Evidence map›Paper›PMID 30887605›Full record

ArticleCancer science2019

Diagnostic potential of TERT promoter and FGFR3 mutations in urinary cell-free DNA in upper tract urothelial carcinoma.

Yujiro Hayashi, Kazutoshi Fujita, Kyosuke Matsuzaki, Makoto Matsushita, Norihiko Kawamura, Yoko Koh, Kosuke Nakano, Cong Wang, Yu Ishizuya, Yoshiyuki Yamamoto and 11 more

Open access · goldAbstract read
In one paragraph

Article in Cancer science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
9.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 82 citations in OpenAlex.

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    Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 5 institutions in 2 countries.

Yujiro HayashiDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.ORCID https://orcid.org/0000-0002-4701-5635
Kazutoshi FujitaDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
Kyosuke MatsuzakiDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
Makoto MatsushitaDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
Norihiko KawamuraDepartment of Urology, Osaka General Medical Center, Osaka, Japan.
Yoko KohDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
Kosuke NakanoDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
Cong WangDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
Yu IshizuyaDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
Yoshiyuki YamamotoDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
Kentaro JingushiDepartment of Therapeutic Urologic Oncology, Osaka University Graduate School of Medicine, Suita, Japan.
Taigo KatoDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
Atsunari KawashimaDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.ORCID https://orcid.org/0000-0001-9369-4264
Takeshi UjikeDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
Akira NagaharaDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
Motohide UemuraDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
Ryoichi ImamuraDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
Tetsuya TakaoDepartment of Urology, Osaka General Medical Center, Osaka, Japan.
Shingo TakadaDepartment of Urology, Osaka Police Hospital, Osaka, Japan.
George J NettoDepartment Pathology, University of Alabama at Birmingham, Birmingham, USA.
Norio NonomuraDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
The University of Osaka · JPOsaka Gakuin University · JPOsaka Prefectural Medical Center · JPOsaka Police Hospital · JPUniversity of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Most upper tract urothelial carcinomas (UTUC) are muscle invasive at the time of diagnosis. Current standard methods for the diagnosis of UTUC are invasive. Urine cytology is the only non-invasive test for detecting UTUC, but its sensitivity is low. A novel non-invasive assay for UTUC detection would improve patient outcome. This study aimed to investigate the mutation of cell-free DNA (cfDNA) in urine supernatant to develop a reliable diagnostic biomarker for UTUC patients. We studied urinary cfDNA from 153 individuals, including 56 patients with localized UTUC, and carried out droplet digital PCR assay for TERT promoter and FGFR3 hotspot mutations. We could detect mutations of TERT C228T in 22/56 (39.3%), TERT C250T in 4/56 (7.1%), and FGFR3 S249C in 9/56 (16.1%) patients. FGFR3 mutation was detected only in ≤pT1 tumors (positive predictive value: 100.0%). In combination with cytology results, the sensitivity was 78.6%, and the specificity was 96.0%. Although these data need to be validated in a larger-scale cohort, mutation analysis of TERT promoter and FGFR3 in urinary cfDNA has the potential to be a non-invasive diagnostic marker and reliable factor for tumor staging.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorCarcinoma, Transitional CellCell-Free Nucleic AcidsFemaleHumansMaleMiddle AgedMutationPromoter Regions, GeneticReceptor, Fibroblast Growth Factor, Type 3Sensitivity and SpecificityTelomeraseUrinary Bladder NeoplasmsBiomarkers, TumorCell-Free Nucleic AcidsFGFR3 protein, humanReceptor, Fibroblast Growth Factor, Type 3TelomeraseTERT protein, humancell-free DNAdroplet digital PCRliquid biopsyupper tract urothelial carcinomaurine

Identifiers

PMID30887605
PMCPMC6501003
OpenAlexW2923644536

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.