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Expression levels of FGFR3 as a prognostic marker for the progression of primary pT1 bladder cancer and its association with mutation status

The present study examined the utility of fibroblast growth factor receptor 3 (FGFR3) mutation status and gene expression as a prognostic marker in primary pT1 bladder cancer (BC). A total of 120 patients with primary pT1 BC were enrolled. FGFR3 mutation status was determined by direct sequencing an...

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Published in:Oncology letters 2017-09, Vol.14 (3), p.3817-3824
Main Authors: Kang, Ho Won, Kim, Ye-Hwan, Jeong, Pildu, Park, Cheol, Kim, Won Tae, Ryu, Dong Hee, Cha, Eun-Jong, Ha, Yun-Sok, Kim, Tae-Hwan, Kwon, Tae Gyun, Moon, Sung-Kwon, Choi, Yung Hyun, Yun, Seok-Joong, Kim, Wun-Jae
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container_title Oncology letters
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creator Kang, Ho Won
Kim, Ye-Hwan
Jeong, Pildu
Park, Cheol
Kim, Won Tae
Ryu, Dong Hee
Cha, Eun-Jong
Ha, Yun-Sok
Kim, Tae-Hwan
Kwon, Tae Gyun
Moon, Sung-Kwon
Choi, Yung Hyun
Yun, Seok-Joong
Kim, Wun-Jae
description The present study examined the utility of fibroblast growth factor receptor 3 (FGFR3) mutation status and gene expression as a prognostic marker in primary pT1 bladder cancer (BC). A total of 120 patients with primary pT1 BC were enrolled. FGFR3 mutation status was determined by direct sequencing and FGFR3 mRNA expression level was determined by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) analysis. The results were compared with the clinicopathological parameters, and the prognostic value of FGFR3 was evaluated by Kaplan-Meier analysis and a multivariate Cox regression test. FGFR3 mutations were identified in 48/120 (40.0%) patients with pT1 BC. FGFR3 mRNA expression level was significantly higher in those with BC harboring FGFR3 mutations (P
doi_str_mv 10.3892/ol.2017.6621
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A total of 120 patients with primary pT1 BC were enrolled. FGFR3 mutation status was determined by direct sequencing and FGFR3 mRNA expression level was determined by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) analysis. The results were compared with the clinicopathological parameters, and the prognostic value of FGFR3 was evaluated by Kaplan-Meier analysis and a multivariate Cox regression test. FGFR3 mutations were identified in 48/120 (40.0%) patients with pT1 BC. FGFR3 mRNA expression level was significantly higher in those with BC harboring FGFR3 mutations (P&lt;0.001). Low FGFR3 expression level was associated with high-grade tumors and cancer progression (P=0.006 and P=0.001), whereas FGFR3 mutation status was not associated with cancer progression. Kaplan-Meier analysis revealed a similar result (log-rank, P&lt;0.001). Multivariate analysis identified low FGFR3 expression level (odds ratio, 3.300; 95% confidence interval, 1.310-8.313; P=0.011) as an independent predictor of cancer progression. Stratification by exon site of FGFR3 mutations yielded significant differences in mRNA expression level. None of the patients with BC harboring FGFR3 mutations in exon 9 demonstrated disease progression. The mRNA expression level of the FGFR3 gene may be used to precisely identify subsets of patients with pT1 BC that have a relatively better prognosis. The prognostic influences of FGFR3 mutations may be modulated by the exon site of FGFR3 mutations.</description><identifier>ISSN: 1792-1074</identifier><identifier>EISSN: 1792-1082</identifier><identifier>DOI: 10.3892/ol.2017.6621</identifier><identifier>PMID: 28927152</identifier><language>eng</language><publisher>Greece: D.A. Spandidos</publisher><subject>Bladder cancer ; Care and treatment ; Clinical medicine ; Development and progression ; expression ; Females ; fibroblast growth factor receptor 3 ; Fibroblast growth factor receptors ; Fibroblasts ; Gender ; Gene expression ; Gene mutation ; Genetic aspects ; Growth factors ; Health aspects ; Kinases ; Medical prognosis ; Metastasis ; Multivariate analysis ; Mutation ; Oncology ; Patients ; prognosis ; Rodents ; Standard deviation ; Studies ; Tumors</subject><ispartof>Oncology letters, 2017-09, Vol.14 (3), p.3817-3824</ispartof><rights>Copyright © 2017, Spandidos Publications</rights><rights>COPYRIGHT 2017 Spandidos Publications</rights><rights>Copyright Spandidos Publications UK Ltd. 2017</rights><rights>Copyright © 2017, Spandidos Publications 