Bladder cancer diagnosis has undergone significant advancements, with liquid biopsy emerging as a promising non-invasive approach. This method utilizes urine samples to detect various biomarkers, providing valuable insights into cancer presence, progression, and treatment responses.
Liquid biopsy in bladder cancer detection analyzes circulating tumor cells, cell-free DNA, RNA, and proteins in urine, offering a non-invasive and sensitive method for early cancer detection, prognosis assessment, and treatment monitoring.
Molecular tests play a pivotal role in liquid biopsy for bladder cancer detection. The Multigene RNA Test, Cxbladder®, evaluates the expression profiles of five gene biomarkers from urine samples. By analyzing CDC2, HOXA13, MDK, IGFBP5, and CXCR5, Cxbladder calculates a risk score, aiding in early detection and prognosis assessment. Additionally, the Epigenetic Profile Test, AssureMDx TM, examines the methylation status of genes like TWIST1, ONECUT2, and OTX1, along with mutation analyses of FGFR3, TERT, and HRAS, providing comprehensive insights into bladder cancer presence and prognosis.
Protein markers further enhance liquid biopsy for bladder cancer diagnosis. Nuclear Matrix Protein 22 (NMP22) detection in urine indicates cell disintegration, serving as a marker for bladder cancer. Available as a rapid point-of-care or laboratory-based assay, NMP22 offers sensitive detection. Bladder Tumour Antigen (BTA) identifies human complement factor H related protein in urine, produced by bladder cancer cells, aiding in early detection through rapid point-of-care testing. The Cytokeratin Fragment Test (UBC) measures cytokeratin 8 and 18 fragments in urine, providing convenient and accurate diagnosis.
Liquid biopsy, coupled with molecular tests and protein markers, revolutionizes bladder cancer diagnosis. These advancements promise greater accuracy, convenience, and patient-centered care, leading to improved clinical outcomes and enhanced quality of life for bladder cancer patients.