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. 2016 Jan 7;2(1):37-47.
doi: 10.3233/BLC-150037.

Bladder Cancer Molecular Taxonomy: Summary from a Consensus Meeting

Affiliations

Bladder Cancer Molecular Taxonomy: Summary from a Consensus Meeting

Seth P Lerner et al. Bladder Cancer. .

Abstract

The advent of Omics technologies has been key to the molecular subclassification of urothelial bladder cancer. Several groups have used different strategies to this aim, with partially overlapping findings. The meeting at the Spanish National Cancer Research Center-CNIO was held to discuss such classifications and reach consensus where appropriate. After updated presentations on the work performed by the teams attending the meeting, a consensus was reached regarding the existence of a group of Basal-Squamous-like tumors - designated BASQ - charaterized the high expression of KRT5/6 and KRT14 and low/undetectable expression of FOXA1 and GATA3. An additional tumor subgroup with urothelial differentiation features was recognized whose optimal molecular definition is required. For other subtypes described, more work is needed to determine how robust they are and how to best define them at the molecular level.

Keywords: Bladder cancer; genomics; molecular classification; taxonomy.

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Figures

Fig.1
Fig.1
Comparison of the bladder cancer classifications as they relate to the “BASQ” (Basal-Squamous-like) consensus group. In red background, the subtypes that are enriched in this group. Tumor subclasses in other colors (p53-like, TCGA II, Infiltrated) comprise samples that would be included in the BASQ group and others that would not. Tumors in these three categories also express markers typical of urothelial differentiation to a variable extent. In red, the consensus definition of the “BASQ” subtype.
Fig.2
Fig.2
Basal/Squamous-like (BASQ) tumors are characterized by strong expression of KRT5/6 (A) and KRT14 (B) and low or undetectable expression of FOXA1 (C) and GATA3 (D). By contrast to them, normal urothelial cells display strong expression of FOXA1 (E) andGATA3 (F).

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