Evidence map›Paper›PMID 34759527›Full record

ArticleIndian journal of urology : IJU : journal of the Urological Society of India

Detection of bladder cancer using voided urine sample and by targeting genomic VPAC receptors.

Rajendra B Nerli, Shridhar C Ghagane, Shadab Rangrez, Shreya Chandra, Madhukar L Thakur, Leonard Gomella

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of urology : IJU : journal of the Urological Society of India. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Association ofSouth Asian journal of cancer · 2025
    Article
  2. Article
  3. Diagnosis of Oral Cancers by Targeting VPAC Receptors: Preliminary Report.Asian Pacific journal of cancer prevention : APJCP · 2023
    Article
  4. Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Rajendra B NerliDepartment of Urology, JN Medical College, KLE Academy of Higher Education and Research (Deemed-to-be-University), JNMC Campus, Karnataka, India.
Shridhar C GhaganeDepartment of Urology, JN Medical College, KLE Academy of Higher Education and Research (Deemed-to-be-University), JNMC Campus, Karnataka, India.
Shadab RangrezDepartment of Urology, JN Medical College, KLE Academy of Higher Education and Research (Deemed-to-be-University), JNMC Campus, Karnataka, India.
Shreya ChandraDivision of Urologic-Oncology, Urinary Biomarkers Research Centre, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India.
Madhukar L ThakurDepartment of Urology and Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Leonard GomellaDepartment of Urology, Thomas Jefferson University, Philadelphia, PA, USA.
KLE Society Hospital · INKLE University · INThomas Jefferson University · US

Funding

Noninvasive, Uniplex, Molecular, Pathomic Urinary Assay for Detection of Prostate CancerR01CA249921 · NCI · THOMAS JEFFERSON UNIVERSITY · PI THAKUR, MATHEW LAXMAN, TRABULSI, EDOUARD JOHN · 2020 to 2024
$3.0M
NCI NIH HHS R01 CA249921
6 · The paper itself

Abstract

introductionCells exfoliated into urine from the bladder can help to diagnose the cancer. The objective of this study was to validate the hypothesis that bladder cancer could be detected noninvasively by a simple and reliable assay targeting genomic VPAC (combined vasoactive intestinal peptide and pituitary adenylate cyclase-activating peptide family of cell surface receptors) receptors expressed on the malignant bladder cancer cells shed in the voided urine.

methodsPatients ≥18 years of age with either imaging (ultrasonography/computed tomography [CT])-confirmed bladder tumors or those who have been previously treated for nonmuscle invasive bladder tumors and were visiting the department for check cystoscopy, formed the study group. Freshly voided urine sample was collected from these patients and sent for conventional cytology examination, 5-aminolevulinic acid (ALA) fluorescent urine cytology, and for positivity of VPAC receptors.

resultsA total of 103 patients were prospectively included in the study. Of these, 65 patients (Group I) presented with image-diagnosed (ultrasonography and/or CT) bladder cancer. The remaining 38 patients (Group II) were previously diagnosed cases of nonmuscle invasive bladder cancer and presented for follow-up and check cystoscopy. The sensitivity for VPAC receptor positivity was 89.23% compared to conventional cytology (63.07%) and 5-ALA fluorescent urine cytology (87.69%). The specificity of VPAC receptor positivity was 100% compared to conventional cytology (100%) and 5-ALA-induced fluorescent cytology (90.47%).

conclusionsOur preliminary study shows encouraging results with VPAC receptor positivity studies, which has a high sensitivity when compared to the conventional cytology.

Identifiers

PMID34759527
PMCPMC8555562
OpenAlexW3204475240

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

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.