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Wiley InterScience

Cytopathology

Cytopathology

Volume 18 Issue 2, Pages 87 - 95

Published Online: 28 Mar 2007

Journal compilation © 2010 Blackwell Publishing Ltd


The Official Journal of the British Society for Clinical Cytology and over 20 National affiliated Societies
British Society for Clinical Cytology (BSCC)
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Detection of urinary bladder cancer with flow cytometry and hexaminolevulinate in urine samples
B. Čunderlíková*, R. Wahlqvist , A. Berner*, V. Vasovič*, T. Warloe , J. M. Nesland* and Q. Peng*
  *Department of Pathology, The National Hospital-Norwegian Radium Hospital, University of Oslo, Oslo, Norway ,   Oslo Urological University Clinic, Aker University Hospital, Oslo, Norway ,   Department of Surgical Oncology, The National Hospital-Norwegian Radium Hospital, University of Oslo, Oslo, Norway and   § State Key Laboratory for Advanced Photonic Materials and Devices, Fudan University, Shanghai, China
Correspondence to Q. Peng, Department of Pathology, The National Hospital-Norwegian Radium Hospital, Montebello, N-0310 Oslo, Norway.
Tel.: +47 2293 5553; fax: +47 2293 4832;
E-mail: qian.peng@labmed.uio.no
Copyright 2007 The Authors Journal compilation 2007 Blackwell Publishing Ltd
KEYWORDS
bladder cancer • hexaminolevulinate • photodetection • flow cytometry • urine cytology
B. Čunderlíková, R. Wahlqvist, A. Berner, V. Vasovič, T. Warloe, J. M. Nesland and Q. Peng
Detection of urinary bladder cancer with flow cytometry and hexaminolevulinate in urine samples

ABSTRACT

Objectives: Urinary bladder urothelial carcinoma is diagnosed by a combination of cystoscopy and biopsy, with cytology as a valuable additional technique. The accuracy of cytological diagnosis depends on the experience of the cytologist and can inevitably vary from one cytologist to another. There is a need for an easy, reliable and objective diagnostic method. In the present study a new method was designed for the detection of bladder cancer cells in urine.

Methods: Flow cytometry was utilized to detect protoporphyrin IX in an artificial model consisting of normal urinary bladder transitional epithelial cells (NBECs) from healthy volunteers' urine and an established human urinary bladder carcinoma cell line, TCCSUP, after incubation with hexaminolevulinate (HAL). In addition, urine samples from 19 patients with histopathologically confirmed superficial bladder cancer were examined.

Results: Incubation of NBECs or TCCSUP cells with HAL for 1 hour resulted in production of protoporphyrin IX only in the TCCSUP cells. Incubation of a mixture of NBECs and TCCSUP cells with HAL gave rise to a separated subpopulation of cells with protoporphyrin IX fluorescence. After cell sorting by flow cytometry the protoporphyrin IX-containing subpopulation of cells was confirmed as TCCSUP cells on cytological examination. It was possible to detect 5% TCCSUP cells in the mixture of NBECs/TCCSUP cells. To test the feasibility of the method in clinica diagnosis, urine samples from patients with bladder cancer were also measured with comparable, although preliminary and limited, results to those of cytological examination.

Conclusions: The preliminary results show that the technique may be feasible for the detection of bladder cancer cells in urine with possible advantages of simplicity, reliability and objectivity.


Accepted for publication 24 October 2006

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1365-2303.2007.00436.x About DOI

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zur HausenProfessor Harald zur Hausen is a 2008 Nobel Laureate in Medicine or Physiology. He was recognized "for his discovery of human papilloma viruses causing cervical cancer". Zur Hausen serves as Editor-in-Chief of the International Journal of Cancer and is the author of the book Infections Causing Human Cancer.

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