Abstract. Tobacco smoke (TS) is an important risk factor of bladder cancer. Epithelial-mesenchymal transition (EMT) is involved in the initiation and development of cancer. The role of extracellular signal-regulated kinase (ERK) 5 in regulating TS-induced EMT remains to be elucidated. The aim of the present study was to investigate the regulatory role of ERK5 in TS-triggered EMT in the bladder of mice. BALB/c mice were used for an in vivo TS exposure model. Mice were treated for 6 h a day for 12 weeks. The results demonstrated that mice exposed to TS had decreased mRNA and protein expression levels of the epithelial markers E-cadherin and zonula occludens-1, whereas expression levels of the mesenchymal markers Vimentin and N-cadherin were increased. Treatment with XMD8-92, a highly specific ERK5 inhibitor, effectively abrogated TS-triggered activation of ERK5, activator protein-1 and EMT alterations in the bladder of BALB/c mice. The data suggested that ERK5 regulates TS-mediated urocystic EMT. These findings provide insight into the molecular mechanisms of TS-associated bladder tumorigenesis.
IntroductionBladder cancer (BC) is the fifth most common type of malignant tumor worldwide (1) and one of the most frequently occurring in the urinary system. It is predominantly present in Europe, North America and Australia, with approximately 420,000 newly diagnosed cases each year and a leading cause of cancer-associated mortality (2,3). Of all urinary malignancies, BC is the primary cause of mortality in China (4,5).A number of studies have revealed that tobacco smoke (TS), the environment and diet are primary risk factors for BC, in addition to drinking water contaminants, including chlorinated byproducts and arsenic, the use of pioglitazone, obesity, hypertension and diabetes (2,6,7). A previous study reported that 23% of female and 50% of male BC cases have been attributed to TS (8). It has been reported that current tobacco smokers have a fourfold greater risk of developing BC, compared with non-smokers (9). Progress in the understanding of the molecular mechanisms underlying the initiation and progression of BC has been made; however, the molecular pathogenesis remains to be fully elucidated.Epithelial-mesenchymal transition (EMT) is an important mechanism in embryonic progression and cancer development (10). Cells progressively lose their epithelial characteristics and acquire mesenchymal features during the process of EMT (11). In addition to facilitating tumor invasion and metastasis, EMT is also involved in the initiation of tumorigenesis by promoting cell malignant transformation. TS has been previously demonstrated to promote the initial progression of . TS-triggered EMT has been revealed to regulate early events in carcinogenesis, including downregulation of E-cadherin, loss of cell-cell adhesion and increased mobility of cells. However, the underlying molecular mechanisms by which TS induces EMT remain to be fully elucidated.Extracellular signal-regulated kinase (ERK) 5 is the least studied member of the ...