Evidence map›Paper›PMID 31938901›Full record

ArticleClinical and translational medicine2020

Detection of bladder cancer using urinary cell-free DNA and cellular DNA.

Zhenyu Ou, Kai Li, Ting Yang, Ying Dai, Mohan Chandra, Jun Ning, Yongli Wang, Ran Xu, Tangjie Gao, Yu Xie and 5 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
9.6field-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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.

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  14. Advances in Liquid Biopsy for Diagnosis of Bladder Cancer.International neurourology journal · 2024
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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

15 authors at 7 institutions in 2 countries.

Zhenyu OuDepartment of Urology, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.
Kai LiGeneTalks Biotech Co., Ltd., Changsha, 410010, Hunan, China.
Ting YangGeneTalks Biotech Co., Ltd., Changsha, 410010, Hunan, China.
Ying DaiGeneTalks Biotech Co., Ltd., Changsha, 410010, Hunan, China.
Mohan ChandraDepartment of Biomedical Engineering, University of Houston, Houston, TX, 77204-5060, USA.
Jun NingDepartment of Urology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Yongli WangGeneTalks Biotech Co., Ltd., Changsha, 410010, Hunan, China.
Ran XuDepartment of Urology, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China.
Tangjie GaoGeneTalks Biotech Co., Ltd., Changsha, 410010, Hunan, China.
Yu XieDepartment of Urology, Hunan Provincial Tumor Hospital and Affiliated Tumor Hospital of Xiangya Medical School, Central South University, Changsha, 410013, Hunan, China.
Qing HeGeneTalks Biotech Co., Ltd., Changsha, 410010, Hunan, China.
Yuanwei LiDepartment of Urology, Hunan Provincial People's Hospital, Changsha, 410002, Hunan, China.
Qin LuGeneTalks Biotech Co., Ltd., Changsha, 410010, Hunan, China.
Long WangDepartment of Urology, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China. wanglong@csu.edu.cn.
Zhuo SongGeneTalks Biotech Co., Ltd., Changsha, 410010, Hunan, China. zack.zhuo@genetalks.com.
Sansure Biotech (China) · CNThird Xiangya Hospital · CNCentral South University · CNHunan Cancer Hospital · CNHunan Provincial People's Hospital · CNSecond Xiangya Hospital of Central South University · CNUniversity of Houston · US

Funding

The Key Research and Development Program of Hunan Province 2017SK2173
6 · The paper itself

Abstract

backgroundThe present study sought to identify a panel of DNA markers for noninvasive diagnosis using cell-free DNA (cfDNA) from urine supernatant or cellular DNA from urine sediments of hematuria patients. A panel of 48 bladder cancer-specific genes was selected. A next-generation sequencing-based assay with a cfDNA barcode-enabled single-molecule test was employed. Mutation profiles of blood, urine, and tumor sample from 16 bladder cancer patients were compared. Next, urinary cellular DNA and cfDNA were prospectively collected from 125 patients (92 bladder cancer cases and 33 controls) and analyzed using the 48-gene panel. The individual gene markers and combinations of markers were validated according to the pathology results. The mean areas under the receiver operating characteristic (ROC) curves (AUCs) obtained with the various modeling approaches were calculated and compared.

resultsThis pilot study of 16 bladder cancer patients demonstrated that gene mutations in urine supernatant and sediments had better concordance with cancer tissue as compared with plasma. Logistic analyses suggested two powerful combinations of genes for genetic diagnostic modeling: five genes for urine supernatant (TERT, FGFR3, TP53, PIK3CA, and KRAS) and seven genes for urine sediments (TERT, FGFR3, TP53, HRAS, PIK3CA, KRAS, and ERBB2). The accuracy of the five-gene panel and the seven-gene panel in the validation cohort yielded AUCs of 0.94 [95% confidence interval (CI) 0.91-0.97] and 0.91 (95% CI 0.86-0.96), respectively. With the addition of age and gender, the diagnostic power of the urine supernatant five-gene model and the urine sediment seven-gene model improved as the revised AUCs were 0.9656 (95% CI 0.9368-0.9944) and 0.9587 (95% CI 0.9291-0.9883).

conclusionscfDNA from urine bears great diagnostic potential. A five-gene panel for urine supernatant and a seven-gene panel for urine sediments are promising options for identifying bladder cancer in hematuria patients.

Indexed as

Bladder cancerCell-free DNAHematuriaMutationNext-generation sequencing

Identifiers

PMID31938901
PMCPMC6960275
OpenAlexW2998739009

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.