Bello Lorenzo, Lucini Valeria, Giussani Carlo, Carrabba Giorgio, Pluderi Mauro, Scaglione Francesco, Tomei Giustino, Villani Roberto, Black Peter McL, Bikfalvi Andreas, Carroll Rona S
Division of Neurosurgery, Department of Neurological Sciences, University of Milan, Italy.
Neurosurgery. 2003 Jan;52(1):177-85; discussion 185-6. doi: 10.1097/00006123-200301000-00023.
The biological features of malignant gliomas include high cell proliferation, extensive local infiltration of tumor cells into normal brain, and marked neovascularization. alphavbeta3 integrin is highly expressed in malignant gliomas and plays a role in glioma growth. This article investigates the in vitro and in vivo effects of a synthetic alphavbeta3 integrin inhibitor called IS20I on human malignant gliomas.
The in vitro effects of IS20I were studied by performing adhesion assays, competition studies, semi-in vivo angiogenic assays, and migration and proliferation assays. For the in vivo experiments, IS20I was administered systemically in nude mouse intracranial and subcutaneous malignant glioma models.
IS20I reacted selectively to alphavbeta3 integrin in glioma cells and tissues. In vitro, IS20I strongly inhibited angiogenesis and simultaneously exhibited potent antimitotic and antimigratory effects on numerous tumor and endothelial cell lines. In addition, at high concentrations, IS20I induced endothelial and tumor cell apoptosis. In vivo, when IS20I was administered intraperitoneally in subcutaneous and intracranial nude mouse glioma models, it potently reduced malignant glioma growth. Inhibition levels of 76 and 82% were observed at concentrations of 1 and 5 mg/kg, respectively, in the U87 intracranial model. The suppression of tumor growth is associated with a decrease in tumor vascularity, an increase in apoptosis, and a decrease in tumor cell proliferation.
This work expands the understanding of the effects of anti-alphavbeta3 integrin inhibitors on malignant gliomas. In addition to direct proapoptotic and antiangiogenic effects, IS20I inhibits tumor and endothelial cell proliferation and migration, resulting in a potent inhibition of glioma growth in vivo.
恶性胶质瘤的生物学特性包括高细胞增殖、肿瘤细胞广泛局部浸润至正常脑组织以及显著的新生血管形成。αvβ3整合素在恶性胶质瘤中高表达并在胶质瘤生长中发挥作用。本文研究一种名为IS20I的合成αvβ3整合素抑制剂对人恶性胶质瘤的体内和体外作用。
通过进行黏附试验、竞争研究、半体内血管生成试验以及迁移和增殖试验来研究IS20I的体外作用。对于体内实验,将IS20I全身给药于裸鼠颅内和皮下恶性胶质瘤模型。
IS20I对胶质瘤细胞和组织中的αvβ3整合素具有选择性反应。在体外,IS20I强烈抑制血管生成,同时对多种肿瘤和内皮细胞系表现出强大的抗有丝分裂和抗迁移作用。此外,在高浓度时,IS20I诱导内皮细胞和肿瘤细胞凋亡。在体内,当在皮下和颅内裸鼠胶质瘤模型中腹腔注射IS20I时,它能有效降低恶性胶质瘤的生长。在U87颅内模型中,分别在1和5mg/kg的浓度下观察到76%和82%的抑制水平。肿瘤生长的抑制与肿瘤血管减少、凋亡增加以及肿瘤细胞增殖减少有关。
这项工作扩展了对抗αvβ3整合素抑制剂对恶性胶质瘤作用的认识。除了直接的促凋亡和抗血管生成作用外,IS20I还抑制肿瘤和内皮细胞的增殖与迁移,从而在体内有效抑制胶质瘤生长。