Our purpose was to determine the feasibility and accuracy of modifying the murine bladder cancer cell line MB49 to secrete the prostate specific antigen (PSA) as a biomarker for monitoring orthotopic bladder tumor growth and to further evaluate the effectiveness of GM-CSF gene therapy in this model. The modified MB49-PSA cells behaved similarly to the parental cell line and produced high levels of PSA both in vitro and in vivo. In a subcutaneous model the level of PSA produced correlated with tumor volume (r=0.96). To test the model, MB49-PSA cells were implanted orthotopically into C57BL/6 mice. On the fourth day after implantation, small tumors measuring as small as 0.2–0.3mm in diameter were identified and these were sufficient to produce measurable PSA in both serum and urine. Mice with confirmed tumors were given liposome-mediated GM-CSF gene therapy on the fifth day after implantation. Therapy was administrated twice a week for 3 weeks intravesically. Tumor growth and response to treatment was monitored at 2–3 day intervals by measuring PSA level in mouse serum and urine samples by ELISA. Measurement of serum PSA level over the treatment period showed that tumor growth was inhibited by GM-CSF gene therapy. Up to 50% of the treated mice were cured. Cytokine array analysis revealed that GM-CSF gene therapy appeared to act by inducing the production of other cytokines and chemokines. Our results demonstrate that the PSA marker protein is constitutively expressed by MB49-PSA cells implanted in mice and changes in its serum levels reflect the tumor burden in vivo. Our results also indicated that liposome-mediated GM-CSF gene therapy is effective in treating murine bladder cancer. The study provides a simple, reliable and non-invasive method to evaluate therapeutic modalities such as gene therapy for bladder cancer Figure 1.
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