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Updated: Jun 22, 2025

3-D Cell Culture System for Studying Invasion and Evaluating Therapeutics in Bladder Cancer
Published on: September 13, 2018
Activating transcription factor 3 is an antitumor gene synergizing with growth differentiation factor 15 to modulate
Syue-Ting Chen1, Kang-Shuo Chang2, Wei-Yin Lin3
1Department of Anatomy, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Graduate Institute of Biomedical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Background:
The functions of activating transcription factor 3 (ATF3) within the human bladder remain unexplored. This study delves into the expressions, functions, and regulatory mechanisms of ATF3 in human bladder cancer.
Material And Methods:
Gene expressions were determined by immunoblot, RT-qPCR, and reporter assays. Assays of Ki67, colony formation, Matrigel invasion, and the xenograft animal study were used to assess the cell proliferation, invasion, and tumorigenesis in vitro and in vivo. Silico analysis from TCGA database examined the correlations between GDF15 and ATF3 expressions, clinicopathologic features, and progression-free survival rates.
Results:
Silico analysis confirmed that ATF3 is an antitumor gene, and the expression positively correlates with GDF15 in bladder cancer tissues. Multivariate analysis revealed that low ATF3/GDF15 but not a single low expression of ATF3 is an independent prognostic factor for progression-free survival of bladder cancer patients. Ectopic overexpression of ATF3 downregulated cell proliferation and invasion in bladder cancer cells in vitro, while ATF3-knockdown reversed these results. Knockdown of ATF3 upregulated EMT markers to enhance cell invasion in vitro and downregulated GDF15, NDRG1, and KAI-1 to elevate tumor growth in vivo. The activation of metformin on ATF3 and GDF15 in bladder cancer cells was blocked by SB431542, a TGFβ receptor inhibitor. ATF3 positively regulated GDF15 expression in bladder cancer cells through a feedback loop.
Conclusions:
Our results identify that ATF3 is a metformin-upregulated antitumor gene. Results of Silico analysis align with cell-based studies suggesting that low ATF3/GDF15 could be a negative prognostic marker for bladder cancer.
Insights
Activating transcription factor 3 (ATF3) is an antitumor gene in bladder cancer, positively correlating with GDF15. Low ATF3/GDF15 levels indicate a poor prognosis, with ATF3 regulating tumor growth and invasion.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- The role of Activating Transcription Factor 3 (ATF3) in human bladder remains unknown.
- This study investigates the expression, function, and regulation of ATF3 in human bladder cancer.
Purpose of the Study:
- To explore the expression and function of ATF3 in human bladder cancer.
- To determine the regulatory mechanisms of ATF3 in bladder cancer.
- To evaluate ATF3/GDF15 as a prognostic marker for bladder cancer.
Main Methods:
- Gene expression analysis (immunoblot, RT-qPCR, reporter assays).
- In vitro and in vivo assays for cell proliferation, invasion, and tumorigenesis (Ki67, colony formation, Matrigel invasion, xenograft study).
- Bioinformatic analysis of TCGA database for correlations between ATF3, GDF15, clinicopathologic features, and survival rates.
Main Results:
- ATF3 acts as an antitumor gene, with its expression positively correlating with GDF15 in bladder cancer tissues.
- Low ATF3/GDF15 ratio is an independent prognostic factor for progression-free survival in bladder cancer patients.
- ATF3 overexpression suppressed proliferation and invasion, while ATF3 knockdown enhanced them; ATF3 regulates GDF15 via a feedback loop.
Conclusions:
- ATF3 is a metformin-upregulated antitumor gene in bladder cancer.
- The ATF3/GDF15 ratio serves as a potential negative prognostic marker for bladder cancer, supported by both bioinformatic and cell-based findings.
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