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Updated: Feb 11, 2026

Culture of Bladder Cancer Organoids as Precision Medicine Tools
Published on: December 28, 2021
RASAL2 inhibits tumor angiogenesis via p-AKT/ETS1 signaling in bladder cancer
Ke Hui1, Shiqi Wu1, Yangyang Yue1
1Department of Urology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, PR China.
Abstract:
Muscle-invasive or metastatic bladder cancer (BCa) is a life-threatening disease for patients, and tumor angiogenesis is believed to play a critical role in the progression of BCa. However, its underlying mechanism of tumor angiogenesis is still poorly understood. In this study, we discovered that RASAL2, a RAS GTPase activating protein, could inhibit BCa angiogenesis based on our shRNA/siRNA knockdown or ectopic cDNA expression experiments. Mechanistically, RASAL2 downregulation could enhance the phosphorylation of AKT and then subsequently upregulate the expression of ETS1 and VEGFA. Furthermore, there was a negative correlation between RASAL2 and VEGFA or CD31 expression in subcutaneous xenograft and human BCa specimens. Taken together, we provide a new insight into the molecular mechanism of BCa progression, in which RASAL2 can be a new therapeutic target.
Insights
RASAL2 inhibits bladder cancer (BCa) angiogenesis by regulating AKT, ETS1, and VEGFA pathways. This discovery identifies RASAL2 as a potential therapeutic target for advanced BCa.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Muscle-invasive or metastatic bladder cancer (BCa) poses a significant threat to patients.
- Tumor angiogenesis is critical for BCa progression, but its mechanisms remain unclear.
- Understanding the molecular drivers of BCa angiogenesis is essential for developing new therapies.
Purpose of the Study:
- To investigate the role of RASAL2 in bladder cancer (BCa) angiogenesis.
- To elucidate the molecular mechanisms by which RASAL2 affects BCa progression.
- To identify potential therapeutic targets for advanced BCa.
Main Methods:
- Utilized shRNA/siRNA knockdown and ectopic cDNA expression of RASAL2 in BCa models.
- Assessed the impact of RASAL2 modulation on angiogenesis-related signaling pathways (e.g., AKT phosphorylation).
- Examined the expression levels of key angiogenesis factors (ETS1, VEGFA, CD31) in vitro and in vivo.
- Correlated RASAL2 expression with VEGFA and CD31 levels in human BCa tissues and xenografts.
Main Results:
- RASAL2 was identified as an inhibitor of bladder cancer (BCa) angiogenesis.
- RASAL2 downregulation led to increased AKT phosphorylation, subsequently upregulating ETS1 and VEGFA expression.
- A negative correlation was observed between RASAL2 expression and VEGFA or CD31 levels in BCa specimens.
Conclusions:
- RASAL2 plays a crucial inhibitory role in bladder cancer (BCa) angiogenesis.
- The study reveals a novel molecular mechanism involving RASAL2, AKT, ETS1, and VEGFA in BCa progression.
- RASAL2 represents a promising new therapeutic target for treating muscle-invasive or metastatic bladder cancer.
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