Garlic extract in bladder cancer prevention: Evidence from T24 bladder cancer cell xenograft model, tissue

Won Tae Kim1, Sung-Pil Seo2, Young Joon Byun1

  • 1Department of Urology, Chungbuk National University College of Medicine, Cheongju, Chungbuk 28644, Republic of Korea.

Insights

Garlic extract shows significant bladder cancer prevention in mice by affecting tumor growth. Key genes in the Protein Kinase A (PKA) pathway were identified as potential mechanisms for this effect.

Area of Science:

  • Oncology
  • Natural Products Chemistry
  • Molecular Biology

Background:

  • There is increasing interest in natural compounds for cancer prevention.
  • Bladder cancer (BC) remains a significant health concern globally.
  • Garlic is a widely consumed natural product with potential chemopreventive properties.

Purpose of the Study:

  • To investigate the efficacy of garlic extract in preventing bladder cancer (BC).
  • To elucidate the molecular mechanisms underlying garlic extract's chemopreventive effects.
  • To validate findings in a human BC patient cohort.

Main Methods:

  • Utilized a T24 bladder cancer BALB/C-nude mouse xenograft model to assess garlic extract's in vivo effects.
  • Performed microarray analysis to identify differentially expressed genes related to cancer prevention.
  • Conducted gene network analysis and validated key gene expression in 165 BC patients.

Main Results:

  • Garlic extract significantly reduced tumor volume and weight in mice across multiple dosages (20, 200, 1000 mg/kg).
  • Identified 645 cancer prevention-related genes and mapped 36 genes and 37 ontologies to networks via gene analysis.
  • The Protein Kinase A (PKA) signaling pathway, involving AKAP12, RDX, and RAB13 genes, emerged as a potential mechanism.

Conclusions:

  • Oral garlic extract demonstrates potent in vivo anticancer activity against bladder cancer with a good safety profile.
  • The PKA signaling pathway, specifically modulation of AKAP12, RDX, and RAB13 expression, is a candidate mechanism for garlic's chemopreventive action.
  • Observed differential expression of AKAP12, RDX, and RAB13 in human BC patients supports their role in the disease and potential therapeutic targeting.

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