Diagnostic and prognostic value of urine SPRY domain-containing suppressor of cytokine signaling box protein 2 for bladder cancer
摘要
Currently, there are no reliable diagnostic or prognostic biomarkers for bladder cancer (BCa). This study aimed to assess the diagnostic and prognostic potential of the SPRY domain-containing suppressor of cytokine signaling box protein 2 (SPSB2) in patients with BCa. SPSB2 was detected by western blotting in urine but not in serum from patients with BCa and was absent in urine and serum from healthy volunteers. Urine-based ELISA revealed significantly higher SPSB2 expression in patients with BCa than in patients with urinary stones and healthy volunteers (P < 0.0001); specifically, muscle-invasive BCa had significantly higher SPSB2 expression than non-muscle-invasive BCa (P = 0.003). The areas under the receiver operating curves for urine SPSB2 in patients with BCa and muscle-invasive BCa were 0.78 and 0.87, respectively. Third, unadjusted univariate analyses consistently showed worse prognostic impact of the high expression levels of urine SPSB2 for cancer-specific survival and progression-free survival irrespective of pT-stage, with the interaction P values of 0.71 for cancer-specific survival and 0.60 for progression-free survival. Thus, urine SPSB2 may represent a novel biomarker for the detection of muscle-invasive BCa and estimation of the biological aggressiveness of BCa. Further studies are needed to confirm these findings and investigate the potential mechanism of SPSB2 in BCa.