SIU–ICUD consultation on bladder cancer: basic science

David J. McConkey, Seth P. Lerner

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Purpose: To provide a condensed summary of the Basic Science chapter that was included in the Third International Consultation on Bladder Cancer. Methods: World bladder cancer basic science experts used the published literature to create summaries of recent progress in their areas of expertise. Results: The completion of several large-scale genomics projects coupled with a strong collaborative culture within the research community and the exciting clinical activity of immune checkpoint blockade have combined to transform the bladder cancer research landscape. Bladder cancer molecular subtypes and the presence of specific DNA alterations provide important information about disease heterogeneity that has direct implications for clinical management, and some can be targeted by compounds that are already clinically available. Tests are being developed that can measure many of these alterations non-invasively in peripheral blood or urine, raising confidence that they could be used as biomarkers for surveillance and monitoring the effects of local and systemic therapies. Conclusions: Although the bulk of the mechanistic work lies ahead, the genomics results have created a hypothesis-generating description of bladder cancer heterogeneity that has set the stage for deeper mechanistic studies, and they have already provided us with extremely attractive candidate biomarkers to guide clinical practice. Here, we will summarize the recent progress in basic bladder cancer research and highlight near-term opportunities for the future.

Original languageEnglish (US)
Pages (from-to)15-29
Number of pages15
JournalWorld journal of urology
Volume37
Issue number1
DOIs
StatePublished - Jan 23 2019

Keywords

  • Bladder cancer
  • DNA damage and repair mutations
  • Immunotherapy
  • Molecular subtypes
  • Preclinical models
  • Targeted therapy

ASJC Scopus subject areas

  • Urology

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