Abstract.Oxymatrine has been shown to exert an antitumor effect on several types of cancer cells. However, the role of oxymatrine in bladder cancer has not yet been evaluated. The present study was designed to investigate the potential anti-proliferative effect of oxymatrine on bladder cancer T24 cells and the possible mechanisms involved. A 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay was used to determine cell growth, and the cell morphology was examined using hematoxylin and eosin staining, wrights' staining and electron microscopy. The caspase-3 and survivin mRNA and protein levels were assessed using reverse transcription-quantitative polymerase chain reaction and western blot analysis, respectively. The expression of tumor protein p53 (p53), Bcl-2-associated X protein (Bax) and B-cell lymphoma 2 (Bcl-2) were analyzed using immunohistochemistry. Oxymatrine inhibited the proliferation of the T24 cells in a dose-and time-dependent manner. Oxymatrine also induced apoptosis and cell cycle arrest in the cells, in association with the upregulation of caspase-3 and Bax, and the downregulation of survivin, Bcl-2 and p53 expression. Overall, oxymatrine inhibits the proliferation of human bladder cancer cells by inducing apoptosis and cell cycle arrest via mechanisms that involve p53-Bax signaling and the downregulation of survivin expression.
IntroductionBladder cancer is one of the most common malignant tumors of the urinary system worldwide, affecting 16.6 per 100,000 males and 3.6 per 100,000 females (1). Although surgery is the usual and effective way to treat bladder cancer, the 5-year recurrence rate is ~50% following surgical treatment (2,3). At present, intravesical chemotherapy is the most frequently used method to prevent the recurrence of bladder cancer, subsequent to surgery (4). However, chemotherapy is often associated with multidrug resistance and toxic side effects, with little specificity to cancer cells, which elucidates the challenges of applying chemotherapy to bladder cancers. Natural compounds have previously emerged as a potential treatment for cancer therapy; therefore, natural compounds may be a promising target for bladder cancer therapy.Matrine, the active compound that may be extracted from the Chinese herb Sophora flavecens, has previously been used to treat chronic hepatitis B, allergic dermatitis and hypoleukocytosis, in China (5,6). Matrine may transform into oxymatrine, which may also be extracted from Sophora flavecens, and the nitrogen-oxygen bond may split under certain conditions transforming oxymatrine back to matrine (7). Several studies have demonstrated the multiple beneficial effects of matrine, including anti-arrhythmia (8), anti-inflammation (9,10) and anti-fibrosis (11,12) effects, with minimal side effects reported. In addition, previous studies have shown that matrine induces apoptosis in several cancer cell lines, including breast cancer MCF-7 cells (13) and pancreatic cancer PANC1 cells (14), using various mechanisms, which potentiate the role of...