To investigate the prostaglandin E 2 (PGE 2) biosynthetic mechanism in bladder carcinogenesis, we established Wistar rat model of bladder papilloma and transitional cell carcinoma (TCC) induced by 5% terephthalic acid (TPA) treatment. Then, the mRNA level of cytosolic phospholipase A 2 (cPLA 2), cyclooxygenases (COX)-1 and -2, membrane-bound PGE 2 synthases (mPGES)-1 and -2 was detected using reverse transcription polymerase chain reaction (RT-PCR). Immunoblotting was applied to detect the expression of COX-2 protein. Proliferating cell nuclear antigen (PCNA) was determined by immunohistochemistry. In addition, the level of PGE 2 was measured by radioimmunoassay (RIA). Bladder papilloma (100%, 8/8) was examined in rats after 24-week treatment, and bladder TCC (80%, 16/20) was found after 48-week treatment. Histopathological changes were not found in control group rats. The incidence of bladder papilloma and TCC in test group was significantly higher than that in control group ( P < 0.01 ). The mRNA levels of cPLA 2, COX-2 and mPGES-1 in the bladder papilloma and TCC were significantly higher than those in normal bladder ( P < 0.01 ), while the mRNA levels of COX-1 and mPGES-2 in TCC were unchanged compared with normal bladder. Bladder TCC exhibited a substantial expression of COX-2 protein. On the contrary, normal bladder tissue barely expresses COX-2 protein. PCNA labeling index (LI) and the level of PGE 2 in bladder papilloma are much higher than those in normal bladder ( P < 0.01 ), but lower than those in bladder TCC ( P < 0.05 ). In conclusion, increasing PGE 2 level via cPLA 2–COX-2–mPGES-1 pathway may play an important role in rat bladder carcinogenesis. PGE 2 may be a biomarker for the development of bladder TCC. cPLA 2 and mPGES-1 may be targets for development of novel chemoprevention strategies for bladder TCC.
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