Abstract

Simple SummaryThe mortality and recurrence associated with urothelial carcinoma are high. High heterogeneity makes it hard to detect with currently available methods such as cytology and histology. We propose here vibrational spectroscopic imaging as an additional diagnostic tool for the classification of bladder cancer. Our study revealed that chemism-induced spectroscopic features of the cancer cells of various stages and invasiveness were specifically detected.Markers of bladder cancer cells remain elusive, which is a major cause of the low recognition of this malignant neoplasm and its recurrence. This implies an urgent need for additional diagnostic tools which are based on the identification of the chemism of bladder cancer. In this study, we employed label-free techniques of molecular imaging—Fourier Transform Infrared and Raman spectroscopic imaging—to investigate bladder cancer cell lines of various invasiveness (T24a, T24p, HT-1376, and J82). The urothelial HCV-29 cell line was the healthy control. Specific biomolecules discriminated spatial distribution of the nucleus and cytoplasm and indicated the presence of lipid bodies and graininess in some cell lines. The most prominent discriminators are the total content of lipids and sugar moieties as well as the presence of glycogen and other carbohydrates, un/saturated lipids, cytochromes, and a level of S-S bridges in proteins. The combination of the obtained hyperspectral database and chemometric methods showed a clear differentiation of each cell line at the level of the nuclei and cytoplasm and pointed out spectral signals which differentiated bladder cancer cells. Registered spectral markers correlated with biochemical composition changes can be associated with pathogenesis and potentially used for the diagnosis of bladder cancer and response to experimental therapies.

Highlights

  • Bladder cancer (BC) is one of the most common malignant neoplasms worldwide

  • Our findings demonstrated that fatty acids and cholesterol (FTIR) and Raman spectroscopy can be employed to distinguish between different bladder cancer cells of various malignancy

  • We showed that both microscopic techniques revealed complementary information that could be useful in tracking metabolic changes

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Summary

Introduction

Bladder cancer (BC) is one of the most common malignant neoplasms worldwide. The mortality rate and recurrence associated with it are both high. The transitional epithelium (urothelium) lines the entire urinary tract—renal pelvis, ureters, bladder and urethra. In the course of neoplasia, the urothelial cells differentiate in various ways and present multiple genetic alternations. Histology is highly effective, low-grade cancer cells may not be distinguished from reactive changes using cytology, which is commonly used for screening and follow-up of patients. The above facts imply an urgent need for additional diagnostic tools and one that is proposed in our work is vibrational spectroscopy

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