Additively Enhanced Antiproliferative Effect of Interferon Combined with Proanthocyanidin on Bladder Cancer Cells

Although interferon (IFN) has been often used as immunotherapy for bladder cancer, its efficacy is rather unsatisfactory, demanding further improvement. Combination therapy is one of viable options, and grape seed proanthocyanidin (GSP) could be such an agent to be used with IFN because it has been shown to have anticancer activity. We thus investigated whether combination of IFN and GSP might enhance the overall antiproliferative effect on bladder cancer cells in vitro. Human bladder cancer T24 cells were employed and treated with the varying concentrations of recombinant IFN-alpha(2b) (0-100,000 IU/ml), GSP (0-100 mu g/ml), or their combinations. IFN-alpha(2b) alone led to a similar to 50% growth reduction at 20,000 (20K) IU/ml, which further declined to similar to 67% at >= 50K IU/ml. Similarly, GSP alone induced a similar to 35% and similar to 100% growth reduction at 25 and >= 50 mu g/ml, respectively. When IFN-alpha(2b) and GSP were then combined, combination of 50K IU/ml IFN-alpha(2b) and 25 mu g/ml GSP resulted in a drastic >95% growth reduction. Cell cycle analysis indicated that such an enhanced growth inhibition was accompanied by a G(1) cell cycle arrest. This was further confirmed by Western blot analysis revealing that expressions of G(1)-specific cell cycle regulators (CDK2, CDK4, cyclin E and p27/Kip1) were distinctly modulated with such IFN-alpha(2b)/GSP treatment. Therefore, these findings support the notion that combination of IFN-alpha(2b) and GSP is capable of additively enhancing antiproliferative effect on T24 cells with a G(1) cell cycle arrest, implying an adjuvant therapeutic modality for superficial bladder cancer.