Abstract

Bladder cancer is the ninth most common malignancy in the world. Successful clinical management remains a challenge. In order To search for novel targeted and efficacious treatment, we sought to investigate anti-tumor activity of BI-TK suicide gene therapy system in a rat model of bladder tumors. We first constructed and tested an anaerobic Bifidobacterium infantis-mediated thymidine kinase (BI-TK) suicide gene therapy system. To test the in vivo efficacy of this system, we established a rat model of bladder tumors, which was induced by N-methyl-nitrosourea perfusion. Bifidobacterium infantis containing the HSV-TK (i.e., BI-TK) were constructed by transformation of recombinant plasmid pGEX - TK. The engineered BI-TK was injected into tumor-bearing rats via tail vein, followed by intraperitoneal injection of ganciclovir (GCV). Using the rat model of bladder tumors, we found that bladder tumor burdens were significantly lower in the rats treated with BI-TK/GCV group than that treated with normal saline control group (p <0.05). While various degrees of apoptosis of the tumor cells were detected in all groups using in situ TUNEL assay, apoptosis was mostly notable in the BI-TK/GCV treatment group. Immunohistochemical staining further demonstrated that the BI-TK/GCV treatment group had the highest level of caspase3 protein expression than that of the empty plasmid group and normal saline group (p < 0.05). Thus, our results demonstrate that the Bifidobacterium infantis-mediated TK/GCV suicide gene therapy system can effectively inhibit rat bladder tumor growth, possibly through increasing caspase 3 expression and inducing apoptosis.

Highlights

  • Bladder cancer is the ninth most common malignancy in the world

  • Animal models of bladder tumors are mostly limited to the use of xenograft tumor models with subcutaneous or planting bladder tumor cells

  • Our results have demonstrated that the Bifidobacterium infantis-mediated TK/GCV suicide gene therapy system can effectively inhibit rat bladder tumor growth via increasing caspase 3 expression and inducing apoptosis

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Summary

Introduction

Bladder cancer is the ninth most common malignancy in the world. Current treatments for bladder cancer include surgery, immunotherapy, chemotherapy and radiotherapy. There is an increasing trend towards multimodal treatments. There have been substantial changes in the therapeutic options for the management of both superficial and muscle-invasive bladder cancer in the last 10 years, successful clinical management still posses a challenge for urologists and oncologists due to the high rate for recurrence and progression. Journal of Experimental & Clinical Cancer Research 2009, 28:155 http://www.jeccr.com/content/28/1/155 lower toxic potential and higher therapeutic indices. Novel therapeutic modalities under investigation include DNA vaccines, magnetically targeted carriers, bio-adhesive microspheres and antisense oligodeoxynucleotides. For muscle-invasive bladder cancer, perioperative chemotherapy is used with increasing frequency. The latest preclinical research efforts are focused on the inhibition of angiogenesis and other processes predisposing to metastatic disease

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