This work was funded by a grant from the National Medical Research Council of Singapore (NMRC/CIRG/1335/2012) awarded to Professor Kesavan Esuvaranathan.

All animal work adhered to the Institutional Animal Care and Use Committee (IACUC) guidelines on animal use and handling (Protocol number 084/12) at the National University of Singapore.
1. Growing MB49-PSA Cells In Vitro and Measuring PSA Secretion
<ol>
	<li>Maintain murine bladder cancer cells MB49-PSA15 in complete Dulbecco&#39;s Modified Eagle Medium (DMEM) supplemented with 10% fetal bovine serum (FBS), 2 mmol/L L-glutamine, and 0.05 mg/mL Penicillin-Streptomycin in an incubator at 37 &#176;C and 5% CO2. Add 200 &#956;g/mL Hygromycin B to maintain the selection pressure of PSA-secreting cells.</li>
	<li>To determine PSA secretion, plate 1 x 106 cells in a 6-well culture plate and incubate it at 37 &#176;C in the presence of 5% CO2 for 48 h.</li>
	<li>Two days later, collect the supernatant for the PSA measurement.
	<ol>
		<li>Using a Pasteur pipette, transfer the supernatant to a 15 mL centrifuge tube.</li>
		<li>Centrifuge for 5 min at 250 x g to remove floating cells and debris. If the PSA assay is carried out on a different day, store the supernatant at - 30 &#176;C in a 1.5 mL microcentrifuge tube. If not, proceed to the next step immediately.</li>
		<li>Determine the PSA concentration using a human-free PSA ELISA kit7.</li>
	</ol>
	</li>
	<li>Enumerate the plated cells.
	<ol>
		<li>Using a Pasteur pipette, wash the cells gently with 1 mL of DMEM. Aspirate and completely remove the media.</li>
		<li>Add 1 mL of fresh media and scrape gently with a cell scraper to dislodge the cells from the well.</li>
		<li>Transfer the cells to a microcentrifuge tube and re-suspend them thoroughly to ensure a single-cell suspension.</li>
		<li>Mix equal volumes of the cell suspension and a 0.4% trypan blue solution. Count the live cells (which do not take up the dye) using a hemocytometer.</li>
	</ol>
	</li>
	<li>Calculate the PSA expression as ng of PSA/mL of media/106 cells. The PSA expression of MB49-PSA cells for implantation in mice is 80 - 120 ng/mL/106 cells.</li>
</ol>
2. Determining the Sensitivity of PSA Measurements by ELISA and Real-time PCR Analysis
<ol>
	<li>Plate MB49-PSA cells in complete DMEM media in a 6-well culture plate with different amounts of parental MB49 cells such that there is a maximum of 1 x 106 cells per well (i.e., 100, 101, 102, 103, 104, 105, or 106 MB49-PSA cells are cultured with 106, 105, 104, 103, 102, 101, or 100 MB49 cells, respectively).</li>
	<li>One day later, collect the supernatant for PSA measurement, as described in step 1.3. Determine the PSA concentration using a human-free PSA ELISA kit7.</li>
	<li>Extract the RNA from the cells.
	<ol>
		<li>Lyse the cells directly in the plate by adding 1 mL of RNA extraction reagent.</li>
		<li>Incubate for 5 min at room temperature and transfer the cell lysate to a microcentrifuge tube. Add 0.2 mL of chloroform and vortex the samples vigorously for 15 s. Incubate them for 3 min at room temperature.</li>
		<li>Centrifuge the samples at 12,000 x g for 15 min at 4 &#176;C. Carefully transfer the upper aqueous phase (0.5 mL) to a fresh tube without disturbing the interphase.</li>
		<li>Add 0.5 mL of isopropyl alcohol. Incubate for 10 min at room temperature. Centrifuge the samples at 12,000 x g for 10 min at 4 &#176;C. Remove the supernatant completely, without disturbing the RNA precipitate at the bottom of the tube.</li>
		<li>Wash the pellet once with 1 mL of 75% ethanol. Centrifuge at 7,500 x g for 5 min at 4 &#176;C. Remove all ethanol and allow the pellet to air dry for 10 min.</li>
		<li>Dissolve the RNA in 30 &#181;L of nuclease-free water. Incubate for 5 min at 60 &#176;C to increase the solubility.</li>
		<li>Quantitate the RNA by measuring the absorbance using ultraviolet (UV) spectroscopy at 260 nm (A260). To assess RNA purity, measure the absorbance at 280 nm (A280) and calculate the A260/A280 ratio which should be above 1.6.</li>
	</ol>
	</li>
	<li>Reverse-transcribe cDNA from 2 &#181;g of RNA.
	<ol>
		<li>Prepare the reaction mixture on ice and transfer it to 0.2 mL tubes.</li>
		<li>Briefly centrifuge the tubes to spin down the contents and to eliminate air bubbles.</li>
		<li>Load the tubes into the thermal cycler and perform reverse transcription at the following conditions: 60 min at 37 &#176;C followed by 5 min at 95 &#176;C. Once the run is completed, keep the cDNA samples at 4 &#176;C.</li>
		<li>Store the samples at - 30 &#176;C for long-term storage.</li>
	</ol>
	</li>
	<li>Perform a real-time PCR analysis for PSA and cytoplasmic beta actin. Beta actin is used to normalize the samples. Perform the assay on 100 ng of reverse-transcribed RNA in a 96-well plate. Assay all samples in triplicate. Perform 40 cycles with the following parameters: 2 min at 50 &#176;C, 10 min at 95 &#176;C, 15 s at 95 &#176;C for denaturation, and 1 min at 60 &#176;C. Set the lowest limit of detection at a cycle threshold (CT) of 35; thus, any sample with a CT value beyond 35 is considered not detectable.</li>
</ol>
3. Maintaining the Tumorigenicity of the MB49-PSA Cell Line
NOTE: Prolonged growth in vitro leads to a loss of tumorigenicity. To maintain tumorigenicity, the MB49-PSA cell line is passaged through the mouse at least once every 2 years.
<ol>
	<li>Cells.
	<ol>
		<li>Harvest exponentially growing cells by scraping them gently with a sterile cell scraper. Mix equal volumes of the cell suspension and a 0.4% trypan blue solution. Count the live cells using a hemocytometer. Do not implant if more than 20% of the cells are dead.</li>
		<li>Calculate the amount of live cells required (1 x 107 cells/mL) and transfer them to a 15 mL centrifuge tube. Centrifuge at 250 x g for 5 min at 4 &#176;C and discard the supernatant. Re-suspend the cell pellet in DMEM blank media. Repeat the wash three times to remove all traces of FBS before implantation.</li>
