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Tumor Discovery





                                        ORIGINAL RESEARCH ARTICLE
                                        Profiling energy metabolism in normal bladder

                                        tissue and non-muscle-invasive bladder cancer
                                        cases of different histological grades



                                        Guilherme Prado Costa , Petra Karla Böckelmann , Renato Prado Costa ,
                                                            1,2
                                                                                                       2
                                                                                    1
                                                                                2
                                                            2
                                        Carlos Hermann Schaal , Fernando César Sala , André Pereira Vanni ,
                                                                                                   2
                                                                  3
                                                                                            1,4
                                        Leandro Luiz Lopes de Freitas , João Carlos Cardoso Alonso ,
                                        Gabriela Cardoso de Arruda Camargo , Gabriela de Oliveira ,
                                                                                            1
                                                                         1
                                                             5
                                        Bianca Ribeiro de Souza , Athanase Billis , and Wagner José Fávaro *
                                                                                                   1
                                                                            3
                                        1 Laboratory of Urogenital Carcinogenesis and Immunotherapy (LCURGIN), Universidade Estadual
                                        de Campinas (UNICAMP), Campinas City, São Paulo State, Brazil
                                        2 Department of Urology, Amaral Carvalho Hospital (HAC), Jaú City, São Paulo State, Brazil
                                        3 Department of Pathology, Medical School, Universidade Estadual de Campinas (UNICAMP),
                                        Campinas City, São Paulo State, Brazil
                                        4 Department of Urology, Paulínia Municipal Hospital, Paulínia City, São Paulo State, Brazil
                                        5 Department of Obstetrics and Gynecology, OVCARE, University of British Columbia, Vancouver,
                                        British Columbia, Canada
                                        Abstract
                                        Bladder cancer (BC) stands as the second most common urinary tract malignancy.
            *Corresponding author:      Recent years have witnessed a growing interest in investigating energy metabolism to
            Wagner José Fávaro          help with better understanding the energy sources harnessed by tumor cells. The aims
            (favarowj@unicamp.br)
                                        of the present study are to feature and compare cell energy metabolism profiles among
            Citation: Costa GP,         different histological grades of non-muscle-invasive BC (NMIBC) by adjusting their
            Böckelmann PK, Costa RP,
            et al. Profiling energy metabolism   bioenergetic cellular indexes based on the specific tumor types. Forty urinary bladder
            in normal bladder tissue and   tissue samples from patients both with and without a diagnosis of urothelial lesions
            non-muscle-invasive bladder   were collected. Subsequently, samples were categorized into four groups comprising
            cancer cases of different
            histological grades. Tumor Discov.   ten samples each, namely: normal (no urothelial lesions) group, low-grade pTa group,
            2024:3(1):2290.             high-grade pTa group, and high-grade pT1 group. These tissue samples were examined
            https://doi.org/10.36922/td.2290  by means of immunohistochemistry and Western blotting to assess proteins involved
            Received: November 22, 2023   in cell energy metabolism. Based on the current findings, the normal and low-grade
            Accepted: January 9, 2024   pTa groups presented clear preference for the oxidative phosphorylation pathway;
            Published Online: March 19, 2024  consequently, they recorded high bioenergetic cellular index. On the other hand,
            Copyright: © 2024 Author(s).   both the high-grade pTa and pT1 groups presented proclivity towards the glycolytic
            This is an Open-Access article   pathway. These observations, mainly those associated with the bioenergetic cellular
            distributed under the terms of the
            Creative Commons Attribution   index, hold promising clinical relevance in the management of BC. Given the often
            License, permitting distribution,   aggressive and potentially debilitating nature of treatments applied to this neoplasia
            and reproduction in any medium,   type, the current study offers invaluable insights on this topic and emphasizes changes
            provided the original work is
            properly cited.             in  the bioenergetic  cellular  index  at  different  NMIBC  grades,  which  could  serve  as
                                        potential markers for both the diagnosis and prognosis of NMIBC patients.
            Publisher’s Note: AccScience
            Publishing remains neutral with
            regard to jurisdictional claims in
            published maps and institutional   Keywords: Bladder cancer; Energy metabolism; Bioenergetic cellular index; Cancer
            affiliations.               metabolism



            Volume 3 Issue 1 (2024)                         1                          https://doi.org/10.36922/td.2290
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