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Updated: Feb 12, 2026

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Published on: January 12, 2020
Unravelling disparate roles of NOTCH in bladder cancer
Akihiro Goriki1,2,3, Roland Seiler4, Alexander W Wyatt1
1The Vancouver Prostate Centre, Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
Abstract:
The Notch pathway has been implicated in both oncogenic and tumour-suppressive roles in cancer depending on the tissue type and cellular context. However, until recently, little was known about the pathway in bladder cancer. Studies have revealed that NOTCH1 copy number and expression are decreased in bladder cancer and NOTCH1 activation in bladder cancer cell lines reduces proliferation, suggesting that NOTCH1 acts as a tumour suppressor. Furthermore, in transgenic models, bladder cancer is promoted by bladder-specific inactivation of a component of the γ-secretase complex, which liberates the intracellular domain of neurogenic locus Notch homologue protein (NOTCH) and starts the signalling cascade. By contrast, further work has demonstrated that NOTCH2 acts as an oncogene that promotes cell proliferation and metastasis through epithelial-to-mesenchymal transition, cell cycle progression, and maintenance of stemness. Studies indicating that NOTCH1 and NOTCH2 have opposite effects on the progression of bladder cancer could give rise to potential therapeutic approaches aimed at blocking or restoring the Notch pathway.
Insights
NOTCH1 acts as a tumor suppressor in bladder cancer, with decreased expression promoting tumor growth. Conversely, NOTCH2 functions as an oncogene, driving proliferation and metastasis, suggesting targeted Notch pathway therapies.
Area of Science:
- Oncology
- Molecular Biology
- Cell Signaling
Background:
- The Notch pathway's role in cancer is context-dependent, with limited understanding in bladder cancer.
- NOTCH1 is frequently downregulated in bladder cancer, suggesting a tumor-suppressive function.
- NOTCH2 appears to promote bladder cancer progression through various mechanisms.
Purpose of the Study:
- To elucidate the distinct roles of NOTCH1 and NOTCH2 in bladder cancer.
- To investigate the implications of Notch pathway dysregulation in bladder tumorigenesis.
- To explore potential therapeutic strategies targeting the Notch pathway in bladder cancer.
Main Methods:
- Analysis of NOTCH1 copy number and expression in bladder cancer tissues.
- Functional studies using bladder cancer cell lines to assess NOTCH1 activation.
- Utilizing transgenic models with bladder-specific inactivation of gamma-secretase components.
- Investigating NOTCH2's impact on cell proliferation, metastasis, and stemness.
Main Results:
- NOTCH1 copy number and expression are reduced in bladder cancer.
- NOTCH1 activation inhibits proliferation in bladder cancer cell lines.
- NOTCH2 promotes proliferation and metastasis via epithelial-to-mesenchymal transition, cell cycle progression, and stemness maintenance.
- Bladder-specific inactivation of gamma-secretase components promotes bladder cancer in transgenic models.
Conclusions:
- NOTCH1 functions as a tumor suppressor in bladder cancer.
- NOTCH2 acts as an oncogene, promoting bladder cancer progression.
- The opposing roles of NOTCH1 and NOTCH2 offer potential therapeutic avenues for bladder cancer by modulating the Notch pathway.
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