Resumen: Intravesical instillation of bacillus Calmette-Guérin (BCG) has been a first-line therapy for non–muscle-invasive bladder cancer for the last 4 decades. However, this treatment causes serious adverse events in a significant number of patients and a substantial percentage of recurrence episodes. MTBVAC is a live-attenuated vaccine derived from a Mycobacterium tuberculosis clinical isolate and is currently under evaluation in clinical trials to replace BCG as a tuberculosis vaccine. Here, we describe for the first time the potential of MTBVAC as a bladder cancer therapy in vitro and in vivo in a preclinical model. MTBVAC colonized human bladder tumor cells to a much greater extent than BCG via a mechanism mediated by macropinocytosis and induced cell growth inhibition after internalization. In vivo testing in an orthotopic murine model of bladder cancer demonstrated a higher antitumor effect of MTBVAC in experimental conditions in which BCG did not work. Our data encourage further studies to support the possible application of MTBVAC as a new immunotherapeutic agent for bladder cancer. Idioma: Inglés DOI: 10.1016/j.trsl.2018.03.004 Año: 2018 Publicado en: Translational Research 197 (2018), 32-42 ISSN: 1931-5244 Factor impacto JCR: 4.915 (2018) Categ. JCR: MEDICAL LABORATORY TECHNOLOGY rank: 2 / 29 = 0.069 (2018) - Q1 - T1 Categ. JCR: MEDICINE, RESEARCH & EXPERIMENTAL rank: 22 / 135 = 0.163 (2018) - Q1 - T1 Categ. JCR: MEDICINE, GENERAL & INTERNAL rank: 19 / 159 = 0.119 (2018) - Q1 - T1 Factor impacto SCIMAGO: 1.803 - Biochemistry (medical) (Q1) - Public Health, Environmental and Occupational Health (Q1) - Physiology (medical) (Q1) - Medicine (miscellaneous) (Q1)