		<li>Keep the cell suspension on ice until the mice are ready for implantation.</li>
	</ol>
	</li>
	<li>Implant the tumor cells subcutaneously in mice on the dorsal flank.
	<ol>
		<li>Anesthetize a 4- to 6-week-old C57BL6/J mouse using a mixture of the anesthetics ketamine and medetomidine (75 mg/kg and 1 mg/kg, respectively), injected intraperitoneally at 0.1 mL per 10 g of bodyweight.</li>
		<li>Shave the right flank to expose the skin.</li>
		<li>Using a pair of forceps, lift the skin to separate it from the underlying muscle and inject 0.1 mL of the cell suspension (1 x 106 cells) subcutaneously with a 24 G needle. While removing the needle, pinch the injection site for 5 to 10 s so that the tumor cells do not leak out of the injection site.</li>
		<li>Revive the mouse with a subcutaneous injection of atipamezole (1 mg/kg) at 0.1 mL per 10 g of bodyweight.</li>
	</ol>
	</li>
	<li>Monitor tumor growth every two days by measuring tumor diameter using calipers. The tumor volume is calculated using the formula v = (ab2)/2, where &#34;a&#34; is the longest dimension and &#34;b&#34; is the perpendicular width, both in mm.</li>
	<li>When the tumor volume is at least 50 mm3 (approximately 7 days), euthanize the mouse with CO2. Excise the tumor mass with a pair of sterile forceps and scissors under aseptic conditions and place in DMEM.</li>
	<li>In a 6-well culture plate, mince the tumor into small pieces using sterile scalpels. Use a 1 mL syringe plunger as a &#34;pestle&#34; to further disaggregate the tumor.</li>
	<li>Add 3 mL of complete DMEM and maintain the cells in an incubator at 37 &#176;C and 5% CO2.</li>
	<li>Once the cells adhere to the plate (between one and two days), remove the media, debris, and non-adherent cells by aspirating gently with a sterile Pasteur pipette. Wash twice with DMEM. Take care to not disturb the cells.</li>
	<li>Add 1 mL of DMEM and harvest the cells by scraping them with a cell scraper. To select and expand single colonies, count the cells using a hemocytometer and plate 1 cell per well in a 96-well culture plate. Culture cells in DMEM with 200 &#956;g/mL Hygromycin B at 37 &#176;C and 5% CO2.</li>
	<li>Change the media and antibiotic every 4 - 5 days. Monitor the cells until they are at about 80-90% confluent. Re-plate the cells on a 24-well culture plate by pipetting to dislodge cells from the well.</li>
	<li>Once the cells in the 24-well culture plate are confluent, dislodge them by scraping with a cell scraper and plate them in a 6-well culture plate.</li>
	<li>Screen the different clones for PSA secretion, as described in step 1. Cryo-preserve the clone with the highest PSA secretion and use it for future mouse experiments.</li>
</ol>
4. Implanting the Tumor
NOTE: Each mouse is implanted with 1 x 105 MB49-PSA cells in 50 &#181;L of DMEM blank media in the bladder. Due to the dead space in the catheter, always prepare extra volume (at least 100 &#181;L extra per mouse). An alternative approach would be to use an air filled syringe as described by Kasman et al.5 rather than a filled syringe.
<ol>
	<li>Cells.
	<ol>
		<li>One day before implantation, when the cells are approximately 80% confluent, passage the MB49-PSA tumor cells in complete DMEM media (supplemented with 10% FBS, 2 mmol/L L-glutamine, 0.05 mg/mL Penicillin-Streptomycin, and 200 &#181;g/mL Hygromycin B) at 37 &#176;C and 5% CO2 at a split ratio of 1:2.</li>
		<li>On the day of the procedure, harvest the cells by scraping them gently with a sterile cell scraper. Mix equal volumes of the cell suspension and a 0.4% trypan blue solution. Count the live cells using a hemocytometer. Do not implant if more than 20% of the cells are dead.</li>
		<li>Calculate the amount of live cells required (2 x 106 cells/mL) and transfer them to a 15 mL centrifuge tube. Centrifuge at 250 x g for 5 min at 4 &#176;C and discard the supernatant. Re-suspend the cell pellet in DMEM blank media. Repeat the wash three times to remove all traces of FBS before implantation.</li>
		<li>Keep the cell suspension on ice until the mice are ready for implantation.</li>
	</ol>
	</li>
	<li>Allow the 4- to 6-week-old female C57BL/6J mice to acclimatize for one week before the procedure. All animal work must be performed in a biological safety cabinet to maintain sterile conditions.
	<ol>
		<li>Weigh each mouse and inject anesthesia (75 mg/kg ketamine and 1 mg/kg medetomidine) intraperitoneally at 0.1 mL per 10 g of bodyweight. Bodyweights should be between 17 and 22 g. Confirm anesthetization by observing no response after a toe pinch.</li>
		<li>For identification, mark the ear using an ear punch.</li>
		<li>Inject Hartmann&#39;s solution or compound sodium lactate intraperitoneally at 0.1 mL per 10 g of bodyweight every 1 - 2 h for hydration.</li>
		<li>Apply sterile ophthalmic ointment to both eyes using a sterile cotton bulb, since the blinking reflex is lost under anesthesia and the eyes dry out. Reapply when necessary.</li>
		<li>Lay the mice in supine position on paper towels on top of a heat pack (activated by contact with air) to maintain body temperature and tape the hind legs down.</li>
	</ol>
	</li>
	<li>With a finger, apply gentle pressure to the lower abdominal region and collect urine from the bladder into a 1.5-mL microcentrifuge tube. This sample serves as the basal value of urinary PSA.</li>
	<li>Withdraw sterile poly-L-lysine (PLL) into a 1 mL syringe and attach a 24-gauge IV catheter, with the needle stylet removed. Apply lubricant to the tip of the catheter and insert the catheter through the urethra into the bladder using forceps to guide the catheterization. Stop when resistance is felt. NOTE:&#160;Researchers should discuss with their veterinary staff about the need for the use of a lubricating gel with anesthetic for intravesical instillations and the use of post&#8211;procedure analgesics.</li>
