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Updated: Feb 1, 2026

Culture of Bladder Cancer Organoids as Precision Medicine Tools
Published on: December 28, 2021
MiR-203a functions as a tumor suppressor in bladder cancer by targeting SIX4
Abstract:
Increasing evidence indicates that microRNAs (miRNAs) have essential roles in various biological processes, including proliferation, migration, invasion, cell cycle progression and apoptosis. It is considered that miRNA de-regulation contributes to tumor progression and metastasis in various cancers, and MiR-203a has been identified as a tumor suppressor in cancers, such as glioma, gastric cancer and hepatocellular carcinoma. Herein, we established that miR-203a expression is significantly lower in bladder cancer tissues than in adjacent normal tissues, and that low miR-203a expression is associated with poor patient outcome. The over-expression of miR-203a inhibited bladder cancer cell proliferation, invasion, migration and EMT in vitro, and its up-regulation led to bladder cancer cell cycle arrest and apoptosis. This over-expression also inhibited the PI3K/Akt signaling pathway. Bioinformatics prediction software and luciferase reporter assay then confirmed that SIX4 is a direct target of miR-203a. We established negative correlation between SIX4 expression and miR-203a expression in bladder cancer tissues, and SIX4 silencing caused effects similar to miR-203a up-regulation Furthermore, SIX4 over-expression diminished the effects of miR-203a on bladder cancer cells in vitro. In summary, our study determined that miR-203a down-regulation is closely related to tumorigenesis in bladder cancer; thus suggesting that miR-203a is a potential prognostic marker and a potential target in bladder cancer treatment.
Insights
MicroRNA-203a (miR-203a) is downregulated in bladder cancer, inhibiting tumor growth and metastasis. Restoring miR-203a levels may offer a new therapeutic strategy for bladder cancer patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- MicroRNAs (miRNAs) regulate crucial cellular functions like proliferation and apoptosis.
- Dysregulation of miRNAs contributes to cancer progression and metastasis.
- MiR-203a acts as a tumor suppressor in several cancers, including glioma and gastric cancer.
Purpose of the Study:
- To investigate the role of miR-203a in bladder cancer.
- To determine the correlation between miR-203a expression and patient prognosis.
- To identify the molecular mechanisms underlying miR-203a's function in bladder cancer.
Main Methods:
- Quantitative real-time PCR to measure miR-203a expression in bladder cancer tissues.
- In vitro assays to assess the effects of miR-203a overexpression on cell proliferation, invasion, migration, EMT, cell cycle, and apoptosis.
- Bioinformatics prediction and luciferase reporter assays to identify miR-203a targets.
- Western blotting to analyze protein expression, including the PI3K/Akt pathway and SIX4.
Main Results:
- miR-203a expression was significantly lower in bladder cancer tissues compared to normal tissues.
- Low miR-203a expression correlated with poor patient outcomes.
- miR-203a overexpression inhibited bladder cancer cell proliferation, invasion, migration, and EMT, inducing cell cycle arrest and apoptosis.
- miR-203a inhibited the PI3K/Akt signaling pathway.
- SIX4 was identified as a direct target of miR-203a, with inverse expression correlation in tumor tissues.
- SIX4 silencing mimicked miR-203a upregulation effects, and SIX4 overexpression counteracted miR-203a's inhibitory effects.
Conclusions:
- miR-203a downregulation is linked to bladder cancer development.
- miR-203a functions as a tumor suppressor in bladder cancer by targeting SIX4 and inhibiting the PI3K/Akt pathway.
- miR-203a holds potential as a prognostic biomarker and therapeutic target for bladder cancer.
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