Prognostic relevance of urinary bladder cancer susceptibility loci.

In the last few years, susceptibility loci have been identified for urinary bladder cancer (UBC) through candidate-gene and genome-wide association studies. Prognostic relevance of most of these loci is yet unknown. In this study, we used data of the Nijmegen Bladder Cancer Study (NBCS) to perform a...

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Autores principales: Anne J Grotenhuis, Aleksandra M Dudek, Gerald W Verhaegh, J Alfred Witjes, Katja K Aben, Saskia L van der Marel, Sita H Vermeulen, Lambertus A Kiemeney
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Publicado: Public Library of Science (PLoS) 2014
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spelling oai:doaj.org-article:ed9e22312aed4b26910fb7d7392251ac2021-11-18T08:31:10ZPrognostic relevance of urinary bladder cancer susceptibility loci.1932-620310.1371/journal.pone.0089164https://doaj.org/article/ed9e22312aed4b26910fb7d7392251ac2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24586564/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203In the last few years, susceptibility loci have been identified for urinary bladder cancer (UBC) through candidate-gene and genome-wide association studies. Prognostic relevance of most of these loci is yet unknown. In this study, we used data of the Nijmegen Bladder Cancer Study (NBCS) to perform a comprehensive evaluation of the prognostic relevance of all confirmed UBC susceptibility loci. Detailed clinical data concerning diagnosis, stage, treatment, and disease course of a population-based series of 1,602 UBC patients were collected retrospectively based on a medical file survey. Kaplan-Meier survival analyses and Cox proportional hazard regression were performed, and log-rank tests calculated, to evaluate the association between 12 confirmed UBC susceptibility variants and recurrence and progression in non-muscle invasive bladder cancer (NMIBC) patients. Among muscle-invasive or metastatic bladder cancer (MIBC) patients, association of these variants with overall survival was tested. Subgroup analyses by tumor aggressiveness and smoking status were performed in NMIBC patients. In the overall NMIBC group (n = 1,269), a statistically significant association between rs9642880 at 8q24 and risk of progression was observed (GT vs. TT: HR = 1.08 (95% CI: 0.76-1.54), GG vs. TT: HR = 1.81 (95% CI: 1.23-2.66), P for trend = 2.6 × 10(-3)). In subgroup analyses, several other variants showed suggestive, though non-significant, prognostic relevance for recurrence and progression in NMIBC and survival in MIBC. This study provides suggestive evidence that genetic loci involved in UBC etiology may influence disease prognosis. Elucidation of the causal variant(s) could further our understanding of the mechanism of disease, could point to new therapeutic targets, and might aid in improvement of prognostic tools.Anne J GrotenhuisAleksandra M DudekGerald W VerhaeghJ Alfred WitjesKatja K AbenSaskia L van der MarelSita H VermeulenLambertus A KiemeneyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 2, p e89164 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Anne J Grotenhuis
Aleksandra M Dudek
Gerald W Verhaegh
J Alfred Witjes
Katja K Aben
Saskia L van der Marel
Sita H Vermeulen
Lambertus A Kiemeney
Prognostic relevance of urinary bladder cancer susceptibility loci.
description In the last few years, susceptibility loci have been identified for urinary bladder cancer (UBC) through candidate-gene and genome-wide association studies. Prognostic relevance of most of these loci is yet unknown. In this study, we used data of the Nijmegen Bladder Cancer Study (NBCS) to perform a comprehensive evaluation of the prognostic relevance of all confirmed UBC susceptibility loci. Detailed clinical data concerning diagnosis, stage, treatment, and disease course of a population-based series of 1,602 UBC patients were collected retrospectively based on a medical file survey. Kaplan-Meier survival analyses and Cox proportional hazard regression were performed, and log-rank tests calculated, to evaluate the association between 12 confirmed UBC susceptibility variants and recurrence and progression in non-muscle invasive bladder cancer (NMIBC) patients. Among muscle-invasive or metastatic bladder cancer (MIBC) patients, association of these variants with overall survival was tested. Subgroup analyses by tumor aggressiveness and smoking status were performed in NMIBC patients. In the overall NMIBC group (n = 1,269), a statistically significant association between rs9642880 at 8q24 and risk of progression was observed (GT vs. TT: HR = 1.08 (95% CI: 0.76-1.54), GG vs. TT: HR = 1.81 (95% CI: 1.23-2.66), P for trend = 2.6 × 10(-3)). In subgroup analyses, several other variants showed suggestive, though non-significant, prognostic relevance for recurrence and progression in NMIBC and survival in MIBC. This study provides suggestive evidence that genetic loci involved in UBC etiology may influence disease prognosis. Elucidation of the causal variant(s) could further our understanding of the mechanism of disease, could point to new therapeutic targets, and might aid in improvement of prognostic tools.
format article
author Anne J Grotenhuis
Aleksandra M Dudek
Gerald W Verhaegh
J Alfred Witjes
Katja K Aben
Saskia L van der Marel
Sita H Vermeulen
Lambertus A Kiemeney
author_facet Anne J Grotenhuis
Aleksandra M Dudek
Gerald W Verhaegh
J Alfred Witjes
Katja K Aben
Saskia L van der Marel
Sita H Vermeulen
Lambertus A Kiemeney
author_sort Anne J Grotenhuis
title Prognostic relevance of urinary bladder cancer susceptibility loci.
title_short Prognostic relevance of urinary bladder cancer susceptibility loci.
title_full Prognostic relevance of urinary bladder cancer susceptibility loci.
title_fullStr Prognostic relevance of urinary bladder cancer susceptibility loci.
title_full_unstemmed Prognostic relevance of urinary bladder cancer susceptibility loci.
title_sort prognostic relevance of urinary bladder cancer susceptibility loci.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/ed9e22312aed4b26910fb7d7392251ac
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