title: EBAG9 is a tumor-promoting and prognostic factor for bladder cancer.
abstract: 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-vector-derived 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 = 0.0001) and it was an independent prognostic predictor for disease-specific survival in multivariate analysis (p = 0.003). Our results indicate that EBAG9 would be a crucial regulator of tumor progression and a potential prognostic marker for bladder cancer.
authors.affiliation: Department of Urology, The University of Tokyo, Hongo, Bunkyo-ku, Tokyo, Japan.
authors.forename: Jinpei
authors.initials: J
authors.lastname: Kumagai
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Urano
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Ogushi
authors.forename: Satoru
authors.initials: S
authors.lastname: Takahashi
authors.forename: Kuniko
authors.initials: K
authors.lastname: Horie-Inoue
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Fujimura
authors.forename: Kotaro
authors.initials: K
authors.lastname: Azuma
authors.forename: Masami
authors.initials: M
authors.lastname: Muramatsu
authors.forename: Yasuyoshi
authors.initials: Y
authors.lastname: Ouchi
authors.forename: Tadaichi
authors.initials: T
authors.lastname: Kitamura
authors.forename: Satoshi
authors.initials: S
authors.lastname: Inoue
mesh_terms: D000368:Aged; D000818:Animals; D000951:Antigens, Neoplasm / Q000378:metabolism / Q000502:physiology*; D045744:Cell Line, Tumor; D005260:Female; D015972:Gene Expression Regulation, Neoplastic; D006801:Humans; D008297:Male; D051379:Mice; D008807:Mice, Inbred BALB C; D008819:Mice, Nude; D008875:Middle Aged; D009368:Neoplasm Transplantation; D011379:Prognosis; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis / Q000378:metabolism*
chemical_list: D000951:Antigens, Neoplasm; C120762:EBAG9 protein, human; C534295:EBAG9 protein, mouse