Acquired platinum resistance enhances tumour angiogenesis through angiotensin II type 1 receptor in bladder cancer

N Tanaka1, A Miyajima, T Kosaka

  • 1Department of Urology, Keio University School of Medicine, Shinjuku-ku, Tokyo 160-8582, Japan.

Abstract

Insights

Acquired platinum resistance in bladder cancer involves increased reactive oxygen species (ROS) and angiotensin II (Ang II) type 1 receptor (AT1R) signaling. Blocking AT1R shows promise for treating platinum-resistant bladder tumors.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Investigated reactive oxygen species (ROS) and angiogenesis via angiotensin II (Ang II) type 1 receptor (AT1R) in acquired platinum-resistant bladder cancer.
  • Examined molecular changes following cisplatin (CDDP) treatment in bladder cancer models.

Purpose of the Study:

  • To elucidate the role of AT1R and ROS in the development of platinum resistance in bladder cancer.
  • To evaluate the therapeutic potential of AT1R blockade in platinum-resistant bladder cancer.

Main Methods:

  • Utilized human bladder cancer cell lines (T24, 5637) and their acquired platinum-resistant sublines (T24PR, 5637PR) in vitro and in vivo.
  • Assessed vascular endothelial growth factor (VEGF) production, AT1R expression, and ROS levels.
  • Investigated the effect of AT1R blockade and free radical scavenging on tumor growth in xenograft models.

Main Results:

  • Platinum-resistant cells exhibited significantly higher VEGF production and AT1R expression induced by Ang II compared to parent cells.
  • ROS levels were significantly upregulated in resistant cells, and AT1R expression was downregulated by free radical scavenging.
  • AT1R blockade effectively suppressed the growth of platinum-resistant bladder cancer xenografts.

Conclusions:

  • Upregulated AT1R signaling through increased ROS is a key mechanism in bladder cancer progression after CDDP treatment.
  • AT1R blockade represents a potential therapeutic strategy for platinum-resistant bladder cancers.