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Updated: Feb 3, 2026

Culture of Bladder Cancer Organoids as Precision Medicine Tools
Published on: December 28, 2021
β-elemene induced anticancer effect in bladder cancer through upregulation of PTEN and suppression of AKT
Bo Cai1,2, Limin Ma1, Shaojun Nong1
1Department of Urology, Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, P.R. China.
Abstract:
Human bladder cancer is one of the most aggressive tumours known and has shown resistance to traditional chemotherapy, which depends heavily on DNA-damaging drugs. β-elemene is one of the least cytotoxic antitumor agents that are extracted from Curcuma aromatica salisb and it exhibits antitumor effects in many carcinomas. β-elemene has attracted the attention of clinicians and scientists worldwide due to its few side effects and limited effect on the bone marrow. However, the antitumor mechanism of β-elemene remains largely unstudied. In the present study, the expression of the AKT serine/threonine kinase (AKT) signaling pathway in bladder cancer and normal bladder tissue was investigated, and the influence of β-elemene on bladder cancer cells and the mechanisms involved were assessed. The results showed that phosphatase and tensin homolog deleted on chromosome ten (PTEN) was downregulated and phosphorylated-AKT (pAKT) was overexpressed in human bladder cancer. β-elemene significantly suppressed the viability of bladder cancer cells, while leaving normal bladder cells unaffected. In addition, there was an increased number of apoptotic bladder cancer cells following β-elemene treatment, and a significant reduction in cell invasion and migration. Subsequent western blot analyses revealed that bladder cancer cells treated with β-elemene had increased PTEN expression and decreased expression of pAKT. Taken together, these results suggest that β-elemene has an antitumor effect in bladder cancer cells through the upregulation of PTEN and suppression of AKT phosphorylation.
Insights
Beta-elemene, a natural compound, effectively combats bladder cancer by targeting the AKT signaling pathway. It reduces cancer cell viability and migration while increasing apoptosis, offering a promising, low-toxicity treatment option.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Human bladder cancer is aggressive and chemotherapy-resistant.
- Beta-elemene shows antitumor effects with minimal side effects.
- The antitumor mechanism of beta-elemene is not fully understood.
Purpose of the Study:
- Investigate the AKT signaling pathway in bladder cancer.
- Assess beta-elemene's effect on bladder cancer cells and its mechanism.
- Determine if beta-elemene influences PTEN and pAKT expression.
Main Methods:
- Analyzed AKT signaling pathway expression in bladder cancer tissues.
- Treated bladder cancer cells with beta-elemene.
- Performed western blot analysis to assess protein expression changes.
Main Results:
- PTEN was downregulated and pAKT overexpressed in bladder cancer.
- Beta-elemene suppressed bladder cancer cell viability, invasion, and migration.
- Beta-elemene treatment increased PTEN expression and decreased pAKT levels.
Conclusions:
- Beta-elemene demonstrates significant antitumor effects in bladder cancer.
- The mechanism involves upregulating PTEN and suppressing AKT phosphorylation.
- Beta-elemene represents a potential therapeutic agent for bladder cancer.
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