	<li>Instill 50 &#181;L of PLL slowly, at a rate of 10 &#181;L every 20 s, to avoid vesico-ureteral reflux18. Leave the catheter in the bladder for 20 min with a stopper to prevent out-flow.</li>
	<li>After 20 min, remove the catheter and vacate the bladder of any contents by gently pressing on the lower abdominal region. Using an empty 1 mL syringe, flush any remaining contents out of the catheter.</li>
	<li>Mix MB49-PSA cells thoroughly by pipetting and withdraw them into a 1 mL syringe. Attach the catheter and apply lubricant. Instill 50 &#181;L of 1 x 105 cells at a slow rate of 10 &#181;L every 20 s. Replace the stopper on the catheter. Give control mice 50 &#181;L of saline.</li>
	<li>After 1 h, remove the catheters and vacate the bladder of any contents. Remove the tape on the hind legs and place the mice on their ventral sides. Revive the mice by subcutaneously injecting the reversal drug (1 mg/kg atipamezole) at 0.1 mL per 10 g of bodyweight.</li>
	<li>Monitor the mice until motility is observed. Return the mice to their cages.</li>
	<li>Upon completion of a tumor detection protocol (sections 5, 7, or 8), euthanize the mice using CO2. Post-mortem tumor detection is described in section 6.</li>
</ol>
5. Monitoring Tumor Growth with ELISA
NOTE: Tumor presence and growth is monitored in mice by measuring PSA secretion in urine.&#160;Researchers should consult with their veterinary staff on monitoring animal health and well-being post-tumor implantation and humane endpoints.
<ol>
	<li>There are two methods to collect urine from mice.
	<ol>
		<li>Collect urine overnight by placing a single mouse in an individual metabolic cage designed to separate urine from fecal material. If the set-up does not have refrigeration, add a protease inhibitor (100 &#181;L) into the urine collection tube to prevent degradation of PSA overnight. However, the number of available metabolic cages limits the utility of this method of urine collection.</li>
		<li>Where it is logistically impossible to use metabolic cages (such as in the ABSL2 rooms), collect spot urine by using a finger to exert gentle pressure on the lower abdominal region while the mice are anesthetized as described in step 4.2.1. This is usually done before the therapy is instilled. From our experience, at least 150 &#181;L of urine can be collected 1 h after anesthesia.</li>
	</ol>
	</li>
	<li>Immediately place the collected urine on ice. Hematuria may be visible from the second week after tumor implantation. Highly hemolyzed samples may affect ELISA analysis. Therefore, urine must be placed on ice and processed quickly after collection.</li>
	<li>Centrifuge the urine tubes at 6,700 x g for 5 min at 4 &#176;C to remove cells or debris.</li>
	<li>To normalize the difference in urine output between the mice, aliquot the urine into new tubes and store them at -30 &#176;C until performing the analyses for PSA using an ELISA kit7 and creatinine using an assay kit7. Even though mice do not produce PSA, there are low levels of non-specific binding detected using the ELISA. For samples to be considered positive, the threshold must be set at values greater than in normal mice + 3 Standard Deviations (SD)15.</li>
</ol>
6. Detecting Tumor Presence with Real-time PCR
<ol>
	<li>At termination, dissect the abdominal cavity of the mouse and locate the bladder. Excise the bladder and place it into a cryovial. Freeze immediately in liquid nitrogen.</li>
	<li>Extract the RNA by homogenizing the tissues in an RNA extraction reagent.</li>
	<li>Perform reverse transcription and real-time PCR analysis for PSA, as described above in section 2.</li>
</ol>
7. Monitoring Tumor Growth with Fluorescence Imaging
<ol>
	<li>Label 1 x 107 MB49-PSA cells with a near-infrared fluorescent dye19.</li>
	<li>Re-plate and harvest the labeled cells on days 4, 7, 11, 14, 18, and 21 to check if cells retain viability and fluorescence by flow cytometry20.</li>
	<li>Implant the labeled MB49-PSA cells in mice bladders, as described above in section 4.</li>
	<li>Monitor the tumor growth using a fluorescence imaging system every two days.</li>
	<li>On the day of imaging, weigh and anesthetize the mice using a mixture of the anesthetics ketamine and medetomidine (75 mg/kg and 1 mg/kg, respectively), injected intraperitoneally at 0.1 mL per 10 g of bodyweight.</li>
	<li>Shave the abdominal area to expose the skin.</li>
	<li>Place mice in the imaging chamber and acquire images of the bladders using the software provided with the imaging system.</li>
	<li>Revive the mice by subcutaneously injecting a reversal drug (1 mg/kg atipamezole) at 0.1 mL per 10 g of bodyweight.</li>
</ol>
8. Monitoring Tumor Growth with High-frequency Ultrasound Imaging
<ol>
	<li>Implant tumors in mice, as described above in section 4.</li>
	<li>Every two days, monitor tumor growth using ultrasound imaging.</li>
	<li>On the day of imaging, weigh and anesthetize the mice using a mixture of the anesthetics ketamine and medetomidine (75 mg/kg and 1 mg/kg, respectively), injected intraperitoneally at 0.1 mL per 10 g of bodyweight.</li>
	<li>Shave the abdominal area to expose the skin.</li>
	<li>Instill 100 &#956;L of sterile 0.9% saline into the bladder using a 24-gauge IV catheter. The saline will distend the bladder and improve visibility during the ultrasound imaging.</li>
	<li>Place the mouse on the ultrasound platform and apply conductive gel to the lower abdomen.</li>
	<li>Lower the handheld probe to the skin and acquire B-mode images of the bladder on the imaging platform21.</li>
	<li>Revive the mice by subcutaneously injecting reversal drug (1 mg/kg atipamezole) at 0.1 mL per 10 g of bodyweight.</li>
</ol>

