Upregulation of EBAG9 expression has been observed in several malignant tumors such as advanced breast and prostate cancers, indicating that EBAG9 may contribute to tumor proliferation. In the present study, we assess the role of EBAG9 in bladder cancer. We generated human bladder cancer EJ cells stably expressing FLAG-tagged EBAG9 (EJ-EBAG9) or empty vector (EJ-vector), and investigated whether EBAG9 overexpression modulates cell growth and migration in vitro as well as the in vivo tumor formation of EJ transfectants in xenograft models of BALB/c nude mice. EBAG9 overexpression promoted EJ cell migration, while the effect of EBAG9 to cultured cell growth was rather minimal. Tumorigenic experiments in nude mice showed that the size of EJ-EBAG9-derived tumors was significantly larger than EJ-vectorderived tumors. Loss-of-function study for EBAG9 using small interfering RNA (siRNA) in xenografts with parental EJ cells showed that the intra-tumoral injection of EBAG9 siRNA markedly reduced the EJ tumor formation compared with control siRNA. Furthermore, immunohistochemical study for EBAG9 expression was performed in 60 pathological bladder cancer specimens. Intense and diffuse cytoplasmic immunostaining was observed in 45% of the bladder cancer cases. Positive EBAG9 immunoreactivity was closely correlated with poor prognosis of the patients (p 5 0.0001) and it was an independent prognostic predictor for disease-specific survival in multivariate analysis (p 5 0.003). Our results indicate that EBAG9 would be a crucial regulator of tumor progression and a potential prognostic marker for bladder cancer. ' 2008 Wiley-Liss, Inc.Key words: EBAG9; nude mouse; bladder cancer; proliferation; prognosis Bladder cancer is the fourth most common type of cancer in men and the ninth most common in women. 1 A radical cystectomy remains the most common treatment for patients with muscleinvasive bladder cancer. Despite advances in surgical techniques, the 5-year disease survival rate after radical cystectomy remains at 50-60%. 2 Moreover, current clinical and pathological variables have a limited ability to predict tumor recurrence, progression, or patient survival; thus, prognostic information regarding transitional cell carcinoma of the urinary bladder is needed. Biomarkers may be helpful for selecting patients who are best suited for adjuvant therapy.EBAG9 (Estrogen receptor-binding fragment-associated antigen 9) is a primary estrogen-responsive gene that has been originally cloned by our group from human breast cancer MCF-7 cells using the CpG-genomic binding site cloning method. 3 EBAG9 protein is predominantly expressed in estrogen-target organs as well as several other tissues, such as brain, liver, and kidney. 4 The expression of EBAG9 protein is inducible by estrogen in the uterus, as previously shown in ovariectomized mice treated with 17b-estradiol. 4 The physiologic function of EBAG9 has not been well defined; nevertheless, the molecule has been implicated in cancer pathophysiology, with several lines of evidence showing...