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Related Experiment Videos

Clonal origin of bladder cancer.

D Sidransky1, P Frost, A Von Eschenbach

  • 1Department of Oncology, Johns Hopkins Oncology Center, Baltimore, MD 21231.

The New England Journal of Medicine
|March 12, 1992
PubMed
Summary

Metachronous bladder tumors often arise from a single transformed cell, not independent field defects. Genetic analysis shows tumors from the same patient share early X-chromosome inactivation and chromosome 9q loss, indicating a common origin and subsequent independent genetic alterations.

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Area of Science:

  • Oncology
  • Molecular Genetics
  • Urologic Pathology

Background:

  • Metachronous bladder tumors suggest a 'field defect' theory for independent cell transformation.
  • This study investigates the origin of multiple bladder tumors using molecular genetic techniques.

Purpose of the Study:

  • To test the 'field defect' hypothesis for metachronous bladder tumors.
  • To determine if multiple tumors in the same bladder originate from a single precursor cell.

Main Methods:

  • Analyzed X-chromosome inactivation patterns in 13 tumors from four patients.
  • Assessed allelic loss on autosomes, including chromosomes 9q, 17p, and 18q.

Main Results:

  • All tumors from individual patients shared the same X-chromosome inactivation pattern, unlike normal bladder cells.

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  • Common loss of the same allele on chromosome 9q was observed in tumors from each patient.
  • Losses of chromosome 17p and 18q alleles, associated with advanced tumors, were not consistently found across different tumors from the same patient.
  • Conclusions:

    • Multiple bladder tumors can originate from a single transformed cell.
    • These tumors subsequently undergo independent genetic alterations as they progress.