Purpose: The efficacy of the anti-angiogenic factor TNP-470, an analog
ue of fumagillin, in controlling the development of bladder tumors was
investigated. Materials and Methods: The anti-angiogenic activity of
TNP-470 was evaluated in vitro by its capacity to suppress the growth
and migration of bovine capillary endothelial cells. To investigate it
s effect in vivo on the development of tumors, we instilled 0.5 mu g.
of TNP-470 dissolved in rat urine into heterotopically transplanted ra
t urinary bladders in which carcinogenesis had been initiated by N-met
hyl-N-nitrosourea. Results: In vitro, TNP-470 selectively inhibited th
e growth and migration of endothelial cells. Instillation of TNP-470 s
hortly after treatment with carcinogen reduced the tumor incidence sig
nificantly (p < 0.05) as compared with that in control animals receivi
ng urine only. Conclusions: TNP-470 suppresses the development of blad
der tumors when the treatment is started at an early stage of neoplasi
a. It may be useful in preventing recurrences or new growth of bladder
tumors.