Non-Invasive Test for Urothelial Cancer Detection
When combined with cytology, UroSEEK detected 95% of patients who developed bladder cancer
(HealthDay News) -- UroSEEK, which uses DNA recovered from cells shed into urine, can detect urothelial cancer, according to a study published online in eLife.
Simeon U. Springer, from the Ludwig Center for Cancer Genetics and Therapeutics in Baltimore, and colleagues developed a test to detect urothelial neoplasms that incorporates massive parallel sequencing assays for mutations in 11 genes and copy number changes on 39 chromosome arms. UroSEEK was used in 570 patients at risk for bladder cancer (BC) and 56 with upper tract urothelial cancer.
The researchers found that UroSEEK was positive in 83% of those who developed BC. Combined with cytology, it detected 95% of patients who developed BC. Seventy-five percent of patients with upper tract urothelial cancer tested positive by UroSEEK, including 79% of those with non-invasive tumors. In 68% of urines obtained from BC patients under surveillance who demonstrated clinical evidence of recurrence, UroSEEK detected genetic abnormalities. In low-grade BCs, UroSEEK detected 67% of cases, while none were detected by cytology.
"These results establish the foundation for a new non-invasive approach for detection of urothelial cancer," the authors write.
Several authors disclosed financial ties to Personal Genome Diagnostics, PapGene, and Sysmex-Inostics.