Proteomic analysis of urinary fibrinogen degradation products in patients with urothelial carcinomas |
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Authors: | Pavel Gromov Josè M A Moreira Irina Gromova Julio E Celis |
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Institution: | (1) Department of Proteomics in Cancer, Institute of Cancer Biology, Strandboulevarden 49, DK2100 Copenhagen, Denmark;(2) Danish Centre for Translational Breast Cancer Research, Danish Cancer Society, Strandboulevarden 49, DK2100 Copenhagen, Denmark |
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Abstract: | Despite many years of research efforts and continued progress in the identification of urine markers for detection of bladder
cancer, none of the markers described to date has been able to replace cystoscopy and urine cytology, the current gold standards
for diagnosis. Here, we present a comprehensive gel-based proteomic study in which we have analyzed the presence and origin
of fibrinogen (FG) and its degradation products (FDPs) in the urine of patients with and without urothelial carcinoma (UCs),
with the aim of evaluating the potential of two-dimensional (2D) gel FDP profiling for detecting bladder cancer. A total of
151 urine samples collected from patients with Ucs of varying degrees of atypia and stages of invasion were compared with
a control group consisting of 34 healthy volunteers with no clinical history of bladder cancer. The level and degree of degradation
of FG in the urine were determined by 2D gel Western blotting in combination with enhanced chemilumenscence detection. Elevated
levels of urine FG/FDPs were found in 99% of patients bearing superficial tumors, in 97% of the cases with early invasive
disease, and in 96% of patients with highly invasive tumors. 2D gel profiling of urine FG/FDPs showed that the FG chains exhibited
differential susceptibility to in situ proteolysis, with the α-chain being the most susceptible and the γ-chain the most resistant. Matrix-assisted laser desorption/ionization
time-of-flight mass spectrometry identified peptide sequence regions in several of the most representative and common FDPs,
which can be of value for producing novel specific antibodies to detect FG/FDPs in the urine. In addition, we present evidence
indicating that FG is not produced by normal or malignant urothelium, although it is present both in the stroma of malignant
tissue and tumor lesions. Taken together, the data indicate that increased levels of FG/FDPs amounts in the urine are a characteristic
feature of bladder cancer, and emphasize the value of 2D gel profiling of urine FG/FDPs for detecting low-grade, noninvasive
UCs. |
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