Keyes Kristan A, Mann Larry, Sherman Michael, Galbreath Elizabeth, Schirtzinger Linda, Ballard Darryl, Chen Yun-Fei, Iversen Philip, Teicher Beverly A
Lilly Research Laboratories, Lilly Corporate Center, Indianapolis, IN 46285, USA.
Cancer Chemother Pharmacol. 2004 Feb;53(2):133-40. doi: 10.1007/s00280-003-0713-x. Epub 2003 Oct 31.
Angiogenesis plays an important role in tumor growth. Angiogenic growth factors may be useful as biomarkers of antiangiogenic activity since their plasma concentrations correlate with the efficacy of treatments directed toward angiogenic targets. SW2 small-cell lung carcinoma (SCLC), Caki-1 renal cell carcinoma and HCT-116 colon carcinoma tumors produce measurable plasma VEGF, bFGF and TGFbeta in nude mice. Mice bearing these human tumor xenografts were treated orally twice daily with the PKCbeta inhibitor, LY317615 (days 14-30 for SW2 and HCT116, and days 21-39 for Caki-1). Plasma was collected every 3 days from control and treated mice. LY317615 significantly decreased plasma VEGF levels in mice bearing SW2 SCLC and Caki-1 renal cell carcinoma compared to control plasma concentrations beginning 5-7 days after initiating therapy. VEGF plasma levels remained suppressed after termination of LY317615 treatment and for the duration of the study (an additional 2 to 3 weeks). Plasma VEGF levels in mice bearing HCT116 xenografts were not altered by LY317615 treatment and plasma bFGF and TGF-beta were not altered by LY317615 in any of the animals. As shown by CD31 immunohistochemical staining, LY317615 decreased intratumoral vessel density by nearly 40% in all three tumors. Only the Caki-1 tumor responded to single-agent LY317615 therapy with a measurable tumor growth delay. Thus, unexpectedly inhibition of PKCbeta in vivo led to decreased VEGF production that persisted after therapy as well as to decreased intratumoral vessels. Plasma VEGF was a weak marker of response to LY317615, and plasma bFGF and TGFbeta were not markers of LY317615 activity.
血管生成在肿瘤生长中起着重要作用。血管生成生长因子可能作为抗血管生成活性的生物标志物,因为它们的血浆浓度与针对血管生成靶点的治疗效果相关。SW2小细胞肺癌(SCLC)、Caki-1肾细胞癌和HCT-116结肠癌肿瘤在裸鼠体内可产生可测量的血浆血管内皮生长因子(VEGF)、碱性成纤维细胞生长因子(bFGF)和转化生长因子β(TGFβ)。携带这些人肿瘤异种移植的小鼠每天口服PKCβ抑制剂LY317615两次(SW2和HCT116为第14 - 30天,Caki-1为第21 - 39天)。每3天从对照小鼠和治疗小鼠中采集血浆。与开始治疗后5 - 7天的对照血浆浓度相比,LY317615显著降低了携带SW2 SCLC和Caki-1肾细胞癌小鼠的血浆VEGF水平。在LY317615治疗终止后及研究期间(额外2至3周),VEGF血浆水平仍受到抑制。LY317615治疗未改变携带HCT116异种移植小鼠的血浆VEGF水平,且在任何动物中,LY317615均未改变血浆bFGF和TGF-β水平。如CD31免疫组化染色所示,LY317615使所有三种肿瘤的肿瘤内血管密度降低了近40%。只有Caki-1肿瘤对单药LY317615治疗有反应,肿瘤生长出现可测量的延迟。因此,出乎意料的是,体内PKCβ的抑制导致治疗后VEGF产生减少以及肿瘤内血管减少。血浆VEGF是对LY317615反应的弱标志物,血浆bFGF和TGFβ不是LY317615活性的标志物。