You have accessJournal of UrologyBladder Cancer: Basic Research (III)1 Apr 20131137 FGF2-MEDIATED RECIPROCAL TUMOR CELL-ENDOTHELIAL CELL INTERPLAY CONTRIBUTES TO THE GROWTH OF CHEMO-RESISTANT BLADDER CANCER CELLS Yule Chen, Kaijie Wu, Jin Zeng, Lei Li, and Dalin He Yule ChenYule Chen Xi'an, China, People's Republic of More articles by this author , Kaijie WuKaijie Wu Xi'an, China, People's Republic of More articles by this author , Jin ZengJin Zeng Xi'an, China, People's Republic of More articles by this author , Lei LiLei Li Xi'an, China, People's Republic of More articles by this author , and Dalin HeDalin He Xi'an, China, People's Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.752AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Chemo-resistance is of outstanding importance for the limited results of chemotherapy in bladder cancer, because chemo-resistant cancer cells probably provide the main sources of recurrent tumors. However, the mechanisms by which these chemo-resistant cells develop into recurrent tumors remain unclear. It has been recently reported that the proangiogenic factor FGF2, a molecule associated with the recruitment of endothelial cells, was identified as an independent prognostic factor for bladder cancer recurrence after chemotherapy. Here, we explored the mechanisms of chemo-resistant cells mediated bladder cancer recurrence, focusing on FGF2-associated endothelial cell recruitment mediated by drug-resistant bladder cancer cells as well as the possible effect of tumor cell-endothelial cell interaction on chemo-resistant cancer cell growth. METHODS A novel multidrug resistant subline (253J/DOX) of human bladder cancer 253J cell line was generated by culturing these cells in gradually increasing doses of doxorubicin (DOX) for 12 months. The chemo-resistant phenotype was identified. The expression levels of P-glycoprotein and FGF2 and the interaction between chemo-resistant tumor cells and endothelial cells was assessed. RESULTS As compared with parental 253J cells, 253J/DOX cells expressed higher level of the drug transporter P-glycoprotein, accompanied with significant resistance to doxorubicin, pirarubicin and vincristine. Downregulation of P-glycoprotein expression by specific siRNA reversed this multidrug resistant phenotype. In 253J/DOX cells, the expression and secretion levels of FGF2 were both markedly increased. The conditioned medium of 253J/DOX cells recruited abundant endothelial cells and promoted endothelial cell proliferation and tube formation potential, which was blocked by FGF2 neutralizing antibody. Furthermore, co-culture with endothelial cells or conditioned medium of endothelial cells significantly enhanced the proliferative capacity of 253J/DOX cells. CONCLUSIONS Our findings provided the first evidences that FGF2-mediated tumor cell-endothelial cell interplay facilitated the growth of chemo-resistant bladder cancer, which may possibly contribute to bladder cancer recurrence after chemotherapy. On one hand, the residual chemo-resistant cells after chemotherapy can recruit endothelial cells by secreting proangiogenic factors, while on the other hand the recruited endothelial cells may promote residual cancer cell growth. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e464 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Yule Chen Xi'an, China, People's Republic of More articles by this author Kaijie Wu Xi'an, China, People's Republic of More articles by this author Jin Zeng Xi'an, China, People's Republic of More articles by this author Lei Li Xi'an, China, People's Republic of More articles by this author Dalin He Xi'an, China, People's Republic of More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...