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- W2113018780 abstract "No AccessJournal of UrologyInvestigative Urology1 Dec 2012Diagnostic Potential of Urinary α1-Antitrypsin and Apolipoprotein E in the Detection of Bladder Cancer Virginia Urquidi, Steve Goodison, Shanti Ross, Myron Chang, Yunfeng Dai, and Charles J. Rosser Virginia UrquidiVirginia Urquidi Cancer Research Institute, M.D. Anderson Cancer Center Orlando, Orlando, Florida Financial interest and/or other relationship with Nonagen Bioscience. More articles by this author , Steve GoodisonSteve Goodison Cancer Research Institute, M.D. Anderson Cancer Center Orlando, Orlando, Florida Financial interest and/or other relationship with Nonagen Bioscience. More articles by this author , Shanti RossShanti Ross Cancer Research Institute, M.D. Anderson Cancer Center Orlando, Orlando, Florida More articles by this author , Myron ChangMyron Chang Department of Biostatistics, University of Florida, Gainesville, Florida More articles by this author , Yunfeng DaiYunfeng Dai Department of Biostatistics, University of Florida, Gainesville, Florida More articles by this author , and Charles J. RosserCharles J. Rosser Section of Urologic Oncology, M.D. Anderson Cancer Center Orlando, Orlando, Florida Financial interest and/or other relationship with Nonagen Bioscience, Endocare and the Department of Defense. More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.07.094AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The ability to reliably diagnose bladder cancer in voided urine samples would be a major advance. Using high throughput technologies, we identified a panel of bladder cancer associated biomarkers with potential clinical usefulness. In this study we tested 4 potential biomarkers for the noninvasive detection of bladder cancer. Materials and Methods: We examined voided urine specimens from 124 patients, including 63 newly diagnosed with bladder cancer and 61 controls. Concentrations of proteins were assessed by enzyme-linked immunosorbent assay, including α1-antitrypsin, apolipoprotein E, osteopontin and pentraxin 3. Data were compared to the results of urinary cytology and the BTA Trak® enzyme-linked immunosorbent assay based bladder cancer detection assay. We used the AUC of ROC curves to compare the usefulness of each biomarker to detect bladder cancer. Results: Urinary levels of α1-antitrypsin, apolipoprotein E and bladder tumor antigen were significantly increased in subjects with bladder cancer. α1-Antitrypsin (AUC 0.9087, 95% CI 0.8555–0.9619) and apolipoprotein E (AUC 0.8987, 95% CI 0.8449–0.9525) were the most accurate biomarkers. The combination of α1-antitrypsin and apolipoprotein E (AUC 0.9399) achieved 91% sensitivity, 89% specificity, and a positive and negative predictive value of 89% and 90%, respectively. Multivariate regression analysis highlighted only apolipoprotein E as an independent predictor of bladder cancer (OR 24.9, 95% CI 4.22–146.7, p = 0.0004). Conclusions: Alone or in combination, α1-antitrypsin and apolipoprotein E show promise for the noninvasive detection of bladder cancer (OR 24.9, 95% CI 4.22–146.7, p = 0.0004). Larger, prospective studies including more low grade, low stage tumors are needed to confirm these results. References 1 : Cancer statistics, 2012. CA Cancer J Clin2012; 62: 10. 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Volume 188Issue 6December 2012Page: 2377-2383 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.Keywordsurinary bladderurinary bladder neoplasmsalpha 1-antitrypsinapolipoproteins AdiagnosisMetricsAuthor Information Virginia Urquidi Cancer Research Institute, M.D. Anderson Cancer Center Orlando, Orlando, Florida Financial interest and/or other relationship with Nonagen Bioscience. More articles by this author Steve Goodison Cancer Research Institute, M.D. Anderson Cancer Center Orlando, Orlando, Florida Financial interest and/or other relationship with Nonagen Bioscience. More articles by this author Shanti Ross Cancer Research Institute, M.D. Anderson Cancer Center Orlando, Orlando, Florida More articles by this author Myron Chang Department of Biostatistics, University of Florida, Gainesville, Florida More articles by this author Yunfeng Dai Department of Biostatistics, University of Florida, Gainesville, Florida More articles by this author Charles J. Rosser Section of Urologic Oncology, M.D. Anderson Cancer Center Orlando, Orlando, Florida Financial interest and/or other relationship with Nonagen Bioscience, Endocare and the Department of Defense. More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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