Division of Oncology, University Hospital, Petersgraben 4, CH-4031 Basel, Switzerland.
Clin Cancer Res. 2012 Jan 15;18(2):454-64. doi: 10.1158/1078-0432.CCR-11-1102. Epub 2011 Nov 7.
Angiogenesis is a key process in tumor progression. By binding VEGF, VEGF receptor-2 (VEGFR2) is a main signaling transducer in tumor-associated angiogenesis. Accordingly, therapeutic approaches against the VEGF/VEGFR2 signaling axis have been designed. However, an efficient and specific chemotherapeutic targeting of tumor-associated endothelial cells has not yet been achieved.
We have employed anti-VEGFR2 antibodies covalently linked to pegylated liposomal doxorubicin (PLD) to specifically ablate tumor-associated endothelial cells in the Rip1Tag2 mouse model of insulinoma, in the MMTV-PyMT mouse model of breast cancer, and in the HT-29 human colon cancer xenograft transplantation model.
In each model, anti-VEGFR2-targeted immunoliposomes (ILs) loaded with doxorubicin (anti-VEGFR2-ILs-dox) were superior in therapeutic efficacy to empty liposomes, empty anti-VEGFR2-ILs, antibodies alone, and PLD. Efficacy was similar to that of the oral VEGFR1, -2, and -3 inhibitor PTK787. Detailed histopathologic and molecular analysis revealed a strong antiangiogenic effect of anti-VEGFR2-ILs-dox, and the observed antiangiogenic therapy was significantly more efficient in reducing tumor burden in well-vascularized transgenic mouse models as compared with the less-vascularized xenograft model.
Anti-VEGFR2 ILs provide a highly efficient approach to selectively deplete VEGFR2-expressing tumor vasculature. They offer a novel and promising anticancer strategy.
血管生成是肿瘤进展的关键过程。通过与 VEGF 结合,VEGF 受体-2(VEGFR2)是肿瘤相关血管生成中的主要信号转导物。因此,已经设计了针对 VEGF/VEGFR2 信号轴的治疗方法。然而,尚未实现针对肿瘤相关内皮细胞的有效和特异性化学治疗靶向。
我们使用与聚乙二醇化脂质体阿霉素(PLD)共价结合的抗 VEGFR2 抗体,特异性地消融胰岛素瘤的 Rip1Tag2 小鼠模型、乳腺癌的 MMTV-PyMT 小鼠模型和 HT-29 人结肠癌细胞异种移植模型中的肿瘤相关内皮细胞。
在每种模型中,载有多柔比星的抗 VEGFR2 靶向免疫脂质体(抗 VEGFR2-ILs-dox)在治疗效果上优于空脂质体、空抗 VEGFR2-ILs、单独的抗体和 PLD。疗效与口服 VEGFR1、-2 和 -3 抑制剂 PTK787 相似。详细的组织病理学和分子分析显示,抗 VEGFR2-ILs-dox 具有强烈的抗血管生成作用,与血管生成较少的异种移植模型相比,观察到的抗血管生成治疗在减少富含血管的转基因小鼠模型中的肿瘤负担方面效率更高。
抗 VEGFR2 ILs 提供了一种高效的方法来选择性耗尽 VEGFR2 表达的肿瘤血管。它们提供了一种新的有前途的抗癌策略。