Abstract

We previously reported that the level of microRNA (miR)-145 is attenuated in human bladder cancer cells. In this current study, we investigated whether intravesical administration of miR-145 could be a potential therapeutic strategy for controlling bladder cancer by using an orthotopic human bladder cancer xenograft model. Following transfection of 253J B-V cells with miR-145, the effects of the ectopic expression of miR-145 were examined by performing MTT, Western blotting analysis, Hoechst33342 staining, and wound healing assay in vitro. Also, a mouse orthotopic human bladder cancer model was established by inoculating 253J B-V cells into the bladder wall of mice. The anti-cancer effects of intravesical injections of miR-145 into these mice were then assessed. Transfection of 253J B-V cells with miR-145 induced apoptosis and suppression of cell migration in vitro. Western blotting showed that the levels of c-Myc, socs7, FSCN1, E-cadherin, β-catenin, and catenin δ-1 were decreased and that the PI3K/Akt and Erk1/2 signaling pathways were increased in compensatory fashion. In vivo, mice treated with miR-145 showed 76% inhibition of tumor growth, with a significant prolongation of animal survival (p = 0.0183 vs. control). Western blotting showed that both apoptosis and cell motility-related genes were significantly decreased as seen in vitro. Furthermore, PI3k/Akt and Erk1/2 signaling pathways, which were activated in a compensatory manner in vitro, were decreased in vivo. Intravesical administration of exogenous miR-145 was thus concluded to be a valid therapy for bladder cancer in this human bladder cancer xenograft model.

Highlights

  • In 2012 more than 73000 new cases of bladder cancer were reported in the United States, along with 14,880 deaths due to this disease

  • The standard therapy for non-muscle invasive bladder cancer (NMIBC) is an intra-vesical BCG therapy to prolong the time of recurrence and progression

  • We found that down-regulation of miR-145, which is caused by extracellular disposal via microvesicles, is related to 5-FU resistance in colon cancer cells [13]. These findings suggested that miR-145 has the potential to be an anticancer drug against various cancers including bladder cancer

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Summary

Introduction

In 2012 more than 73000 new cases of bladder cancer were reported in the United States, along with 14,880 deaths due to this disease. Increasing efforts should be made to offer patients with localized bladder cancer a rigid therapy with the aim of minimizing recurrence and progression. The standard therapy for non-muscle invasive bladder cancer (NMIBC) is an intra-vesical BCG therapy to prolong the time of recurrence and progression. Even though most NMIBC patients do not die of bladder cancer, the majority of them must endure recurrence and high-risk advancement of their cancer. Chamie et al investigated Surveillance, Epidemiology, and End Results (SEER)Medicare data and found that nearly 75% of patients with high-risk NMIBC suffer recurrence and progression of their cancer or die within 10 years of their diagnosis [1]. A significant proportion of high-risk NMIBC patients is not suited for transurethral resection of the bladder tumor (TUR-Bt) plus BCG therapy

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