Department of Urology, Shaanxi Provincial People's Hospital, Xi'an, P.R. China.
Int J Oncol. 2016 Jan;48(1):225-34. doi: 10.3892/ijo.2015.3256. Epub 2015 Nov 20.
Bladder cancer (BCa) is the most vital urogenital malignant disease worldwide, bringing huge economic and social burden every year. Clinically, BCa is subdivided into superficial type and invasive type according to clinic-pathology, accompanied with different strategy of therapy. Number of reports indicate that 10-30% of superficial BCa will inevitable progress into invasive type, manifesting enhanced malignant behavior compared to original invasive type. Regardless of the original being an original invasive type or invasive type that progressed from superficial type of BCa, chemotherapy (including adjuvant or neo-adjuvant chemotherapy) in line with radiotherapy is the final regimen for BCa patients. Previous reports pointed out the high efficiency of cisplatin-containing chemotherapeutic regimen for BCa patients, leading to wide use of this regimen in BCa therapeutics. However, cisplatin-resistance inevitably appear, resulting in the failure of the BCa chemotherapy, the mechanism of which is still unknown. In the present study, parental BCa cell lines T24/J82 were used to obtain stable-cisplatin-resistance cell lines T24R/J82R, which showed enhanced capacity of malignancy, tumorigenesis and drug resistance, accompanied by elevated expression of EMT markers. The further mechanism investigation suggested that prolonged time of cisplatin-treatment contributed to the activation of the NF-κB signal, resulting in the upregulation of EMT markers, the maintenance of stem cell marker and the elevated expression of ABCB1. Thus, our study provides us a new view of the role of NF-κB signaling in BCa therapeutics.
膀胱癌(BCa)是全球最重要的泌尿生殖系统恶性肿瘤,每年带来巨大的经济和社会负担。临床上,BCa 根据临床病理分为表浅型和浸润型,治疗策略也不同。有报道称,10-30%的表浅型 BCa 不可避免地会进展为浸润型,表现出比原始浸润型更强的恶性行为。无论是原始的浸润型还是由表浅型 BCa 进展而来的浸润型,化疗(包括辅助或新辅助化疗)联合放疗都是 BCa 患者的最终治疗方案。先前的报道指出,含顺铂的化疗方案对 BCa 患者有效,因此该方案在 BCa 治疗中得到广泛应用。然而,顺铂耐药性不可避免地出现,导致 BCa 化疗失败,其机制尚不清楚。在本研究中,使用亲本 BCa 细胞系 T24/J82 获得了稳定的顺铂耐药细胞系 T24R/J82R,它们表现出增强的恶性、致瘤和耐药能力,同时 EMT 标志物表达上调。进一步的机制研究表明,顺铂处理时间的延长导致 NF-κB 信号的激活,从而上调 EMT 标志物,维持干细胞标志物的表达,并上调 ABCB1 的表达。因此,我们的研究为 NF-κB 信号在 BCa 治疗中的作用提供了一个新的视角。
Cancer Res Treat. 2016-3-11
Onco Targets Ther. 2022-3-26
Front Pharmacol. 2020-3-20