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Published on: October 30, 2013
NS-398, a selective cyclooxygenase-2 inhibitor, reduces experimental bladder carcinoma outgrowth by inhibiting tumor
Niels Smakman1, Nicoline Schaap, Cristel M J T Snijckers
1Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Objectives:
To evaluate the efficacy of the selective cyclooxygenase-2 (COX-2) inhibitor NS-398 in treating experimental T24 bladder carcinoma, and to assess its effect on tumor cell proliferation and survival and tumor vascularization. COX-2 overexpression is frequently observed in bladder carcinoma and has been correlated with an increased disease stage and with reduced patient survival.
Methods:
NS-398 was used to inhibit COX-2 selectively in human T24 bladder carcinoma cells. Lentiviral transduction of the firefly luciferase gene allowed us to assess the effect of NS-398 on orthotopic bladder carcinoma growth over time in a noninvasive manner. Immunohistochemistry on bladder tissue sections was performed to determine the effect of NS-398 treatment on tumor cell proliferation (Ki-67), apoptosis (cleaved caspase-3), and angiogenesis (von Willebrand factor; CD31).
Results:
T24 cells expressed COX-2 and secreted prostaglandin E2 (PGE2). Selective COX-2 inhibition using NS-398 abrogated PGE2 secretion and inhibited cell proliferation in vitro in a dose-dependent manner, without affecting cell viability. In vivo administration of NS-398 reduced the outgrowth of experimental orthotopic T24 bladder carcinoma. This was accompanied by a significant reduction in Ki-67-positive tumor cells but not by a reduction in tumor cell viability or tumor vascularization.
Conclusions:
Selective COX-2 inhibition by NS-398 reduces the outgrowth of T24 human bladder carcinoma in an orthotopic mouse model. The therapeutic activity was most likely caused by inhibition of tumor cell proliferation, rather than by inhibition of angiogenesis or tumor cell survival.
Insights
Selective COX-2 inhibition with NS-398 effectively reduced T24 bladder carcinoma growth in mice. This therapeutic effect was primarily due to decreased tumor cell proliferation, not altered survival or vascularization.
Area of Science:
- Oncology
- Pharmacology
Background:
- Cyclooxygenase-2 (COX-2) is overexpressed in bladder carcinoma, correlating with advanced stage and poor patient survival.
- Selective COX-2 inhibition presents a potential therapeutic strategy for bladder cancer.
Purpose of the Study:
- To evaluate the efficacy of the selective COX-2 inhibitor NS-398 against experimental T24 bladder carcinoma.
- To assess NS-398's impact on tumor cell proliferation, survival, and vascularization.
Main Methods:
- T24 bladder carcinoma cells were treated with NS-398 in vitro and in an orthotopic mouse model.
- Noninvasive monitoring of tumor growth was achieved using firefly luciferase lentiviral transduction.
- Immunohistochemistry assessed proliferation (Ki-67), apoptosis (cleaved caspase-3), and angiogenesis (CD31, von Willebrand factor).
Main Results:
- NS-398 inhibited prostaglandin E2 (PGE2) secretion and dose-dependently reduced T24 cell proliferation in vitro without affecting viability.
- In vivo, NS-398 significantly reduced orthotopic T24 bladder carcinoma outgrowth.
- This reduction was associated with decreased Ki-67-positive cells, but not with changes in tumor cell viability or vascularization.
Conclusions:
- Selective COX-2 inhibition using NS-398 demonstrates therapeutic efficacy in an orthotopic mouse model of T24 human bladder carcinoma.
- The primary mechanism of action appears to be the inhibition of tumor cell proliferation, rather than effects on angiogenesis or cell survival.
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