<ol>
	<li>Gunther, J. H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Optimizing+syngeneic+orthotopic+murine+bladder+cancer+(MB49).">Optimizing syngeneic orthotopic murine bladder cancer (MB49).</a> Cancer Res. 59, 2834-2837 (1999).</li><li>Dobek, G. L., Godbey, W. T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=An+orthotopic+model+of+murine+bladder+cancer.">An orthotopic model of murine bladder cancer.</a> Journal of visualized experiments : JoVE. , (2011).</li><li>Chade, D. C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Histopathological+characterization+of+a+syngeneic+orthotopic+murine+bladder+cancer+model.">Histopathological characterization of a syngeneic orthotopic murine bladder cancer model.</a> Int Braz J Urol. 34, 220-226 (2008).</li><li>Chan, E. S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Optimizing+orthotopic+bladder+tumor+implantation+in+a+syngeneic+mouse+model.">Optimizing orthotopic bladder tumor implantation in a syngeneic mouse model.</a> J Urol. 182, 2926-2931 (2009).</li><li>Kasman, L., Voelkel-Johnson, C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=An+orthotopic+bladder+cancer+model+for+gene+delivery+studies.">An orthotopic bladder cancer model for gene delivery studies.</a> Journal of visualized experiments : JoVE. , e50181 (2013).</li><li>Ninalga, C., Loskog, A., Klevenfeldt, M., Essand, M., Totterman, T. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=CpG+oligonucleotide+therapy+cures+subcutaneous+and+orthotopic+tumors+and+evokes+protective+immunity+in+murine+bladder+cancer.">CpG oligonucleotide therapy cures subcutaneous and orthotopic tumors and evokes protective immunity in murine bladder cancer.</a> J Immunother. 28, 20-27 (2005).</li><li>Tham, S. M., Ng, K. H., Pook, S. H., Esuvaranathan, K., Mahendran, R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Tumor+and+Microenvironment+Modification+during+Progression+of+Murine+Orthotopic+Bladder+Cancer.">Tumor and Microenvironment Modification during Progression of Murine Orthotopic Bladder Cancer.</a> Clin Dev Immunol. , 865684 (2011).</li><li>Chin, J., Kadhim, S., Garcia, B., Kim, Y. S., Karlik, S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Magnetic+resonance+imaging+for+detecting+and+treatment+monitoring+of+orthotopic+murine+bladder+tumor+implants.">Magnetic resonance imaging for detecting and treatment monitoring of orthotopic murine bladder tumor implants.</a> J Urol. 145, 1297-1301 (1991).</li><li>Kikuchi, E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Detection+and+quantitative+analysis+of+early+stage+orthotopic+murine+bladder+tumor+using+in+vivo+magnetic+resonance+imaging.">Detection and quantitative analysis of early stage orthotopic murine bladder tumor using in vivo magnetic resonance imaging.</a> J Urol. 170, 1375-1378 (2003).</li><li>Sweeney, S. K., Luo, Y., O'Donnell, M. A., Assouline, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Nanotechnology+and+cancer:+improving+real-time+monitoring+and+staging+of+bladder+cancer+with+multimodal+mesoporous+silica+nanoparticles.">Nanotechnology and cancer: improving real-time monitoring and staging of bladder cancer with multimodal mesoporous silica nanoparticles.</a> Cancer nanotechnology. 7, 3 (2016).</li><li>Tanaka, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Noninvasive+detection+of+bladder+cancer+in+an+orthotopic+murine+model+with+green+fluorescence+protein+cytology.">Noninvasive detection of bladder cancer in an orthotopic murine model with green fluorescence protein cytology.</a> J Urol. 170, 975-978 (2003).</li><li>Jurczok, A., Fornara, P., Soling, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Bioluminescence+imaging+to+monitor+bladder+cancer+cell+adhesion+in+vivo:+a+new+approach+to+optimize+a+syngeneic,+orthotopic,+murine+bladder+cancer+model.">Bioluminescence imaging to monitor bladder cancer cell adhesion in vivo: a new approach to optimize a syngeneic, orthotopic, murine bladder cancer model.</a> BJU Int. 101, 120-124 (2008).</li><li>Newton, M. R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Anti-interleukin-10R1+monoclonal+antibody+in+combination+with+bacillus+Calmette--Guerin+is+protective+against+bladder+cancer+metastasis+in+a+murine+orthotopic+tumour+model+and+demonstrates+systemic+specific+anti-tumour+immunity.">Anti-interleukin-10R1 monoclonal antibody in combination with bacillus Calmette--Guerin is protective against bladder cancer metastasis in a murine orthotopic tumour model and demonstrates systemic specific anti-tumour immunity.</a> Clin Exp Immunol. 177, 261-268 (2014).</li><li>Patel, A. R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Transabdominal+micro-ultrasound+imaging+of+bladder+cancer+in+a+mouse+model:+a+validation+study.">Transabdominal micro-ultrasound imaging of bladder cancer in a mouse model: a validation study.</a> Urology. 75, 799-804 (2010).</li><li>Wu, Q., Esuvaranathan, K., Mahendran, R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Monitoring+the+response+of+orthotopic+bladder+tumors+to+granulocyte+macrophage+colony-stimulating+factor+therapy+using+the+prostate-specific+antigen+gene+as+a+reporter.">Monitoring the response of orthotopic bladder tumors to granulocyte macrophage colony-stimulating factor therapy using the prostate-specific antigen gene as a reporter.</a> Clin Cancer Res. 10, 6977-6984 (2004).</li><li>Luo, Y., Chen, X., O'Donnell, M. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Use+of+prostate+specific+antigen+to+measure+bladder+tumor+growth+in+a+mouse+orthotopic+model.">Use of prostate specific antigen to measure bladder tumor growth in a mouse orthotopic model.</a> J Urol. 172, 2414-2420 (2004).</li><li>Coralli, C., Cemazar, M., Kanthou, C., Tozer, G. M., Dachs, G. U. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Limitations+of+the+reporter+green+fluorescent+protein+under+simulated+tumor+conditions.">Limitations of the reporter green fluorescent protein under simulated tumor conditions.</a> Cancer Res. 61, 4784-4790 (2001).</li><li>Biot, C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Preexisting+BCG-specific+T+cells+improve+intravesical+immunotherapy+for+bladder+cancer.">Preexisting BCG-specific T cells improve intravesical immunotherapy for bladder cancer.</a> Sci Transl Med. 4 (137), 137ra172 (2012).</li><li>Swirski, F. K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+near-infrared+cell+tracker+reagent+for+multiscopic+in+vivo+imaging+and+quantification+of+leukocyte+immune+responses.">A near-infrared cell tracker reagent for multiscopic in vivo imaging and quantification of leukocyte immune responses.</a> PLoS One. 2, 1075 (2007).</li><li>Jozwicki, W., Brozyna, A. A., Siekiera, J., Slominski, A. T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Frequency+of+CD4+CD25+Foxp3++cells+in+peripheral+blood+in+relation+to+urinary+bladder+cancer+malignancy+indicators+before+and+after+surgical+removal.">Frequency of CD4+CD25+Foxp3+ cells in peripheral blood in relation to urinary bladder cancer malignancy indicators before and after surgical removal.</a> Oncotarget. , (2016).</li><li>Walk, E. L., McLaughlin, S. L., Weed, S. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=High-frequency+Ultrasound+Imaging+of+Mouse+Cervical+Lymph+Nodes.">High-frequency Ultrasound Imaging of Mouse Cervical Lymph Nodes.</a> J Vis Exp. , e52718 (2015).</li><li>Rooks, V., Beecken, W. D., Iordanescu, I., Taylor, G. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Sonographic+evaluation+of+orthotopic+bladder+tumors+in+mice+treated+with+TNP-470,+an+angiogenic+inhibitor.">Sonographic evaluation of orthotopic bladder tumors in mice treated with TNP-470, an angiogenic inhibitor.</a> Academic radiology. 8, 121-127 (2001).</li><li>Folin, O., Morris, J. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=On+the+determination+of+creatinine+and+creatine+in+urine.">On the determination of creatinine and creatine in urine.</a> JBC. 17, 469-473 (1914).</li><li>Dykman, L. A., Bogatyrev, V. A., Khlebtsov, B. N., Khlebtsov, N. G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+protein+assay+based+on+colloidal+gold+conjugates+with+trypsin.">A protein assay based on colloidal gold conjugates with trypsin.</a> Anal Biochem. 341, 16-21 (2005).</li><li>Shi, H. W., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Joint+enhancement+strategy+applied+in+ECL+biosensor+based+on+closed+bipolar+electrodes+for+the+detection+of+PSA.">Joint enhancement strategy applied in ECL biosensor based on closed bipolar electrodes for the detection of PSA.</a> Talanta. 154, 169-174 (2016).</li><li>Ma, H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Electrochemiluminescent+immunosensing+of+prostate-specific+antigen+based+on+silver+nanoparticles-doped+Pb+(II)+metal-organic+framework.">Electrochemiluminescent immunosensing of prostate-specific antigen based on silver nanoparticles-doped Pb (II) metal-organic framework.</a> Biosensors &amp; bioelectronics. 79, 379-385 (2016).</li><li>Kavosi, B., Salimi, A., Hallaj, R., Moradi, F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ultrasensitive+electrochemical+immunosensor+for+PSA+biomarker+detection+in+prostate+cancer+cells+using+gold+nanoparticles/PAMAM+dendrimer+loaded+with+enzyme+linked+aptamer+as+integrated+triple+signal+amplification+strategy.">Ultrasensitive electrochemical immunosensor for PSA biomarker detection in prostate cancer cells using gold nanoparticles/PAMAM dendrimer loaded with enzyme linked aptamer as integrated triple signal amplification strategy.</a> Biosensors &amp; bioelectronics. 74, 915-923 (2015).</li><li>Lu, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cross-species+comparison+of+orthologous+gene+expression+in+human+bladder+cancer+and+carcinogen-induced+rodent+models.">Cross-species comparison of orthologous gene expression in human bladder cancer and carcinogen-induced rodent models.</a> Am J Transl Res. 3, 8-27 (2010).</li><li>Gong, Z., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Establishment+of+a+Novel+Bladder+Cancer+Xenograft+Model+in+Humanized+Immunodeficient+Mice.">Establishment of a Novel Bladder Cancer Xenograft Model in Humanized Immunodeficient Mice.</a> Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology. 37, 1355-1368 (2015).</li></ol>

