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Updated: Apr 4, 2026

Analysis of Cell Cycle Position in Mammalian Cells
Published on: January 21, 2012
CDK4/6 Inhibition Controls Proliferation of Bladder Cancer and Transcription of RB1
Anuja Sathe1, Nicole Koshy1, Sebastian C Schmid1
1Department of Urology, Klinikum rechts der Isar, Technische Universität München, Munich, Germany; Department of Nuclear Medicine, Rostock University Medical Centre (SMS, BJK), Rostock, Germany.
Purpose:
The retinoblastoma signaling network is frequently altered in advanced bladder cancer. We investigated the potential of CDK4/6 as a therapeutic target and determined biomarkers for patient stratification.
Materials And Methods:
Genetic alterations were analyzed using public databases, including TCGA (The Cancer Genome Atlas), COSMIC (Catalogue of Somatic Mutations in Cancer) and CCLE (Cancer Cell Line Encyclopedia). Effects of the CDK4/6-inhibitor PD-0332991 or LY2835219 were examined in 10 bladder cancer cell lines by immunoblot, cell viability, apoptosis and cell cycle progression. Efficacy of the PD-0332991 and cisplatin combination was analyzed using the combination index. Gene expression level was determined by quantitative polymerase chain reaction. Cytomegalovirus promoter regulated recombinant retinoblastoma was used for reconstitution. Three-dimensional xenografts were grown on chicken chorioallantoic membrane and analyzed by measuring tumor weight and immunohistochemical expression of total retinoblastoma and Ki-67.
Results:
PD-0332991 treatment decreased the proliferation of retinoblastoma positive bladder cancer cell lines and was synergistic in combination with cisplatin. PD-0332991 or LY2835219 treatment decreased the phosphorylation, total protein and transcript level of retinoblastoma. Treatment resulted in a decrease in E2F target gene expression (CCNA2 and CCNE2) and cell cycle progression from G0/G1 to the S-phase but did not affect apoptosis. In retinoblastoma negative cells reconstituted with recombinant retinoblastoma PD-0332991 affected only phosphorylation and not the total retinoblastoma level. These cells remained resistant to treatment. In 3-dimensional retinoblastoma xenografts, treatment resulted in reduced tumor weight and decreased expression of total retinoblastoma and Ki-67.
Conclusions:
We provide preclinical evidence that CDK4/6 inhibition is a potential therapeutic strategy for retinoblastoma positive bladder cancer that probably acts by negatively regulating retinoblastoma transcription.
Insights
CDK4/6 inhibitors show promise for retinoblastoma-positive bladder cancer. These drugs reduce tumor growth by targeting the retinoblastoma signaling network, offering a potential new therapy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- The retinoblastoma (RB) signaling network is frequently altered in advanced bladder cancer.
- Identifying therapeutic targets and predictive biomarkers is crucial for effective treatment stratification.
Purpose of the Study:
- To investigate Cyclin-Dependent Kinase (CDK)4/6 as a potential therapeutic target in bladder cancer.
- To identify biomarkers for patient stratification based on retinoblastoma (RB) status.
Main Methods:
- Analysis of genetic alterations in bladder cancer using public databases (TCGA, COSMIC, CCLE).
- In vitro assessment of CDK4/6 inhibitors (PD-0332991, LY2835219) in bladder cancer cell lines, evaluating cell viability, apoptosis, and cell cycle.
- In vivo efficacy studies using 3D xenografts on the chicken chorioallantoic membrane.
Main Results:
- CDK4/6 inhibitor treatment reduced proliferation in RB-positive bladder cancer cell lines.
- Combination therapy with PD-0332991 and cisplatin showed synergistic effects.
- Inhibition of CDK4/6 decreased RB phosphorylation and transcript levels, leading to G0/G1 to S-phase cell cycle arrest.
Conclusions:
- CDK4/6 inhibition represents a potential therapeutic strategy for RB-positive bladder cancer.
- The mechanism likely involves negative regulation of RB transcription.
- RB status serves as a potential biomarker for patient selection.
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