Insight into Fructose-to-Sucrose Ratio as the Potential Target of Urinalysis in Bladder Cancer

Autor: Dewang Zhou, Jianxu Huang, Haoxiang Zheng, Yujun Liu, Shimao Zhu, Yang Du
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Metabolites, Vol 14, Iss 6, p 345 (2024)
Druh dokumentu: article
ISSN: 14060345
2218-1989
DOI: 10.3390/metabo14060345
Popis: Bladder cancer usually has been diagnosed in elderly patients as it stays asymptomatic until it presents. Current detection methods for bladder cancer cannot be considered as an adequate screening strategy due to their high invasiveness and low sensitivity. However, there remains uncertainty about targets with high sensitivity and specificity for non-invasive bladder cancer examination. Our study aims to investigate the actionable non-invasive screening biomarkers in bladder cancer. Here, we employed scRNA-seq to explore the crucial biological processes for bladder cancer development. We then utilized bidirectional Mendelian randomization (MR) analysis to explore the bidirectional causal relationship between ATP-associated metabolites in urine and bladder cancer. Lastly, we used a BBN-induced mouse model of bladder cancer to validate the crucial gene identified by scRNA-seq and MR analysis. We found that (1) the ATP metabolism process plays a critical role in bladder cancer development; (2) there is a bidirectional and negative causal relationship between fructose-to-sucrose ratio in urine and the risk of bladder cancer; and (3) the higher expression of TPI1, a critical gene in the fructose metabolism pathway, was validated in BBN-induced bladder tumors. Our results reveal that fructose-to-sucrose ratio can serve as a potential target of urinalysis in bladder cancer.
Databáze: Directory of Open Access Journals