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- W2942341256 abstract "You have accessJournal of UrologyBladder Cancer: Basic Research & Pathophysiology III (MP63)1 Apr 2019MP63-06 COMPARATIVE DETERMINATION OF TERT MUTATIONS IN URINARY SEDIMENT DNA BY NGS AND DDPCR FOR BLADDER CANCER DETECTION Friedrich Stoeckel, Karsten Salomo, Stasik Sebastian, Christian Thiede, Mario Menschikowski, Ulrike Heberling, Manfred P. Wirth, and Susanne Fuessel* Friedrich StoeckelFriedrich Stoeckel More articles by this author , Karsten SalomoKarsten Salomo More articles by this author , Stasik SebastianStasik Sebastian More articles by this author , Christian ThiedeChristian Thiede More articles by this author , Mario MenschikowskiMario Menschikowski More articles by this author , Ulrike HeberlingUlrike Heberling More articles by this author , Manfred P. WirthManfred P. Wirth More articles by this author , and Susanne Fuessel*Susanne Fuessel* More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000556849.64618.1dAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: The determination of the two abundant point-mutations C228T and C250T in the TERT promoter in urine samples could potentially enhance the non-invasive detection of bladder cancer (BCa). Therefore, the applicability of two molecular biological detection methods - next-generation sequencing (NGS) and digital droplet PCR (ddPCR) - was compared with the voided urine cytology (VUC). METHODS: Genomic DNA was isolated from urinary sediments from 49 histologically positive BCa patients and from 23 non-cancerous control subjects, comprising 13 patients with urolithiasis and 10 patients with unconfirmed BCa suspicion (noBCa). For the NGS analyses, a nested PCR procedure was used to amplify a TERT promoter fragment covering both mutations followed by unidirectional sequencing on an Ion Torrent PGM semiconductor-based device (Life Technologies). Additionally, a previously reported ddPCR assay was applied on the same DNA samples using the QX100 Droplet Digital PCR system (BIO-RAD). The diagnostic performance of the mutation allele frequencies (MAFs) determined by these methods was compared with the performance of VUC. RESULTS: The DNA amount needed for NGS (1-5 ng) and ddPCR (5 ng) was easily available from urinary sediments. The determined detection limit was of 0.4% for the C250T mutation and 0.75% for the C228T mutation in the NGS analyses, whereas it was 1% for both mutations in the ddPCR assay. Of the BCa patients 77.6% and 69.4% were positive for one of the two mutations in the NGS and in the ddPCR, respectively. The concordance between both techniques amounted to 93.1% (rs=0.866, p<0.001). However, the mutation recovery rate in the urinary DNA was lower in comparison to 85.7% of TERT mutation-positive BCa patients determined in the TUR B specimens. The median of the combined MAFs C228T+C250T was 27.4% (range 1.5 - 77.3%) for NGS and 20.7% (range 2.2 - 44.2%) for ddPCR. The NGS and the ddPCR assays performed better than the VUC reflected by values for sensitivity of 0.78/0.69/0.67, for specificity of 0.96/1.00/0.96, for PPV of 0.97/1.00/0.97, for NPV of 0.67/0.61/0.58 and for accuracy of 0.83/0.79/0.76. According to this the NGS assay seems to be the best approach, but it is far more expensive (50 EUR per sample) than the ddPCR assay or the VUC (max. 3 EUR per sample). CONCLUSIONS: The assessment of TERT promoter mutations by NGS and ddPCR provides a slightly better diagnostic performance than VUC but according to the costs only ddPCR might be an alternative. Source of Funding: none Dresden, Germany© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e898-e899 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Friedrich Stoeckel More articles by this author Karsten Salomo More articles by this author Stasik Sebastian More articles by this author Christian Thiede More articles by this author Mario Menschikowski More articles by this author Ulrike Heberling More articles by this author Manfred P. Wirth More articles by this author Susanne Fuessel* More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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- W2942341256 title "MP63-06 COMPARATIVE DETERMINATION OF TERT MUTATIONS IN URINARY SEDIMENT DNA BY NGS AND DDPCR FOR BLADDER CANCER DETECTION" @default.
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