The authors have nothing to disclose.

The most critical steps in the protocol are 1) successfully maintaining the tumorigenicity of the cell line; 2) ensuring measurable PSA secretion before tumor cell implantation in mice; 3) generating a single-cell suspension for implantation so as to reduce variation in tumor size; and 4) instilling cells at a slow rate to prevent vesico-ureteral reflux, resulting in tumor cell implantation in the kidney.
After prolonged passage in vitro, MB49/MB49-PSA cells can lose their tumorigenic...

The goal of this method is to generate murine orthotopic bladder tumors and to monitor the implanted tumors as accurately as possible, so that mice without tumor implantation are not thought to have been cured at end-point analysis. Overall, the method shown will reduce the need for large numbers of mice for experimental analysis and ensure greater accuracy in determining therapeutic outcomes.
The development of an orthotopic model for cancer is important, as implanting tumor cells subcutaneously does not recapitulate the environment of the clinical disease or enable the development of therapeutic strategies. The architecture of the bladder permits the instillation of bladder cancer therapies directly into the bladder with minimal systemic effects. Thus, animal models that recapitulate this environment, such as an orthotopic model, are important to evaluate new therapies. The conclusions drawn from any experimental set-up are dependent upon the limitations of the model.
Several techniques have been developed for the production of orthotopic bladder tumors in mice. These rely on damaging the glycosaminoglycan layer of the bladder, enabling tumor cells to be implanted. The techniques used include electrocautery, which results in a single point of damage in the bladder wall, leading to tumor development at one site in the bladder1,2. However, the success rate of tumor implantation using electrocautery is operator-dependent varying from 10 - 90%, and it includes the danger that the bladder wall will be punctured, leading to tumors developing in the peritoneal cavity. Chemical cautery is performed using silver nitrate, which damages the bladder wall3. Similarly, acid has been used to damage the bladder wall4. Trypsin has also been used to damage the bladder as well5. These methods may result in the development of more than one tumor in the bladder. Furthermore, there is a danger of severe damage to the bladder if the chemicals are left in contact with the bladder wall for too long. The method developed by Ninalga et al. uses the positively charged poly-L-lysine (PLL)6 molecules to coat the bladder wall; this enables the negatively charged tumor cells to stick to the glycosaminoglycan layer of the bladder. This method generally results in more than one tumor developing in the bladder, but tumor implantation is at 80 - 100%4,7. Technically, it is also the easiest procedure to perform. To ensure that the tumors that develop are fairly even in size, it is important that the tumor cells are not grouped in large clumps before implantation.
In order to evaluate therapeutic efficacy, it is best to perform this study on mice with fairly similar-sized tumors. Thus, a good detection system that can quantify tumor size soon after implantation is important. Several strategies have been used to evaluate tumors. These include magnetic resonance imaging (MRI)8-10, fluorescence11, bioluminescence12,13, ultrasound14, and enzyme-linked immunosorbent assay (ELISA)15,16. While MRI and ultrasound do not require modifications of the tumor cells, there is a need for sensitive equipment and contrast agents for MRI. The fluorescence-, luminescence-, and ELISA-based assays require modification of the tumor cells to express marker proteins that can be detected by these methods. For luminescence, a substrate is required for the detection of the luciferase activity; thus, there is an added step and increased cost. Both luminescence and fluorescence require specialized equipment. To produce fluorescence, green fluorescent protein (GFP) cyclization, which is catalyzed by molecular oxygen, is required. Thus, GFP expression may be variable within a tumor mass depending on access to oxygen, making this a rather unreliable marker17. Modification of the murine bladder cancer cell line MB49 to secrete human Prostate Specific Antigen (PSA)15,16 as a surrogate marker is another strategy. These markers also provide an alternative means of confirming tumor presence at the termination of the experiment, making them an alternative to immunohistochemistry. This study reports the PLL method of orthotopic tumor implantation and presents a comparison of tumor detection systems, namely ELISA, fluorescence, and ultrasound imaging.

