Evidence map›Paper›PMID 34430403›Full record

ArticleTranslational andrology and urology2021

Genomic analysis of response to bacillus Calmette-Guérin (BCG) treatment in high-grade stage 1 bladder cancer patients.

J Alexa Sanders, Connor Frasier, Justin T Matulay, Nury M Steuerwald, Jason Zhu, Claud M Grigg, James T Kearns, Stephen B Riggs, Kris E Gaston, Cory R Brouwer and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Translational andrology and urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
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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 2 institutions in 1 country.

J Alexa SandersDepartment of Bioinformatics & Genomics, University of North Carolina at Charlotte, Charlotte, NC, USA.
Connor FrasierDepartment of Bioinformatics & Genomics, University of North Carolina at Charlotte, Charlotte, NC, USA.
Justin T MatulayDepartment of Urology, Levine Cancer Institute/Atrium Health, Charlotte, NC, USA.
Nury M SteuerwaldMolecular Biology and Microarray Core Facilities, Atrium Health, Charlotte, NC, USA.
Jason ZhuDepartment of Medical Oncology, Levine Cancer Institute/Atrium Health, Charlotte, NC, USA.
Claud M GriggDepartment of Medical Oncology, Levine Cancer Institute/Atrium Health, Charlotte, NC, USA.
James T KearnsDepartment of Urology, Levine Cancer Institute/Atrium Health, Charlotte, NC, USA.
Stephen B RiggsDepartment of Urology, Levine Cancer Institute/Atrium Health, Charlotte, NC, USA.
Kris E GastonDepartment of Urology, Levine Cancer Institute/Atrium Health, Charlotte, NC, USA.
Cory R BrouwerDepartment of Bioinformatics & Genomics, University of North Carolina at Charlotte, Charlotte, NC, USA.
R Tucker BurksCarolinas Pathology, Charlotte, NC, USA.
Aaron L HartmanCarolinas Pathology, Charlotte, NC, USA.
David M FoureauImmune Monitoring Core Laboratory, Levine Cancer Institute/Atrium Health, Charlotte, NC, USA.
Earle F BurgessDepartment of Medical Oncology, Levine Cancer Institute/Atrium Health, Charlotte, NC, USA.
Peter E ClarkDepartment of Urology, Levine Cancer Institute/Atrium Health, Charlotte, NC, USA.
Levine Cancer Institute · USUniversity of North Carolina at Charlotte · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntravesical bacillus Calmette-Guérin (BCG) therapy is standard treatment for high-risk non-muscle invasive bladder cancer (NMIBC) but overall efficacy is low, and no reliable predictive biomarkers currently exist to refine patient selection. We performed genomic analysis on high-grade (HG) T1 NMIBCs to determine if response to therapy is predicted by certain mutational and/or expressional changes.

methodsPatients with HG T1 NMIBC treated with induction BCG were stratified by response into durable and non-durable responders. Baseline tumor samples were subjected to targeted DNA sequencing and whole-exome RNAseq. Genomic variants differing significantly between response groups were analyzed using Ingenuity Pathway Analysis (IPA) software. Variant selection was refined to target potential biomarker candidates for responsiveness to BCG.

resultsAmong 42 patients, the median follow-up was 51.7 months and 40.5% (n=17) were durable BCG responders. Deleterious mutations in the RNA sequence of

conclusionsDifferences in the genomic profiles of HG T1 NMIBC tumors exist between those who show durable response to BCG and those who do not. Using pathway analysis, those differences imply upregulation of several interconnected inflammatory pathways among responders. Specific variants identified here, namely

Indexed as

bacillus Calmette-Guérin (BCG)genomicsintravesical therapyNon-muscle invasive bladder cancer (NMIBC)

Identifiers

PMID34430403
PMCPMC8350238
OpenAlexW3179655120

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.