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c539t-3ab550f8345de92800a36c10e832949da673d6fd0f8f13ce9dd0ade28ddd53dc3</citedby><cites>FETCH-LOGICAL-c539t-3ab550f8345de92800a36c10e832949da673d6fd0f8f13ce9dd0ade28ddd53dc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5587943/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5587943/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,733,786,790,891,27957,27958,53827,53829</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28927152$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kang, Ho Won</creatorcontrib><creatorcontrib>Kim, Ye-Hwan</creatorcontrib><creatorcontrib>Jeong, Pildu</creatorcontrib><creatorcontrib>Park, Cheol</creatorcontrib><creatorcontrib>Kim, Won Tae</creatorcontrib><creatorcontrib>Ryu, Dong Hee</creatorcontrib><creatorcontrib>Cha, Eun-Jong</creatorcontrib><creatorcontrib>Ha, Yun-Sok</creatorcontrib><creatorcontrib>Kim, Tae-Hwan</creatorcontrib><creatorcontrib>Kwon, Tae Gyun</creatorcontrib><creatorcontrib>Moon, Sung-Kwon</creatorcontrib><creatorcontrib>Choi, Yung Hyun</creatorcontrib><creatorcontrib>Yun, Seok-Joong</creatorcontrib><creatorcontrib>Kim, Wun-Jae</creatorcontrib><title>Expression levels of FGFR3 as a prognostic marker for the progression of primary pT1 bladder cancer and its association with mutation status</title><title>Oncology letters</title><addtitle>Oncol Lett</addtitle><description>The present study examined the utility of fibroblast growth factor receptor 3 (FGFR3) mutation status and gene expression as a prognostic marker in primary pT1 bladder cancer (BC). A total of 120 patients with primary pT1 BC were enrolled. FGFR3 mutation status was determined by direct sequencing and FGFR3 mRNA expression level was determined by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) analysis. The results were compared with the clinicopathological parameters, and the prognostic value of FGFR3 was evaluated by Kaplan-Meier analysis and a multivariate Cox regression test. FGFR3 mutations were identified in 48/120 (40.0%) patients with pT1 BC. FGFR3 mRNA expression level was significantly higher in those with BC harboring FGFR3 mutations (P&lt;0.001). Low FGFR3 expression level was associated with high-grade tumors and cancer progression (P=0.006 and P=0.001), whereas FGFR3 mutation status was not associated with cancer progression. Kaplan-Meier analysis revealed a similar result (log-rank, P&lt;0.001). 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A total of 120 patients with primary pT1 BC were enrolled. FGFR3 mutation status was determined by direct sequencing and FGFR3 mRNA expression level was determined by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) analysis. The results were compared with the clinicopathological parameters, and the prognostic value of FGFR3 was evaluated by Kaplan-Meier analysis and a multivariate Cox regression test. FGFR3 mutations were identified in 48/120 (40.0%) patients with pT1 BC. FGFR3 mRNA expression level was significantly higher in those with BC harboring FGFR3 mutations (P&lt;0.001). Low FGFR3 expression level was associated with high-grade tumors and cancer progression (P=0.006 and P=0.001), whereas FGFR3 mutation status was not associated with cancer progression. Kaplan-Meier analysis revealed a similar result (log-rank, P&lt;0.001). Multivariate analysis identified low FGFR3 expression level (odds ratio, 3.300; 95% confidence interval, 1.310-8.313; P=0.011) as an independent predictor of cancer progression. Stratification by exon site of FGFR3 mutations yielded significant differences in mRNA expression level. None of the patients with BC harboring FGFR3 mutations in exon 9 demonstrated disease progression. The mRNA expression level of the FGFR3 gene may be used to precisely identify subsets of patients with pT1 BC that have a relatively better prognosis. The prognostic influences of FGFR3 mutations may be modulated by the exon site of FGFR3 mutations.</abstract><cop>Greece</cop><pub>D.A. Spandidos</pub><pmid>28927152</pmid><doi>10.3892/ol.2017.6621</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Bladder cancer
Care and treatment
Clinical medicine
Development and progression
expression
Females
fibroblast growth factor receptor 3
Fibroblast growth factor receptors
Fibroblasts
Gender
Gene expression
Gene mutation
Genetic aspects
Growth factors
Health aspects
Kinases
Medical prognosis
Metastasis
Multivariate analysis
Mutation
Oncology
Patients
prognosis
Rodents
Standard deviation
Studies
Tumors
title Expression levels of FGFR3 as a prognostic marker for the progression of primary pT1 bladder cancer and its association with mutation status
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