<table><tbody><tr><td>MB49-PSA cells</td><td>N/A</td><td>N/A</td><td>ref (Wu QH, 2004)</td></tr><tr><td>RPMI 1640 media</td><td>HyClone</td><td>SH30027.01&amp;nbsp;</td><td></td></tr><tr><td>Dulbecco&#039;s Modified Eagle&#039;s Medium (DMEM) media</td><td>Biowest</td><td>L0102</td><td></td></tr><tr><td>Fetal Bovine Serum (FBS) South American</td><td>Biowest</td><td>S1810</td><td></td></tr><tr><td>Fetal Bovine Serum (FBS) South American, Premium</td><td>Biowest</td><td>S181B</td><td></td></tr><tr><td>Fetal Bovine Serum (FBS)</td><td>HyClone</td><td>SH30088.03&amp;nbsp;</td><td></td></tr><tr><td>L-glutamine</td><td>Biowest</td><td>X0550</td><td></td></tr><tr><td>Penicillin-Streptomycin</td><td>Biowest</td><td>L0022</td><td></td></tr><tr><td>Hygromycin B</td><td>Invitrogen</td><td>10687-010</td><td></td></tr><tr><td>free PSA (Human) ELISA kit</td><td>Abnova</td><td>KA0209</td><td></td></tr><tr><td>TRIzol Reagent for RNA extraction&amp;nbsp;</td><td>Ambion</td><td>15596026</td><td></td></tr><tr><td>High Capacity cDNA Reverse Transcription Kit with RNase Inhibitor</td><td>Applied Biosystems</td><td>4374967</td><td></td></tr><tr><td>TaqMan Universal PCR Master Mix</td><td>Applied Biosystems</td><td>4304437</td><td></td></tr><tr><td>TaqMan Gene Expression Assay &amp;ndash; Mouse Actb</td><td>Applied Biosystems</td><td>4331182</td><td>Mm00607939_s1</td></tr><tr><td>TaqMan Gene Expression Assay &amp;ndash; Human KLK3</td><td>Applied Biosystems</td><td>4331182</td><td>Hs00426859_g1</td></tr><tr><td>C57BL/6J female mice</td><td>In Vivos</td><td></td><td>4 - 6 wk old</td></tr><tr><td>Anesthesia (75 mg/kg Ketamine and 1 mg/kg Medetomidine)</td><td>Local pharmacy</td><td></td><td></td></tr><tr><td>Reversal drug (1 mg/kg Atipamezole)</td><td>Local pharmacy</td><td></td><td></td></tr><tr><td>Ear punch</td><td>Electron Microscopy Sciences</td><td>72893-01</td><td></td></tr><tr><td>Hartmann&#039;s solution or Compound sodium lactate</td><td>B Braun</td><td></td><td></td></tr><tr><td>Ophthalmic ointment - Duratears sterile ocular lubricant ointment</td><td>Alcon</td><td></td><td></td></tr><tr><td>Heat pack - HotHands handwarmers</td><td>Heatmax Inc</td><td></td><td></td></tr><tr><td>Introcan Certo IV catheter</td><td>B Braun</td><td>4251300</td><td>24 G x 3/4&amp;Prime;</td></tr><tr><td>Aquagel Lubricating jelly</td><td>Local pharmacy</td><td></td><td></td></tr><tr><td>Poly-L-lysine solution, 0.01%,</td><td>Sigma</td><td>P4707</td><td></td></tr><tr><td>cOmplete, Mini, EDTA-free Protease Inhibitor Cocktail</td><td>Roche</td><td>4693159001</td><td></td></tr><tr><td>Quantichrom Creatinine Assay Kit</td><td>BioAssay Systems</td><td>DICT-50&amp;nbsp;</td><td></td></tr><tr><td>Fluorescent dye - VivoTrack 680</td><td>Perkin Elmer</td><td>NEV12000&amp;nbsp;</td><td></td></tr><tr><td>RNAlater-ICE Frozen Tissue Transition Solution</td><td>Ambion</td><td>4427575</td><td></td></tr><tr><td>&lt;strong&gt;Name&lt;/strong&gt;</td><td>&lt;strong&gt;Company&lt;/strong&gt;</td><td>&lt;strong&gt;Catalog number&lt;/strong&gt;</td><td>&lt;strong&gt;Comments&lt;/strong&gt;</td></tr><tr><td>&lt;strong&gt;Equipment and Software&lt;/strong&gt;</td><td></td><td></td><td></td></tr><tr><td>7500 Realtime PCR System</td><td>Applied Biosystems</td><td></td><td></td></tr><tr><td>7500 Software v2.3</td><td>Applied Biosystems</td><td></td><td></td></tr><tr><td>Metabolic Cage</td><td>Tecniplast&amp;nbsp;</td><td>Vertical type rack for 12 cages</td><td></td></tr><tr><td>BD FACSCanto I system&amp;nbsp;</td><td>BD Biosciences</td><td></td><td></td></tr><tr><td>BD FACSDiva software v7</td><td>BD Biosciences</td><td></td><td></td></tr><tr><td>IVIS SpectrumCT &lt;em&gt;in vivo&lt;/em&gt; imaging system&amp;nbsp;</td><td>Caliper Life Sciences&amp;nbsp;</td><td></td><td></td></tr><tr><td>Living Image Software v3.1</td><td>Caliper Life Sciences&amp;nbsp;</td><td></td><td></td></tr><tr><td>Vevo 2100 imaging system&amp;nbsp;</td><td>VisualSonics&amp;nbsp;</td><td></td><td></td></tr></tbody></table>

a murine orthotopic bladder tumor model and tumor detection system

This protocol describes the generation of bladder tumors in female C57BL/6J mice using the murine bladder cancer cell line MB49, which has been modified to secrete human Prostate Specific Antigen (PSA), and the procedure for the confirmation of tumor implantation. In brief, mice are anesthetized using injectable drugs and are made to lay in the dorsal position. Urine is vacated from the bladder and 50 &#181;L of poly-L-lysine (PLL) is slowly instilled at a rate of 10 &#181;L/20 s using a 24 G IV catheter. It is left in the bladder for 20 min by stoppering the catheter. The catheter is removed and PLL is vacated by gentle pressure on the bladder. This is followed by instillation of the murine bladder cancer cell line (1 x 105 cells/50 &#181;L) at a rate of 10 &#181;L/20 s. The catheter is stoppered to prevent premature evacuation. After 1 h, the mice are revived with a reversal drug, and the bladder is vacated. The slow instillation rate is important, as it reduces vesico-ureteral reflux, which can cause tumors to occur in the upper urinary tract and in the kidneys. The cell line should be well re-suspended to reduce clumping of cells, as this can lead to uneven tumor sizes after implantation.
This technique induces tumors with high efficiency. Tumor growth is monitored by urinary PSA secretion. PSA marker monitoring is more reliable than ultrasound or fluorescence imaging for the detection of the presence of tumors in the bladder. Tumors in mice generally reach a maximum size that negatively impacts health by about 3 - 4 weeks if left untreated. By monitoring tumor growth, it is possible to differentiate mice that were cured from those that were not successfully implanted with tumors. With only end-point analysis, the latter may be mistakenly assumed to have been cured by therapy.

