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    <Identifier>25nrwgu47</Identifier>
    <IdentifierDoi>10.3205/25nrwgu47</IdentifierDoi>
    <IdentifierUrn>urn:nbn:de:0183-25nrwgu475</IdentifierUrn>
    <ArticleType>Meeting Abstract</ArticleType>
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      <Title language="en">Integrated analysis of genetic polymorphism in the Cox-2 promoter and protein expression in urine samples from patients with cisplatin resistance</Title>
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        <PersonNames>
          <Lastname>von Brandenstein</Lastname>
          <LastnameHeading>von Brandenstein</LastnameHeading>
          <Firstname>Melanie</Firstname>
          <Initials>M</Initials>
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          <Affiliation>Uniklinik K&#246;ln, Urologie, K&#246;ln, Deutschland</Affiliation>
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          <Lastname>Storz</Lastname>
          <LastnameHeading>Storz</LastnameHeading>
          <Firstname>Enno</Firstname>
          <Initials>E</Initials>
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        <Address>
          <Affiliation>Uniklinik K&#246;ln, Urologie, K&#246;ln, Deutschland</Affiliation>
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          <Lastname>Kessler</Lastname>
          <LastnameHeading>Kessler</LastnameHeading>
          <Firstname>Carolina</Firstname>
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          <Affiliation>Uniklinik K&#246;ln, Urologie, K&#246;ln, Deutschland</Affiliation>
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          <Lastname>Sperber</Lastname>
          <LastnameHeading>Sperber</LastnameHeading>
          <Firstname>Laurenz</Firstname>
          <Initials>L</Initials>
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        <Address>
          <Affiliation>Uniklinik K&#246;ln, Urologie, K&#246;ln, Deutschland</Affiliation>
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          <Lastname>Gehle</Lastname>
          <LastnameHeading>Gehle</LastnameHeading>
          <Firstname>Paul</Firstname>
          <Initials>P</Initials>
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        <Address>
          <Affiliation>Uniklinik K&#246;ln, Urologie, K&#246;ln, Deutschland</Affiliation>
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          <Lastname>Bouillon</Lastname>
          <LastnameHeading>Bouillon</LastnameHeading>
          <Firstname>Bianca</Firstname>
          <Initials>B</Initials>
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        <Address>
          <Affiliation>Uniklinik K&#246;ln, Urologie, K&#246;ln, Deutschland</Affiliation>
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      <Creator>
        <PersonNames>
          <Lastname>Wirtz</Lastname>
          <LastnameHeading>Wirtz</LastnameHeading>
          <Firstname>Ralph</Firstname>
          <Initials>R</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Stratifyer Molecular Pathology GmbH, K&#246;ln, Deutschland</Affiliation>
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      <Creator>
        <PersonNames>
          <Lastname>Heidenreich</Lastname>
          <LastnameHeading>Heidenreich</LastnameHeading>
          <Firstname>Alex</Firstname>
          <Initials>A</Initials>
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        <Address>
          <Affiliation>Uniklinik K&#246;ln, Urologie, K&#246;ln, Deutschland</Affiliation>
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          <Corporatename>German Medical Science GMS Publishing House</Corporatename>
        </Corporation>
        <Address>D&#252;sseldorf</Address>
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    <SubjectGroup>
      <SubjectheadingDDB>610</SubjectheadingDDB>
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    <DatePublishedList>
      <DatePublished>20250402</DatePublished>
    </DatePublishedList>
    <Language>engl</Language>
    <License license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
      <AltText language="en">This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License.</AltText>
      <AltText language="de">Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung).</AltText>
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      <Meeting>
        <MeetingId>M0609</MeetingId>
        <MeetingSequence>47</MeetingSequence>
        <MeetingCorporation>Nordrhein-Westf&#228;lische Gesellschaft f&#252;r Urologie e.V.</MeetingCorporation>
        <MeetingName>70. Kongress der Nordrhein-Westf&#228;lischen Gesellschaft f&#252;r Urologie</MeetingName>
        <MeetingTitle></MeetingTitle>
        <MeetingSession>Posterbegehung II</MeetingSession>
        <MeetingCity>M&#252;nster</MeetingCity>
        <MeetingDate>
          <DateFrom>20250403</DateFrom>
          <DateTo>20250404</DateTo>
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    <ArticleNo>P 2.4</ArticleNo>
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      <MainHeadline>Text</MainHeadline><Pgraph><Mark1>Introduction:</Mark1> A known target of the NF&#954;B transcription factor complex is the promoter region of Cyclooxygenase 2 (Cox-2). Overexpression of Cox-2 is particularly associated with the development of cisplatin resistance. Mxi-2 forms a complex with the NF&#954;B p65 subunit. It is now being investigated whether the overexpression of Cox-2 in cisplatin resistance is due to a base substitution in the NF&#954;B binding region and whether Mxi-2 is involved in the overexpression of Cox-2.</Pgraph><Pgraph><Mark1>Materials and methods:</Mark1> DNA was isolated from urothelial carcinoma cell lines (RT4, HTB-9, T24(-R), TCCSUP(-R)) and analyzed for the T&#47;G base exchange at the Cox-2 promoter using TaqMan SNP analysis. DNA was also isolated from urine samples from patients with cisplatin-sensitive (n&#61;11) and -resistant bladder cancer (n&#61;12) and analyzed using SNP analysis. The Mxi-2 ELISA was performed according to established standard protocols.</Pgraph><Pgraph><Mark1>Results:</Mark1> SNP analysis identified homozygous mutated type (G&#47;G), heterozygous mutated type (T&#47;G), or wild type (T&#47;T) in the cell lines and urine samples used. The ELISA showed overexpression of Mxi-2 in patients with cisplatin-sensitive bladder cancer (OD Median 0.50 &#177; 0,029) vs cisplatin-resistant bladder cancer (OD Median 0.43 &#177; 0,078).</Pgraph><Pgraph><Mark1>Conclusion:</Mark1> The collected results suggest that predictive statements regarding the effectiveness of cisplatin-containing therapy may be possible by determining the polymorphism in the NF&#954;B binding site of the Cox-2 promoter in combination with patient Mxi-2 level. Patients with low Mxi-2 levels and a heterozygous or homozygous mutated type should undergo close imaging controls during neoadjuvant chemotherapy.</Pgraph></TextBlock>
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