Fluorescent microsatellite analysis of urine sediment in patients with urothelial carcinoma.

ABSTRACT

AIMS: To detect microsatellite loci alterations by fluorescent multiplex PCR in urine sediment cell of urothelial carcinoma, and to determine if they can be used as genetic markers for diagnosis of urothelial carcinoma. MATERIALS AND METHODS: Microsatellite alteration analysis was conducted using fluorescent multiplex PCR with samples from 64 cases of urothelial carcinomas of the bladder. Three microsatellites spanning the 3p14 and two additional microsatellites in 9q33 and 9p22 were analyzed. Microsatellite alterations (microsatellite instability and/or loss of heterozygosity) in urine sediment cells of urothelial carcinoma patients matched for peripheral blood and tumor tissue were all analyzed. RESULTS: The frequency of microsatellite alterations in urothelial carcinoma was chromosome 3p (D3S1234 14.6% (7/48), D3S1300 16.7% (8/48), D3S1313 8.35% (4/48)); 9q (D9S242 33.3% (16/48)), and 9p (D9S162 27.1% (13/48)). Microsatellite alterations happened in 62.5% (40/64) of the patients when combined with all five markers. Our study showed a significant correlation between the microsatellite alteration of the five-locus panel and recurrence (p = 0.010) and smoking habit (p = 0.006). CONCLUSIONS: The results suggest that these microsatellite loci alterations may have an important role in the recurrence of urothelial carcinomas. Further studies are needed to better determine the effect of microsatellite loci alterations on prognosis.