You have accessJournal of UrologyBladder Cancer: Basic Research III1 Apr 20121071 SINGLE CELL NETWORK PROFILING (SCNP) ASSAY APPLICATION TO BLADDER CANCER SAMPLES IDENTIFYING RARE EGF RESPONSIVE EPITHELIAL CANCER CELLS SENSITIVE TO PI3K INHIBITION FROM BLADDER WASHINGS Zhamshid Okhunov, Todd M. Covey, Michael Gulrajani, Helen Levey, Michelle Cholankeril, Carol Marimpietri, Scott Fields, Alessandra Cesano, and Manish Vira Zhamshid OkhunovZhamshid Okhunov New Hyde Park, NY More articles by this author , Todd M. CoveyTodd M. Covey South San Francisco, CA More articles by this author , Michael GulrajaniMichael Gulrajani South San Francisco, CA More articles by this author , Helen LeveyHelen Levey Rochester, NY More articles by this author , Michelle CholankerilMichelle Cholankeril New Hyde Park, NY More articles by this author , Carol MarimpietriCarol Marimpietri South San Francisco, CA More articles by this author , Scott FieldsScott Fields New Hyde Park, NY More articles by this author , Alessandra CesanoAlessandra Cesano South San Francisco, CA More articles by this author , and Manish ViraManish Vira New Hyde Park, NY More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1177AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES SCNP is a multi-parametric flow cytometry-based assay that simultaneously provides measurements of extracellular surface markers and quantitative changes in intracellular signaling proteins in response to extracellular modulators at the single cell level. The aim of this study was to assess the feasibility of applying SCNP to the examination of signaling networks in bladder cancer (BC) using urine samples and EGF +/- the PI3K pathway inhibitor GDC-0941. METHODS Saline bladder washes were obtained from 28 patients undergoing surgical treatment for BC and 15 control patients without evidence of BC. Samples were mixed with fetal bovine serum, shipped overnight on ice, and processed within 24 hrs. Cells were pelleted, rested for 1 hr at 37C, and then stimulated with EGF +/- GDC0941. Signaling activity in the PI3K and MAPK pathways was assessed by measuring intracellular levels of phospho-AKT and phospho-ERK both at baseline and in response to pathway modulation. The epithelial bladder carcinoma cell line HT-1376 was used as a control for the epithelial phenotype and EGF signaling. After cell fixation and permeabilization, samples were stained with fluorophore-conjugated antibodies/ DAPI cocktail, and the data was acquired using multi-parametric flow cytometry. RESULTS 64% (N=18) of the BC samples and 27% (N=4) of the NC samples met the “evaluable” criteria, i.e. at least 4 x 105 total cells upon sample receipt and >2% of cells with an epithelial phenotype (DAPI+, CD45 low, CK+, and EpCam+). The majority of transitional cells detected in the BC samples were non-apoptotic (i.e. >76% cleaved PARP negative). Signaling:In 3/18 BC evaluable samples a quantifiable increase in EGF-induced p-AKT and p-ERK signaling was identified (2-3 fold over baseline) and was inhibited by GDC-0941 incubation. 2 additional samples, while not responsive to EGF, had their basal pAKT state inhibited by GDC-0941. No EGF-induced signaling was observed in the control specimens. DNA Content In 8/18 BC evaluable samples a DNA index (MFIEpithelial / MFILymphoid) > 1.30 was observed by DAPI staining, suggesting aneuploidy. Of the 3 EGF-responsive samples, 2 were aneuploid. No aneuploidy was observed in the control specimens. CONCLUSIONS Our results demonstrate the feasibility of applying SCNP to the functional characterization of BC. Correlation of in vitro network signaling profiles with clinical outcomes has the potential not only as a prediction tool but also to move toward individualized treatment strategy. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e435 Peer Review Report Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Zhamshid Okhunov New Hyde Park, NY More articles by this author Todd M. Covey South San Francisco, CA More articles by this author Michael Gulrajani South San Francisco, CA More articles by this author Helen Levey Rochester, NY More articles by this author Michelle Cholankeril New Hyde Park, NY More articles by this author Carol Marimpietri South San Francisco, CA More articles by this author Scott Fields New Hyde Park, NY More articles by this author Alessandra Cesano South San Francisco, CA More articles by this author Manish Vira New Hyde Park, NY More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...