Abstract

Bladder cancer (BC) is one of the most common malignant tumors in the urinary system. The discovery of prognostic biomarkers is still one of the major challenges to improve clinical treatment of BC patients. In order to assist biologists and clinicians in easily evaluating the prognostic potency of genes in BC patients, we developed a user-friendly Online consensus Survival tool for bladder cancer (OSblca), to analyze the prognostic value of genes. The OSblca includes gene expression profiles of 1,075 BC patients and their respective clinical follow-up information. The clinical follow-up data include overall survival (OS), disease specific survival (DSS), disease free interval (DFI), and progression free interval (PFI). To analyze the prognostic value of a gene, users only need to input the official gene symbol and then click the “Kaplan-Meier plot” button, and Kaplan-Meier curve with the hazard ratio, 95% confidence intervals and log-rank P-value are generated and graphically displayed on the website using default options. For advanced analysis, users could limit their analysis by confounding factors including data source, survival type, TNM stage, histological type, smoking history, gender, lymph invasion, and race, which are set up as optional parameters to meet the specific needs of different researchers. To test the performance of the web server, we have tested and validated its reliability using previously reported prognostic biomarkers, including KPNA2, TP53, and MYC etc., which had their prognostic values validated as reported in OSblca. In conclusion, OSblca is a useful tool to evaluate and discover novel prognostic biomarkers in BC. The web server can be accessed at http://bioinfo.henu.edu.cn/BLCA/BLCAList.jsp.

Highlights

  • As one of the most common malignant tumors of the urinary system, bladder cancer (BC) is estimated to cause about 549,393 new cases and 199,922 deaths worldwide in 2018 (1)

  • We developed an online web server named Online consensus Survival tool for bladder cancer (OSblca), which consists of gene expression profiles and relative clinical information of 1,075 bladder cancer patients from seven independent cohorts collected from TCGA and GEO databases

  • The discovery of prognostic biomarkers is a hot topic in translational research

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Summary

Introduction

As one of the most common malignant tumors of the urinary system, bladder cancer (BC) is estimated to cause about 549,393 new cases and 199,922 deaths worldwide in 2018 (1). Based on the clinic-pathological features, BC could be classified into two types: non-muscle invasive tumor (NMIBC, 70–80% of BC patient) and muscle-invasive tumor (MIBC, 20–30% of BC patient) (2, 3). Due to the relatively high rate of local recurrence and metastasis in MIBC patients, the treatment outcome is still poor, and the survival rate is lower than that of NMIBC patients. NMIBC patients have better survival rates than MIBC, 30–50% of NMIBC patients experience cancer recurrence (4). One of the major challenges to improve clinical outcomes of BC patients is to screen novel biomarkers for diagnosis and prognosis (5).

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