Xu Xiaofeng, Yan Yuhua, Xun Qingying, Shi Jiayu, Kong Xiangyi, Wu Jun, Zhou Huaijun
Department of Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing, Jiangsu 210008, China,
Department of Gynecology, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi 530021, China.
Onco Targets Ther. 2019 Feb 14;12:1215-1223. doi: 10.2147/OTT.S194064. eCollection 2019.
Angiogenesis is critical for the growth and metastasis of solid tumors and is, therefore, an important therapeutic target. Despite the great research advances in tumor therapies targeting vascular endothelial growth factor (VEGF), drug resistance frequently occurs, and further strategies targeting the tumor vasculature are of primary concern.
The present study aimed to determine whether a combination of small interfering RNAs (siRNAs) targeting VEGF-A and angiopoietin-2 (Ang-2) inhibited the biologic mechanisms of endometrial cancer more effectively compared to either one alone, in vitro and in vivo.
VEGF-A and Ang-2 were silenced by siRNA in Ishikawa endometrial cancer cells. Cell growth, apoptosis, metastasis, and tumor angiogenesis were measured in vitro and in vivo.
There was no difference observed in cell apoptosis rate; however, combined silencing of VEGF-A and Ang-2 resulted in a stronger inhibition of cell proliferation and invasion (<0.05). Similarly, a greater reduction of tumor size and angiogenesis was seen with the concurrent administration of siRNAs targeting VEGF-A and Ang-2 in nude mice (<0.05).
Our data indicated that simultaneous blockade of VEGF-A and Ang-2 may serve as a novel and effective therapeutic strategy in endometrial cancer.
血管生成对于实体瘤的生长和转移至关重要,因此是一个重要的治疗靶点。尽管在针对血管内皮生长因子(VEGF)的肿瘤治疗方面取得了巨大的研究进展,但耐药性仍经常出现,进一步针对肿瘤血管系统的策略备受关注。
本研究旨在确定与单独使用相比,靶向VEGF - A和血管生成素 - 2(Ang - 2)的小干扰RNA(siRNA)组合在体外和体内是否能更有效地抑制子宫内膜癌的生物学机制。
在Ishikawa子宫内膜癌细胞中,通过siRNA使VEGF - A和Ang - 2沉默。在体外和体内测量细胞生长、凋亡、转移和肿瘤血管生成。
细胞凋亡率未观察到差异;然而,VEGF - A和Ang - 2的联合沉默导致对细胞增殖和侵袭的抑制作用更强(<0.05)。同样,在裸鼠中同时给予靶向VEGF - A和Ang - 2的siRNA时,肿瘤大小和血管生成的减少更为显著(<0.05)。
我们的数据表明,同时阻断VEGF - A和Ang - 2可能是子宫内膜癌一种新的有效治疗策略。