EGFR is a potential therapeutic target for treating bladder cancer, but has not been approved for clinical use yet. Metformin is a widely used antidiabetic drug and has demonstrated interesting anticancer effects on various cancer models, alone or in combination with chemotherapeutic drugs. The efficacy of gefitinib, a well-known EGFR tyrosine kinase inhibitor, combined with metformin was assessed on bladder cancer and underlying mechanisms were explored. This drug combination induced a strong anti-proliferative and anti-colony forming effect and apoptosis in bladder cancer cell lines. Gefitinib suppressed EGFR signaling and inhibited phosphorylation of ERK and Akt. Metformin amplified this inhibitory effect and enhanced gefitinib-induced activation of AMPK signaling pathway. In vivo intravesical treatment of metformin and gefitinib on syngeneic orthotopic mice confirmed the significant inhibitory effect on bladder tumor growth. These two drugs may be an excellent combination for the treatment of bladder cancer through intravesical instillation.

Infections associated with antibiotic-resistant bacteria have become a threat to the global public health. Antimicrobial polymers, which are synthetic mimics of antimicrobial peptides, have gained increasing attention, as they may have a lower chance of inducing resistance. The cationic−hydrophobic balance and distribution of cationic and hydrophobic moieties of these polymers is known to have a major effect on antimicrobial activity. We studied the properties of a series of facially amphiphilic antimicrobial surfactant-like poly(ester urethane)s with different hydrophobic pendant groups (P1, P2, and P3) and cationic groups distributed uniformly along the polymer chain. These polymers exhibited bactericidal activity against Gram-negative Escherichia coli and Pseudomonas aeruginosa, as well as Gram-positive Staphylococcus aureus and Staphylococcus epidermidis. Microscopy and dye release assays demonstrated that these polymers cause membrane disruption, which is dependent on the cationic−hydrophobic ratio in the polymer. Membrane permeability assays revealed that these polymers can permeabilize the outer membrane of E. coli and damage the cytoplasmic membrane of both E. coli and S. aureus. In addition, our results indicate that the three polymers exhibit a different extent of membrane disruption against E. coli. P1 caused minor damage to the cytoplasmic membrane integrity, but it was able to dissipate the cytoplasmic membrane potential, leading to cell death. P2 and P3 depolarized the cytoplasmic membrane and also caused significant damage to the cytoplasmic membrane. Overall, we showed a new class of broad-spectrum bactericidal polymers whose membrane disrupting ability against E. coli correlates with the structural differences of the hydrophobic pendant groups.

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We report the design of a series of polyesters containing pendant secondary amide groups to probe the cumulative effects of hydrogen bonding and chain flexibility on their thermal, mechanical, and rheological properties. Reported studies on polymers with secondary amide groups have usually focused on the effect of hydrogen bonding interactions on the mechanical, selfassembly, or self-healing properties, whereas the effect of chain flexibility has often been overlooked. In an effort to probe the cumulative effects of hydrogen bonding and chain flexibility, in this work polyesters were designed with either one or two pendant secondary amide-propyl groups and compared to a control polyester with one pendant ester-propyl group. The results show that hydrogen bonding increases glass transition temperature (T g ), Young's modulus, and polymer brittleness. But at higher temperature (T g + 50 °C), rheometry shows that the polyester containing two amide groups has the shortest chain relaxation time and the lowest zero-shear rate viscosity (η 0 ). These results are counterintuitive, since the polymer with two hydrogen bonding amide groups was expected to relax more slowly and have higher viscosity. Our results demonstrate the opposing effects of side-chain flexibility and hydrogen bonding interactions can be used as a strategy to design materials with desired rheological properties.