Department of Urology, Kocaeli University School of Medicine, Umuttepe Campus, 41380, Kocaeli, Turkey.
Department of Molecular Biology, Kocaeli University School of Medicine, Kocaeli, Turkey.
Cancer Immunol Immunother. 2018 Jan;67(1):67-77. doi: 10.1007/s00262-017-2063-2. Epub 2017 Sep 15.
Intravesical Bacillus Calmette-Guerin (BCG) is the best treatment modality for progression of non-muscle invasive bladder cancer. We aimed to monitor changes at the proteome level to identify putative protein biomarkers associated with the response of urothelial precancerous lesions to intravesical BCG treatment. The rats were divided into three groups (n = 10/group): control, non-treated, and BCG-treated groups. The non-treated and BCG-treated groups received N-methyl-N-nitrosourea intravesically. BCG Tice-strain was instilled into bladder in BCG-treated group. At the endpoint of experiment, all surviving rat bladders were collected and equally divided into two portions vertically from dome to neck. Half of each bladder was assessed immunohistopathologically and the other half was used for 2D-based comparative proteomic analysis. Differentially expressed proteins were validated by Western blot analysis. Precancerous lesions of bladder cancer were more common in non-treated group (77.8%) than in BCG-treated group (50%) and the control group (0%). Greater than twofold changes occurred in the expression of a number of proteins. Among them, Rab-GDIβ, aldehyde dehydrogenase 2 (ALDH2) and 14-3-3 zeta/delta were important since they were previously reported to be associated with cancer and their expression levels were found to be lower in BCG-treated group in comparison to the non-treated group. ALDH2 and 14-3-3 zeta/delta were also found to be highly expressed in the non-treated group compared to the control group. The down-regulation of these proteins and Rab-GDIβ was achieved with BCG; this result indicates that they may be used as putative biomarkers for monitoring changes in bladder carcinogenesis in response to BCG immunotherapy.
膀胱内卡介苗(BCG)是治疗非肌肉浸润性膀胱癌进展的最佳方法。我们旨在监测蛋白质组水平的变化,以鉴定与尿路上皮癌前病变对膀胱内 BCG 治疗反应相关的潜在蛋白生物标志物。大鼠分为三组(n=10/组):对照组、未治疗组和 BCG 治疗组。非治疗组和 BCG 治疗组经膀胱内给予 N-甲基-N-亚硝脲。BCG Tice 株在 BCG 治疗组中注入膀胱。实验终点时,所有存活大鼠的膀胱均被收集并从穹顶到颈部垂直等分为两部分。每一半膀胱进行免疫组织病理学评估,另一半用于基于 2D 的比较蛋白质组学分析。通过 Western blot 分析验证差异表达蛋白。膀胱癌癌前病变在未治疗组(77.8%)比 BCG 治疗组(50%)和对照组(0%)更常见。许多蛋白质的表达发生了两倍以上的变化。其中,Rab-GDIβ、醛脱氢酶 2(ALDH2)和 14-3-3 zeta/delta 很重要,因为它们之前与癌症有关,并且它们在 BCG 治疗组中的表达水平低于未治疗组。ALDH2 和 14-3-3 zeta/delta 在未治疗组中也比对照组表达更高。这些蛋白质和 Rab-GDIβ 的下调是通过 BCG 实现的;这一结果表明,它们可能被用作监测膀胱癌发生对 BCG 免疫治疗反应变化的潜在生物标志物。