Immunohistochemistry showed that 44.2% (53/120) of human bladder carcinoma tissues and 38%(16/42) background tissue(G) expressed Twist(P = 0.156);62.5%(75/120) of human bladder Carcinoma tissues and 40%(17/42) background tissue(Fig. 2E) expressed Slug(P = 0.044); 15.8% (19/120) of human bladder carcinoma tissues and 76%(32/42) background tissue(Fig. 2F) expressed Snail(P = 0.016) and 25.8% (31/120) cases were low for E-cadherin expression in carcinoma tissues (Table 2). The gene discussed is TWIST1; the disease is carcinoma.