PSA secretion from MB49 cells was found to vary with the growth media. MB49-PSA is grown in DMEM media because this results in increased PSA secretion (Figure 1A). In order to determine the sensitivity of the PSA ELISA and real-time PCR, different numbers of MB49-PSA-secreting cells were mixed with MB49 parental cells. PSA ELISA detects a minimum of 1 x 105 PSA-secreting cells/1 x 106 cells (Figure 1B), while real-time PCR analysis d...

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A Murine Orthotopic Bladder Tumor Model and Tumor Detection System

This protocol describes the generation of murine orthotopic bladder tumors in female C57BL/6J mice and the monitoring of tumor growth.

This protocol describes the generation of bladder tumors in female C57BL/6J mice using the murine bladder cancer cell line MB49, which has been modified ...

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Universidad de Cartagena UDEC

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Cancer Research

14.6K Views.  National University of Singapore, National University Health System. This protocol describes the generation of murine orthotopic bladder tumors in female C57BL/6J mice and the monitoring of tumor growth.

Video: A Murine Orthotopic Bladder Tumor Model and Tumor Detection System

Mouse Bladder Wall Injection

Mouse bladder wall injection is a useful technique to orthotopically study bladder phenomena, including stem cell, smooth muscle, and cancer biology. Before starting injections, the surgical area must be cleaned with soap and water and antiseptic solution. Surgical equipment must be sterilized before use and between each animal. Each mouse is placed under inhaled isoflurane anesthesia (2-5% for induction, 1-3% for maintenance) and its bladder exposed by making a midline abdominal incision with scissors. If the bladder is full, it is partially decompressed by gentle squeezing between two fingers. The cell suspension of interest is intramurally injected into the wall of the bladder dome using a 29 or 30 gauge needle and 1 cc or smaller syringe. The wound is then closed using wound clips and the mouse allowed to recover on a warming pad. Bladder wall injection is a delicate microsurgical technique that can be mastered with practice.

Mouse bladder wall injection is a useful approach to orthotopically study bladder stem cell and cancer biology. This delicate microsurgical method can be mastered with careful technique and practice.

Mouse bladder wall injection is a useful technique to orthotopically study bladder phenomena, including stem cell, smooth muscle, and cancer biology. ...

Medicine

An Orthotopic Model of Murine Bladder Cancer

In this straightforward procedure, bladder tumors are established in female C57 mice through the use of catheterization, local cauterization, and subsequent cell adhesion. After their bladders are transurethrally catheterized and drained, animals are again catheterized to permit insertion of a platinum wire into bladders without damaging the urethra or bladder. The catheters are made of Teflon to serve as an insulator for the wire, which will conduct electrical current into the bladder to create a burn injury. An electrocautery unit is used to deliver 2.5W to the exposed end of the wire, burning away extracellular layers and providing attachment sites for carcinoma cells that are delivered in suspension to the bladder through a subsequent catheterization. Cells remain in the bladder for 90 minutes, after which the catheters are removed and the bladders allowed to drain naturally. The development of tumor is monitored via ultrasound. Specific attention is paid to the catheterization technique in the accompanying video.

Bladder tumors are established in female mice in a minimally invasive fashion through catheterization, local cauterization, and subsequent adhesion of carcinoma cells to the burn sites.

In this straightforward procedure, bladder tumors are established in female C57 mice through the use of catheterization, local cauterization, and ...

Magnetic Resonance Imaging Assessment of Carcinogen-induced Murine Bladder Tumors

Murine bladder tumor models are critical for the evaluation of new therapeutic options. Bladder tumors induced with the N-butyl-N-(4-hydroxybutyl) nitrosamine (BBN) carcinogen are advantageous over cell line-based models because they closely replicate the genomic profiles of human tumors, and, unlike cell models and xenografts, they provide a good opportunity for the study of immunotherapies. However, bladder tumor generation is heterogeneous; therefore, an accurate assessment of tumor burden is needed before randomization to experimental treatment. Described here is a BBN mouse model and protocol to evaluate bladder cancer tumor burden in vivo using a fast and reliable magnetic resonance (MR) sequence (true FISP). This method is simple and reliable because, unlike ultrasound, MR is operator-independent and allows for the straightforward post-acquisition image processing and review. Using axial images of the bladder, analysis of regions of interest along the bladder wall and tumor allow for the calculation of bladder wall and tumor area. This measurement correlates with ex vivo bladder weight (rs= 0.37, p = 0.009) and tumor stage (p = 0.0003). In conclusion, BBN generates heterogeneous tumors that are ideal for evaluation of immunotherapies, and MRI can quickly and reliably assess tumor burden prior to randomization to experimental treatment arms.

Murine bladder tumors are induced with the N-butyl-N-(4-hydroxybutyl) nitrosamine carcinogen (BBN). Bladder tumor generation is heterogeneous; therefore, an accurate assessment of tumor burden is needed before randomization to experimental treatment. Here we present a fast, reliable MRI protocol to assess tumor size and stage.

Murine bladder tumor models are critical for the evaluation of new therapeutic options. Bladder tumors induced with the N-butyl-N-(4-hydroxybutyl) ...

An Orthotopic Bladder Tumor Model and the Evaluation of Intravesical saRNA Treatment

We present a novel method for treating bladder cancer with intravesically delivered small activating RNA (saRNA) in an orthotopic xenograft mouse bladder tumor model. The mouse model is established by urethral catheterization under inhaled general anesthetic. Chemical burn is then introduced to the bladder mucosa using intravesical silver nitrate solution to disrupt the bladder glycosaminoglycan layer and allows cells to attach. Following several washes with sterile water, human bladder cancer KU-7-luc2-GFP cells are instilled through the catheter into the bladder to dwell for 2 hours. Subsequent growth of bladder tumors is confirmed and monitored by in vivo bladder ultrasound and bioluminescent imaging. The tumors are then treated intravesically with saRNA formulated in lipid nanoparticles (LNPs). Tumor growth is monitored with ultrasound and bioluminescence. All steps of this procedure are demonstrated in the accompanying video.

Establishing an orthotopic bladder tumor model to evaluate antitumor effects of intravesically delivered saRNA and monitoring tumor growth by ultrasound and bioluminescent imaging.

We present a novel method for treating bladder cancer with intravesically delivered small activating RNA (saRNA) in an orthotopic xenograft mouse bladder ...

Culture, Manipulation, and Orthotopic Transplantation of Mouse Bladder Tumor Organoids

The development of advanced tumor models has long been encouraged because current cancer models have shown limitations such as lack of three-dimensional (3D) tumor architecture and low relevance to human cancer. Researchers have recently developed a 3D in vitro cancer model referred to as tumor organoids that can mimic the characteristics of a native tumor in a culture dish. Here, experimental procedures are described in detail for the establishment of bladder tumor organoids from a carcinogen-induced murine bladder tumor, including culture, passage, and maintenance of the resulting 3D tumor organoids in vitro. In addition, protocols to manipulate the established bladder tumor organoid lines for genetic engineering using lentivirus-mediated transduction are described, including optimized conditions for the efficient introduction of new genetic elements into tumor organoids. Finally, the procedure for orthotopic transplantation of bladder tumor organoids into the wall of the murine bladder for further analysis is laid out. The methods described in this article can facilitate the establishment of an in vitro model for bladder cancer for the development of better therapeutic options.

