Cyclooxygenase inhibitors in urinary bladder cancer: in vitro and in vivo effects

Sulma I Mohammed1, Deepika Dhawan, Shaji Abraham

  • 1Department of Veterinary Clinical Sciences, Purdue University, 625 Harrison Street, West Lafayette, IN 47907-2026, USA.

Insights

Cyclooxygenase (COX) inhibitors show promise against bladder cancer. Standard lab tests failed to predict effectiveness, but mouse models showed COX inhibitors delayed tumor growth, especially in COX-2 expressing tumors.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Transitional cell carcinoma (TCC) of the urinary bladder causes significant mortality.
  • Cyclooxygenase (COX)-inhibiting drugs are being investigated for their potential antitumor effects in TCC.
  • Optimal in vitro and in vivo models for studying COX inhibitor efficacy in TCC are not well-defined.

Purpose of the Study:

  • To determine cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2) expression in human TCC cell lines and xenografts.
  • To evaluate the antitumor effects of COX inhibitors in these TCC models.
  • To assess the utility of in vitro and in vivo systems for studying COX inhibitor effects in TCC.

Main Methods:

  • Human TCC cell lines (HT1376, RT4, UMUC3) and their derived xenografts were used.
  • COX-1 and COX-2 expression was analyzed using Western blot and immunocytochemistry.
  • Antitumor effects of COX inhibitors (celecoxib, piroxicam, valeryl salicylate, NS398) were assessed in vitro proliferation assays and in vivo xenograft models in athymic mice.

Main Results:

  • COX-2 expression varied across cell lines and xenografts, being high in HT1376, modest in RT4, and absent in UMUC3.
  • In vitro, only high concentrations of celecoxib inhibited proliferation and induced apoptosis.
  • In vivo, celecoxib and piroxicam significantly delayed the progression of HT1376 xenografts (COX-2 positive) but not UMUC3 xenografts (COX-2 negative).

Conclusions:

  • Standard in vitro proliferation assays are inadequate for predicting the in vivo antitumor effects of COX inhibitors in TCC.
  • Athymic mice bearing TCC xenografts represent a valuable in vivo system for studying COX inhibitors.
  • Further investigation into COX inhibitors as potential antitumor agents for TCC is warranted.