You have accessJournal of UrologyBladder Cancer: Basic Research I1 Apr 2015MP36-04 GENE AMPLIFICATION AND OVEREXPRESSION OF CYP2A6 IN EARLY STAGE OF INVASIVE BLADDER CANCER Kazuhiro Kanemoto, Katsuhiro Fukuta, Noriyasu Kawai, Keiichi Tozawa, Masako Ochiai, Koji Okamoto, Hiromi Sakamoto, Teruhiko Yoshida, Yae Kanai, Masaru Katoh, Hitoshi Nakagama, and Kenjiro Kohri Kazuhiro KanemotoKazuhiro Kanemoto More articles by this author , Katsuhiro FukutaKatsuhiro Fukuta More articles by this author , Noriyasu KawaiNoriyasu Kawai More articles by this author , Keiichi TozawaKeiichi Tozawa More articles by this author , Masako OchiaiMasako Ochiai More articles by this author , Koji OkamotoKoji Okamoto More articles by this author , Hiromi SakamotoHiromi Sakamoto More articles by this author , Teruhiko YoshidaTeruhiko Yoshida More articles by this author , Yae KanaiYae Kanai More articles by this author , Masaru KatohMasaru Katoh More articles by this author , Hitoshi NakagamaHitoshi Nakagama More articles by this author , and Kenjiro KohriKenjiro Kohri More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.732AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES In bladder cancers, invasive recurrence after transurethral resection (TUR) based curative treatment of superficial cancer is serious problem in the clinic, and biomarkers predicting invasive recurrence are necessary for appropriate clinical care of bladder cancer patients. Genomic alterations at the chromosomal level are rare events in superficial papillary cancers, but are frequently observed in invasive cancers. By analyzing the genomic landscapes of N-butyl-N-(4-hydroxybutyl)nitrosamine (BBN)-induced rodent bladder cancers, we observed genomic copy number aberrations (CNAs) and upregulation of the Cyp2a5 gene in early invasive cancers in mice. In order to identify genetic markers linked to early invasive carcinogenesis in humans, focusing on the genomic instability of invasive cancers, we searched CNAs in human invasive cancers and demonstrated that the distinction of invasiveness leads to different expression patterns regarding the immunohistochemical staining intensity of CYP2A6 (the human ortholog of mouse Cyp2a5). METHODS Immunohistochemical staining was performed on TUR tissues (59 invasive and 45 superficial papillary cancers). In addition, statistical differences in immunostaining were analyzed in 240 invasive lesions, 53 superficial papillary cancers, and 27 carcinoma in situ (CIS). Furthermore, we investigated the correlations between CNAs on genomic quantitative PCR and differential expression on immunostaining in TUR tissues of 9 invasive and 9 superficial papillary cancers. RESULTS In superficial papillary cancers, dilute cells were homogeneously immunostained. In contrast, cells with a high expression of CYP2A6 in invasive lesions were increased in aggressive cancers, represented by a scattered lesion pattern that differed from aggregated lesions (P < 0.01). Moreover, CIS had the highest expression score. The average CNA was +1.2 in invasive cancers versus +0.2 in superficial papillary cancers (P = 0.0085). Only invasive cancers showed a positive correlation between copy number gains and increased expression of CYP2A6 (r = 0.59, P = 0.048). CONCLUSIONS Application of genomic landscapes of BBN-induced bladder cancer in rodents to human bladder cancer indicate that gene amplification and overexpression of CYP2A6 are characteristic features in human bladder cancers with a more malignant phenotype. CYP2A6 may be clinically useful as a diagnostic biomarker for the prognosis, therapeutic optimization, and early detection of invasive bladder cancer patients. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e429 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kazuhiro Kanemoto More articles by this author Katsuhiro Fukuta More articles by this author Noriyasu Kawai More articles by this author Keiichi Tozawa More articles by this author Masako Ochiai More articles by this author Koji Okamoto More articles by this author Hiromi Sakamoto More articles by this author Teruhiko Yoshida More articles by this author Yae Kanai More articles by this author Masaru Katoh More articles by this author Hitoshi Nakagama More articles by this author Kenjiro Kohri More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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