Evidence map›Paper›PMID 26694905›Full record

ArticleThe Journal of urology2016

The Dose-Response Relationship of bacillus Calmette-Guérin and Urothelial Carcinoma Cell Biology.

Gopitkumar Shah, Guangjian Zhang, Fanghong Chen, YanLi Cao, Balaraman Kalyanaraman, William A See

Open access · greenAbstract read
In one paragraph

Article in The Journal of urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review of BCG immunotherapy for bladder cancer.Clinical microbiology reviews · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Gopitkumar ShahDepartment of Urology, Medical College of Wisconsin, Milwaukee, Wisconsin; Department of Biophysics (BK), Medical College of Wisconsin, Milwaukee, Wisconsin. Electronic address: gshah@mcw.edu.
Guangjian ZhangDepartment of Urology, Medical College of Wisconsin, Milwaukee, Wisconsin; Department of Biophysics (BK), Medical College of Wisconsin, Milwaukee, Wisconsin.
Fanghong ChenDepartment of Urology, Medical College of Wisconsin, Milwaukee, Wisconsin; Department of Biophysics (BK), Medical College of Wisconsin, Milwaukee, Wisconsin.
YanLi CaoDepartment of Urology, Medical College of Wisconsin, Milwaukee, Wisconsin; Department of Biophysics (BK), Medical College of Wisconsin, Milwaukee, Wisconsin.
Balaraman KalyanaramanDepartment of Urology, Medical College of Wisconsin, Milwaukee, Wisconsin; Department of Biophysics (BK), Medical College of Wisconsin, Milwaukee, Wisconsin.
William A SeeDepartment of Urology, Medical College of Wisconsin, Milwaukee, Wisconsin; Department of Biophysics (BK), Medical College of Wisconsin, Milwaukee, Wisconsin.
Medical College of Wisconsin · US

Funding

BCG-Induced Oxidative Stress as a Target for Improved Clinical EfficacyI01BX002242 · VA · CLEMENT J. ZABLOCKI VA MEDICAL CENTER · PI SEE, WILLIAM A · 2015 to 2018
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BLRD VA I01 BX002242
6 · The paper itself

Abstract

purposeAttenuated mycobacterium bacillus Calmette-Guérin is widely used as intravesical immunotherapy of nonmuscle invasive urothelial carcinoma. Currently there are limited data on the relationship between bacillus Calmette-Guérin dose intensity and tumor response. We evaluated the dose-response relationship of bacillus Calmette-Guérin to nonmuscle invasive bladder cancer in vitro using urothelial carcinoma cell lines and in vivo using an orthotopic mouse model. MATERIALS AND

methodsTwo human urothelial carcinoma cell lines were used to study the effect of bacillus Calmette-Guérin dose on the tumor cell response. Internalization, activation of signaling pathways, gene transactivation, cell viability, lactate dehydrogenase and HMGB1 release were study end points. An orthotopic tumor model was used to compare the effect of different doses on the antitumor efficacy of bacillus Calmette-Guérin.

resultsBacillus Calmette-Guérin internalization by urothelial carcinoma cells increased as a function of time and dose with a plateau at higher doses and/or long exposure times. Intracellular signaling demonstrated a similar direct, dose dependent increase. Cytokine expression by urothelial carcinoma cells as a function of dose was variable. Some genes increased progressively but others showed a decrease at the highest dose. While nonviable cell number increased in proportion to dose, the number of cells undergoing necrotic cell death decreased at higher doses. A higher dose of bacillus Calmette-Guérin (1:200) showed a better antitumor effect than a standard dose (1:50) (p <0.01).

conclusionsBacillus Calmette-Guérin dose has a direct impact on urothelial carcinoma cell biology. Increased dose intensity, particularly in nonresponders, may represent a strategy to increase bacillus Calmette-Guérin treatment efficacy.

Indexed as

Adjuvants, ImmunologicAdministration, IntravesicalAnimalsBCG VaccineCarcinoma, Transitional CellCell Line, TumorDose-Response Relationship, ImmunologicFemaleHumansMiceMice, Inbred C57BLTreatment OutcomeUrinary Bladder NeoplasmsAdjuvants, ImmunologicBCG VaccineBCG vaccinebladder neoplasmscarcinomadose-response relationship, immunologicurothelium

Identifiers

PMID26694905
PMCPMC5796534
OpenAlexW2293217287

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.