Multitarget siRNA Inhibition of Antiapoptotic Genes (XIAP, BCL2, BCL-XL) in Bladder Cancer Cells

Background: The knockdown of XIAP, BCL2 and BCL-X L by siRNAs represents a promising treatment option for bladder cancer (BCa) since the overexpression of antiapoptotic genes is often associated with tumor progression and treatment resistance. Materials and Methods: EJ28 BCa cells were transfected with siRNAs - separately and combined - followed by analysis of target expression, viability, clonogenic survival, apoptosis and cell cycle. Furthermore, a possible chemosensitization by siRNA pretreatment was investigated. Results: The siRNA-mediated inhibition of these targets - either separately or combined - reduced the targets' expression, reduced cell growth and sensitized cells to a subsequent chemotherapy. Conclusion: Since tumor cells may bypass the inhibition of a single gene by changing their expression profile, e.g. switch from BCL2 to BCL-X L , the combined knockdown of multiple genes of the same pathway might be more effective in killing cancer cells. The siRNAs used represent appropriate tools for this aim since they reduced their targets' expression significantly and long-lastingly.