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在原位乳腺肿瘤模型中,抗VEGF-A治疗可降低淋巴管密度和VEGFR-3的表达。

Anti-VEGF-A therapy reduces lymphatic vessel density and expression of VEGFR-3 in an orthotopic breast tumor model.

作者信息

Whitehurst Brandt, Flister Michael J, Bagaitkar Juhi, Volk Lisa, Bivens Christopher M, Pickett Brent, Castro-Rivera Emely, Brekken Rolf A, Gerard Robert D, Ran Sophia

机构信息

Department of Medical Microbiology, Immunology and Cell Biology, Southern Illinois University School of Medicine, Springfield, IL, USA.

出版信息

Int J Cancer. 2007 Nov 15;121(10):2181-91. doi: 10.1002/ijc.22937.

Abstract

Because metastasis contributes significantly to cancer mortality, understanding its mechanisms is crucial to developing effective therapy. Metastasis is facilitated by lymphangiogenesis, the growth of new intratumoral or peritumoral lymphatic vessels from pre-existing vessels. Vascular endothelial growth factor A (VEGF-A) is a well-known angiogenic factor. Increasing evidence implicates VEGF-A in lymphangiogenesis, although the mechanism of its pro-lymphangiogenic effect is poorly understood. We examined the effect of the anti-VEGF-A neutralizing antibody 2C3 on tumor lymphangiogenesis and metastasis in an orthotopic breast carcinoma model using MDA-MB-231 cells and its luciferase-tagged derivative, 231-Luc(+) cells. Anti-VEGF-A antibody therapy reduced blood and lymphatic vessel densities by 70% and 80%, respectively, compared with the control antibody. Treatment with 2C3 antibody also decreased incidence of lymphatic and pulmonary metastases by 3.2- and 4.5-fold, respectively. Macrophage infiltration was reduced in 2C3-treated tumors by 32%, but VEGF-C expression was unchanged. In contrast, neoplastic cells and blood vessels in tumors from 2C3-treated mice expressed significantly less angiopoietin-2 (Ang-2) than tumors from control mice. The reduction in Ang-2 was associated with inhibition of VEGFR-3 expression in intratumoral lymphatic endothelial cells. Both VEGF-A and Ang-2 upregulated the expression of VEGFR-3 in cultured lymphatic endothelial cells. VEGF-A induced proliferation of lymphatic endothelial cells was reduced by 50% by soluble Tie-2, suggesting that Ang-2 is an intermediary of the pro-lymphangiogenic VEGF-A effect. These results suggest a novel mechanism by which anti-VEGF-A therapy may suppress tumor lymphangiogenesis and subsequent metastasis supporting the use of anti-VEGF-A therapy to control metastasis clinically.

摘要

由于转移是导致癌症死亡的重要因素,了解其机制对于开发有效的治疗方法至关重要。肿瘤淋巴管生成有助于转移,即从已有的血管中生成新的肿瘤内或肿瘤周围淋巴管。血管内皮生长因子A(VEGF-A)是一种众所周知的血管生成因子。越来越多的证据表明VEGF-A参与淋巴管生成,但其促淋巴管生成作用的机制尚不清楚。我们在原位乳腺癌模型中,使用MDA-MB-231细胞及其荧光素酶标记衍生物231-Luc(+)细胞,研究了抗VEGF-A中和抗体2C3对肿瘤淋巴管生成和转移的影响。与对照抗体相比,抗VEGF-A抗体治疗分别使血管和淋巴管密度降低了70%和80%。用2C3抗体治疗还分别使淋巴转移和肺转移的发生率降低了3.2倍和4.5倍。2C3治疗的肿瘤中巨噬细胞浸润减少了32%,但VEGF-C表达未改变。相比之下,2C3治疗小鼠肿瘤中的肿瘤细胞和血管表达的血管生成素-2(Ang-2)明显低于对照小鼠的肿瘤。Ang-2的减少与肿瘤内淋巴管内皮细胞中VEGFR-3表达的抑制有关。VEGF-A和Ang-2均上调培养的淋巴管内皮细胞中VEGFR-3的表达。可溶性Tie-2使VEGF-A诱导的淋巴管内皮细胞增殖减少了50%,这表明Ang-2是VEGF-A促淋巴管生成作用的中间介质。这些结果提示了一种新机制,即抗VEGF-A治疗可能通过抑制肿瘤淋巴管生成及随后的转移,支持在临床上使用抗VEGF-A治疗来控制转移。

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