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Updated: Aug 16, 2025

Induction and Analysis of Epithelial to Mesenchymal Transition
Published on: August 27, 2013
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.
Abstract:
Melatonin, a naturally biosynthesized molecule secreted by the pineal gland, exhibits antitumor activities against several different types of cancer. The mechanisms of action of melatonin against tumor progression involve cellular apoptosis, antimetastatic activity, antioxidant and mutagenic effects, antiangiogenic activity, and the restoration of cancer immune surveillance. Melatonin has anticancer activity when administered alone or in combination with standard chemotherapeutic agents, with measurable improvements seen in the clinical endpoints of tumor regression and patient survival. However, scant clinical evidence supports the use of melatonin in bladder cancer treatment. Our study has found that melatonin treatment suppresses the bladder cancer cell migratory ability by inhibiting the epithelial-mesenchymal transition (EMT) process, which appears to be linked to melatonin-induced decreases in bladder cancer cell autophagy. Finally, an evaluation of in vivo melatonin-induced antitumor effects in an orthotopic animal model of bladder cancer indicated that melatonin treatment slightly prolonged the survival of tumor-bearing mice. Our study offers novel insights into the use of melatonin in bladder cancer treatment.
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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