This protocol provides detailed experimental steps to establish a three-dimensional in vitro culture of bladder tumor organoids derived from carcinogen-induced murine bladder cancer. Culture methods including passaging, genetic engineering, and orthotopic transplantation of tumor organoids are described.

The development of advanced tumor models has long been encouraged because current cancer models have shown limitations such as lack of three-dimensional ...

An Orthotopic Bladder Cancer Model for Gene Delivery Studies

Bladder cancer is the second most common cancer of the urogenital tract and novel therapeutic approaches that can reduce recurrence and progression are needed. The tumor microenvironment can significantly influence tumor development and therapy response. It is therefore often desirable to grow tumor cells in the organ from which they originated. This protocol describes an orthotopic model of bladder cancer, in which MB49 murine bladder carcinoma cells are instilled into the bladder via catheterization. Successful tumor cell implantation in this model requires disruption of the protective glycosaminoglycan layer, which can be accomplished by physical or chemical means. In our protocol the bladder is treated with trypsin prior to cell instillation. Catheterization of the bladder can also be used to deliver therapeutics once the tumors are established. This protocol describes the delivery of an adenoviral construct that expresses a luciferase reporter gene. While our protocol has been optimized for short-term studies and focuses on gene delivery, the methodology of mouse bladder catheterization has broad applications.

Implantation of cancer cells into the organ of origin can serve as a useful preclinical model to evaluate novel therapies. MB49 bladder carcinoma cells can be grown within the bladder following intravesical instillation. This protocol demonstrates catheterization of the mouse bladder for the purpose of tumor implantation and adenoviral delivery.

Bladder cancer is the second most common cancer of the urogenital tract and novel therapeutic approaches that can reduce recurrence and progression are ...

Minimally Invasive Establishment of Murine Orthotopic Bladder Xenografts

Orthotopic bladder cancer xenografts are the gold standard to study molecular cellular manipulations and new therapeutic agents&#160;in vivo. Suitable cell lines are inoculated either by intravesical instillation (model of nonmuscle invasive growth) or intramural injection into the bladder wall (model of invasive growth). Both procedures are complex and highly time-consuming. Additionally, the superficial model has its shortcomings due to the lack of cell lines that are tumorigenic following instillation. Intramural injection, on the other hand, is marred by the invasiveness of the procedure and the associated morbidity for the host mouse.
With these shortcomings in mind, we modified previous methods to develop a minimally invasive approach for creating orthotopic bladder cancer xenografts. Using ultrasound guidance we have successfully performed percutaneous inoculation of the bladder cancer cell lines UM-UC1, UM-UC3 and UM-UC13 into 50 athymic nude. We have been able to demonstrate that this approach is time efficient, precise and safe. With this technique, initially a space is created under the bladder mucosa with PBS, and tumor cells are then injected into this space in a second step. Tumor growth is monitored at regular intervals with bioluminescence imaging and ultrasound. The average tumor volumes increased steadily in in all but one of our 50 mice over the study period.
In our institution, this novel approach, which allows bladder cancer xenograft inoculation in a minimally-invasive, rapid and highly precise way, has replaced the traditional model.

The established technique to inoculate primary invasive orthotopic bladder cancer xenografts requires laparotomy and mobilization of the bladder. This procedure inflicts significant morbidity on the mice, is technically challenging and time-consuming. We therefore developed a high-precision, percutaneous approach utilizing ultrasound guidance.

Orthotopic bladder cancer xenografts are the gold standard to study molecular cellular manipulations and new therapeutic agents&#160;in vivo. Suitable ...

Establishing a Murine Superficial Bladder Cancer Model via an Intravesical Cell Administration Technique

This study presents an innovative method for establishing an orthotopic murine bladder tumor model with high efficiency and precise tumor localization. After anesthetizing female C57BL/6J mice in a supine position, a 24 G intravenous needle is inserted into the bladder to evacuate its contents. A 34 G dispensing needle is then introduced through the catheter, rotated five times to create a focal injury to the bladder dome mucosa, and subsequently removed. The MB49 cell suspension is aspirated and connected to a 30 G dispensing needle, which is inserted into the bladder via the catheter. Tumor cells are injected submucosally into the bladder under pressure. This technique results in minimal trauma to the mice, a high tumor take rate, and a fixed tumor location. It is characterized by simplicity and excellent reproducibility. This model provides an ideal experimental platform for developing intravesical therapies for bladder cancer, facilitating the advancement and optimization of treatment strategies for this malignancy.

This protocol describes a unique method for constructing an orthotopic model of superficial bladder cancer.

This study presents an innovative method for establishing an orthotopic murine bladder tumor model with high efficiency and precise tumor localization. ...

Bladder Tumor Organoid Model: A Method for Orthotopic Transplantation of Bladder Organoids into Recipient Murine Bladder

Source: Kim, Y. et al. <a href="https://jove.unicartagenaproxy.elogim.com/video/60469" target="_blank">Culture, Manipulation, and Orthotopic Transplantation of Mouse Bladder Tumor Organoids.</a>&#160;J. Vis. Exp.&#160;(2020)
In this video, we describe the orthotopic transplantation of cultured bladder tumor organoids into the murine bladder to study the role of the organ environment on developing tumors.

Source: Kim, Y. et al. Culture, Manipulation, and Orthotopic Transplantation of Mouse Bladder Tumor Organoids.&#160;J. Vis. Exp.&#160;(2020)
In this ...

JoVE Encyclopedia of Experiments

Urinary Tract Cancer

In vivo studies

Modeling Orthotopic Bladder Tumor in Mouse Model: A Procedure for Intravesical Administration of Cancer Cells into Murine Bladder

Source: Tham, S. M. et al. <a href="https://jove.unicartagenaproxy.elogim.com/video/55078" target="_blank">A Murine Orthotopic Bladder Tumor Model and Tumor Detection System.</a>&#160;J. Vis. Exp.&#160;(2017)
In this video, we describe the intravesical procedure of delivering cancer cells into the bladder of a mouse model. This procedure helps generate an orthotopic bladder tumor model that can be used to develop therapeutic strategies.

Source: Tham, S. M. et al. A Murine Orthotopic Bladder Tumor Model and Tumor Detection System.&#160;J. Vis. Exp.&#160;(2017)
In this video, we describe ...