bladder cancer
PD-L1
urinary biomarker
diagnostic tool
prognostic tool
title The Role of Checkpoint Inhibitor Expression Directly on Exfoliated Cells from Bladder Cancer: A Narrative Review
title_full The Role of Checkpoint Inhibitor Expression Directly on Exfoliated Cells from Bladder Cancer: A Narrative Review
title_fullStr The Role of Checkpoint Inhibitor Expression Directly on Exfoliated Cells from Bladder Cancer: A Narrative Review
title_full_unstemmed The Role of Checkpoint Inhibitor Expression Directly on Exfoliated Cells from Bladder Cancer: A Narrative Review
title_short The Role of Checkpoint Inhibitor Expression Directly on Exfoliated Cells from Bladder Cancer: A Narrative Review
title_sort role of checkpoint inhibitor expression directly on exfoliated cells from bladder cancer a narrative review
topic bladder cancer
PD-L1
urinary biomarker
diagnostic tool
prognostic tool
url https://www.mdpi.com/2075-4418/13/19/3119
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