Abstract:Objective To investigate the effect of macrophage infiltration on chemotherapy resistance of bladder cancer and potential mechanisms. Methods Macrophage recruitment rate was assessed with Transwell chamber. The protein level of CXCL5 and PARP/cleaved-PARP were measured by Western-blot or qRT-PCR. Proliferation rate of macrophage and bladder cancer cells induced by Doxorubicin were detected by MTT assay. Results Bladder cancer cells recruited more THP-1 than normal bladder epithelial cells did (P < 0.05). The protein and mRNA level of CXCL5 in bladder cancer cells were increased significantly compared with normal bladder epithelial cells. The recruitment ability of bladder cancer cells was downregulated greatly with CXCL5 knockdown. After co-cultured with macrophage, the apoptosis rate of bladder cancer cells was suppressed by Doxorubicin. Conclusions Bladder cancer cells recruit macrophages by secreting CXCL5, which assists development of chemotherapy-resistance of bladder cancer.