Urinary-Based Markers for Bladder Cancer Detection

BackgroundThe use of urine markers for diagnosis and surveillance has been a topic of broad interest and ongoing controversies in the management of patients with bladder cancer. There has been a constant quest for markers that demonstrate clinical utility. AimIn the framework of the International C...

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Main Author: Tilman Todenhöfer, Michele Lodde, Kim van Kessel, Renate Pichler, Antonia Vlahou, Yair Lotan
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:Société Internationale d’Urologie Journal
Subjects:
Online Access:https://siuj.org/index.php/siuj/article/view/54/11
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author Tilman Todenhöfer, Michele Lodde, Kim van Kessel, Renate Pichler, Antonia Vlahou, Yair Lotan
author_facet Tilman Todenhöfer, Michele Lodde, Kim van Kessel, Renate Pichler, Antonia Vlahou, Yair Lotan
author_sort Tilman Todenhöfer, Michele Lodde, Kim van Kessel, Renate Pichler, Antonia Vlahou, Yair Lotan
collection DOAJ
description BackgroundThe use of urine markers for diagnosis and surveillance has been a topic of broad interest and ongoing controversies in the management of patients with bladder cancer. There has been a constant quest for markers that demonstrate clinical utility. AimIn the framework of the International Consultation on Urological Diseases 2019 on Molecular Biomarkers in Urologic Oncology, a comprehensive review of literature on urinary biomarkers for bladder cancer has been performed. ResultsCurrently available urinary markers include protein-based markers, RNA-based markers, and DNA-based markers. The introduction of high-throughput analysis technologies provides the opportunity to assess multiple parameters within a short period of time, which is of interest for RNA-based, DNA-based, and protein-based marker systems. A comprehensive analysis of molecular alterations in urine samples of bladder cancer patients may be of interest not only for diagnosis and surveillance but also for non-invasive longitudinal assessment of molecular, potentially therapy-relevant, alterations. However, most systems lack prospective validation within well-designed trials and have not been broadly implemented in daily clinical practice. ConclusionsBecause of limited data from prospective trials, the routine use of any urine marker except cytology is not considered as standard of care in international guidelines. There is an urgent need for prospective trials of urine markers to answer specific clinical questions.
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series Société Internationale d’Urologie Journal
spelling doaj-art-45cf6f7d7a0743049da4f2ed15721c612025-08-20T03:36:10ZengMDPI AGSociété Internationale d’Urologie Journal2563-64992020-10-0111496110.48083//KQGP2151Urinary-Based Markers for Bladder Cancer DetectionTilman Todenhöfer, Michele Lodde, Kim van Kessel, Renate Pichler, Antonia Vlahou, Yair LotanBackgroundThe use of urine markers for diagnosis and surveillance has been a topic of broad interest and ongoing controversies in the management of patients with bladder cancer. There has been a constant quest for markers that demonstrate clinical utility. AimIn the framework of the International Consultation on Urological Diseases 2019 on Molecular Biomarkers in Urologic Oncology, a comprehensive review of literature on urinary biomarkers for bladder cancer has been performed. ResultsCurrently available urinary markers include protein-based markers, RNA-based markers, and DNA-based markers. The introduction of high-throughput analysis technologies provides the opportunity to assess multiple parameters within a short period of time, which is of interest for RNA-based, DNA-based, and protein-based marker systems. A comprehensive analysis of molecular alterations in urine samples of bladder cancer patients may be of interest not only for diagnosis and surveillance but also for non-invasive longitudinal assessment of molecular, potentially therapy-relevant, alterations. However, most systems lack prospective validation within well-designed trials and have not been broadly implemented in daily clinical practice. ConclusionsBecause of limited data from prospective trials, the routine use of any urine marker except cytology is not considered as standard of care in international guidelines. There is an urgent need for prospective trials of urine markers to answer specific clinical questions.https://siuj.org/index.php/siuj/article/view/54/11urinebiomarkerssurveillancescreeninghematuriaurothelial carcinoma
spellingShingle Tilman Todenhöfer, Michele Lodde, Kim van Kessel, Renate Pichler, Antonia Vlahou, Yair Lotan
Urinary-Based Markers for Bladder Cancer Detection
Société Internationale d’Urologie Journal
urine
biomarkers
surveillance
screening
hematuria
urothelial carcinoma
title Urinary-Based Markers for Bladder Cancer Detection
title_full Urinary-Based Markers for Bladder Cancer Detection
title_fullStr Urinary-Based Markers for Bladder Cancer Detection
title_full_unstemmed Urinary-Based Markers for Bladder Cancer Detection
title_short Urinary-Based Markers for Bladder Cancer Detection
title_sort urinary based markers for bladder cancer detection
topic urine
biomarkers
surveillance
screening
hematuria
urothelial carcinoma
url https://siuj.org/index.php/siuj/article/view/54/11
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