Melatonin Inhibits EMT in Bladder Cancer by Targeting Autophagy

Sheng-Yen Hsiao1,2, Chih-Hsin Tang3,4,5,6,7, Po-Chun Chen8,9,10

  • 1Division of Hematology-Oncology, Department of Internal Medicine, Chi Mei Medical Center, Liouying, Tainan City 71004, Taiwan.

Insights

Melatonin shows promise in treating bladder cancer by inhibiting cell migration and epithelial-mesenchymal transition (EMT). This study suggests melatonin may improve survival in bladder cancer patients.

Area of Science:

  • Oncology
  • Biochemistry

Background:

  • Melatonin, a pineal gland hormone, demonstrates broad antitumor activities.
  • Its known mechanisms include apoptosis induction, antimetastatic effects, and immune surveillance restoration.
  • Clinical evidence for melatonin in bladder cancer is limited.

Purpose of the Study:

  • To investigate the effects of melatonin on bladder cancer cell migration and epithelial-mesenchymal transition (EMT).
  • To explore the role of autophagy in melatonin's action on bladder cancer cells.
  • To evaluate melatonin's in vivo antitumor efficacy in an orthotopic bladder cancer model.

Main Methods:

  • In vitro assessment of bladder cancer cell migration and EMT markers.
  • Analysis of autophagy levels in melatonin-treated bladder cancer cells.
  • In vivo study using an orthotopic animal model of bladder cancer.

Main Results:

  • Melatonin treatment significantly suppressed bladder cancer cell migration by inhibiting EMT.
  • Melatonin-induced decreases in autophagy were observed in bladder cancer cells.
  • In vivo, melatonin administration slightly prolonged the survival of tumor-bearing mice.

Conclusions:

  • Melatonin exhibits antimigratory effects on bladder cancer cells, potentially via EMT inhibition and autophagy modulation.
  • Melatonin shows modest antitumor activity in an in vivo bladder cancer model.
  • Further research into melatonin as a bladder cancer therapeutic is warranted.

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