Adramycin (ADM) resistance is an essential aspect of bladder cancer treatment failure and phenethyl isothiocyanate (PEITC) has been found to exhibit antitumor properties; however, the effect and potential mechanism of PEITC on bladder cancer ADM resistance reversal is not fully clear. The aim of this study was to explore the role of PEITC in bladder cancer cells ADM resistance reversal and the underlying molecular mechanisms. In this report, we identified the role of PEITC on ADM resistance reversal of human bladder carcinoma T24/ADM cells, including an increased drug sensitivity to ADM, cell apoptosis rates, intracellular accumulation of , an increased expression of DNA topoisomerase II (Topo-II), and a decreased expression of multidrug resistance gene (MDR1), multidrug resistance-associated protein (MRP1), bcl-2 and glutathione s transferase p (GST-p).We also found that there was a decreased expression of NF-jB, Survivin, Twist, and p-Akt, and an increased expression of PTEN and p-JNK after PEITC treatment for T24/ ADM cells. The results indicated that PEITC might be used as a potential therapeutic strategy to ADM resistance through blocking Akt and activating MAPK pathway in human bladder carcinoma. Anat Rec, 296:899-906, 2013. V C 2013 Wiley Periodicals, Inc.
Key words: adramycin; bladder cancer; drug resistanceBladder cancer is one of the most common malignant tumors which are threatening human's life and health seriously (Oosterlinck and Decaestecker, 2012). Surgery assisted by chemotherapy has become the main therapeutic schemes for bladder cancer. Reasonable chemotherapy could use the anti-cancer drugs cytotoxicity to the maximum, but bladder cancer was palindromic in the biological characteristics, and its relapse rate has been high. One of the reasons was the generation of anti-cancer drug resistance. Therefore, the resistance of anti-cancer drug has become a major obstacle in the chemotherapy of bladder cancer, and it must clarify the drug resistance mechanisms to eliminate the anti-cancer drug resistance of tumor cells. Like most malignant bladder cancer, it showed multidrug resistance (Multidrug Resistance, MDR) in anticancer drug resistance. Resistance mechanisms of tumor cells was quite complex, and summarized the followings: (1) drug transporting or uptaking barriers; (2) drug activation barriers; (3) target enzyme changes in the quantity and quality; (4) metabolic pathways increased; (5) decomposing enzyme increased; (6) repair mechanisms increased; (7) the cell membrane glycoprotein specific in excluding drugs increased; (8) DNA chains cross-linked reduced; (9) hormone receptor reduction or loss of function, and so on (Kunze et al., 2012).The generation of multidrug resistance in tumor cells has become a major cause of failure in tumor