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Updated: Jul 5, 2025

An Orthotopic Bladder Cancer Model for Gene Delivery Studies
Published on: December 1, 2013
Retinoids and EZH2 inhibitors cooperate to orchestrate anti-oncogenic effects on bladder cancer cells
Gizem Ozgun1,2, Tutku Yaras1,2, Burcu Akman1
1Izmir Biomedicine and Genome Center, Izmir, Turkey.
Abstract:
The highly mutated nature of bladder cancers harboring mutations in chromatin regulatory genes opposing Polycomb-mediated repression highlights the importance of targeting EZH2 in bladder cancer. Furthermore, the critical role of the retinoic acid signaling pathway in the development and homeostasis of the urothelium, and the anti-oncogenic effects of retinoids are well established. Therefore, our aim is to simultaneously target EZH2 and retinoic acid signaling in bladder cancer to potentiate the therapeutic response. Here we report that this coordinated targeting strategy stimulates an anti-oncogenic profile, as reflected by inducing a synergistic reduction in cell viability that was associated with increased apoptosis and cell cycle arrest in a cooperative and orchestrated manner. This study characterized anti-oncogenic transcriptional reprogramming centered on the transcriptional regulator CHOP by stimulating the endoplasmic reticulum stress response. We further portrayed a molecular mechanism whereby EZH2 maintains H3K27me3-mediated repression of a subset of genes involved in unfolded protein responses, reflecting the molecular mechanism underlying this co-targeting strategy. These findings highlight the importance of co-targeting the EZH2 and retinoic acid pathway in bladder cancers and encourage the design of novel treatments employing retinoids coupled with EZH2 inhibitors in bladder carcinoma.
Insights
Targeting enhancer of zeste homolog 2 (EZH2) and retinoic acid signaling synergistically reduces bladder cancer cell viability. This coordinated approach induces apoptosis and cell cycle arrest, offering a novel therapeutic strategy for bladder carcinoma.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Bladder cancers with mutations in chromatin regulatory genes often oppose Polycomb-mediated repression, indicating EZH2 as a therapeutic target.
- The retinoic acid signaling pathway is crucial for urothelium development and homeostasis, with retinoids exhibiting anti-oncogenic properties.
Purpose of the Study:
- To investigate the combined therapeutic effects of targeting EZH2 and retinoic acid signaling in bladder cancer.
- To potentiate the therapeutic response through a coordinated targeting strategy.
Main Methods:
- Simultaneous targeting of EZH2 and retinoic acid signaling pathways.
- Assessment of cell viability, apoptosis, and cell cycle arrest.
- Characterization of anti-oncogenic transcriptional reprogramming via CHOP and endoplasmic reticulum stress response.
- Molecular mechanism investigation of EZH2-mediated gene repression.
Main Results:
- Co-targeting EZH2 and retinoic acid signaling induced a synergistic reduction in bladder cancer cell viability.
- The strategy led to increased apoptosis and cell cycle arrest in a coordinated manner.
- Transcriptional reprogramming centered on CHOP and endoplasmic reticulum stress was observed, with EZH2 repressing unfolded protein response genes.
Conclusions:
- Simultaneous targeting of EZH2 and retinoic acid signaling presents a promising strategy for bladder cancer treatment.
- This approach stimulates an anti-oncogenic profile by inducing synergistic cell death and cell cycle arrest.
- Novel bladder carcinoma treatments could involve combining retinoids with EZH2 inhibitors.
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