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Updated: May 28, 2026

Induction of Invasive Transitional Cell Bladder Carcinoma in Immune Intact Human MUC1 Transgenic Mice: A Model for Immunotherapy Development
Published on: October 30, 2013
Current and emerging strategies in bladder cancer
Simone Carradori1, Cristiano Cristini, Daniela Secci
1Dipartimento di Chimica e Tecnologie del Farmaco and Dipartimento di Scienze Ginecologico- Ostetriche e Scienze Urologiche, Sapienza University of Rome, P.le A. Moro 5, 00185 Rome, Italy. simone.carradori@uniroma1.it
Urothelial cell carcinoma treatments face challenges with response rates and side effects. This review explores novel molecular therapies, including epigenetic modulators and kinase inhibitors, for improved urothelial carcinoma treatment outcomes.
Area of Science:
- Oncology
- Urology
- Molecular Biology
Background:
- Urothelial cell carcinoma (UCC) is a common urinary tract malignancy.
- Standard treatments like intravesical chemo- and immunotherapy have limitations, including side effects and treatment resistance in ~30% of patients.
- Muscle-invasive bladder cancer (MIBC) is aggressive, requiring radical cystectomy, despite modest chemosensitivity.
Purpose of the Study:
- To review promising global or pathway-based therapeutic approaches for urothelial carcinoma.
- To highlight novel agents tested in clinical trials based on a deeper understanding of UCC molecular biology.
- To address the unmet need for effective alternative therapies in bladder cancer.
Main Methods:
- Review of recent clinical trials focusing on molecularly targeted agents for urothelial carcinoma.
- Exploration of various therapeutic strategies including epigenetic modulators, kinase inhibitors, angiogenesis blockers, PPARγ agonists, apoptosis inducers, and virus therapy.
- Synthesis of data on the efficacy and potential of these novel approaches.
Main Results:
- While traditional therapies have limitations, emerging molecularly targeted agents show promise.
- Clinical trials are investigating diverse pathways, including epigenetic modulation and kinase inhibition.
- These novel approaches aim to overcome resistance and improve survival in urothelial carcinoma.
Conclusions:
- Bladder cancer presents significant challenges, necessitating alternative therapeutic strategies.
- Advances in molecular biology support the development of targeted therapies for urothelial carcinoma.
- Promising global and pathway-based approaches are under investigation in clinical trials for improved patient outcomes.
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