Department of Oncology, The Affiliated Hospital of Southwest Medical University, Luzhou City, Sichuan Province, P.R. China.
J Drug Target. 2020 Nov;28(9):961-969. doi: 10.1080/1061186X.2020.1764963. Epub 2020 May 18.
Angiogenesis is involved in the proliferation and metastasis of solid tumours; hence, it is an attractive therapeutic target. However, most patients who undergo anti-angiogenic drug treatment do not achieve complete tumour regression, resulting in drug resistance. The objective of this research is to explore the therapeutic effect of combining bevacizumab (Bev), an anti-vascular endothelial growth factor (VEGF)-A antibody, with apatinib (Apa), a VEGR receptor (VEGFR)-2-targeting tyrosine kinase inhibitor, in non-small cell lung cancer (NSCLC). we assessed the influence which Bev + Apa treatment exerts upon the proliferation as well as apoptosis of Lewis lung carcinoma (LLC) cells in virtue of the 3-(4,5-dimethyl-thiazol-2-yl)-2,5-diphenyltetrazolium bromide as assay as well as Annexin V staining, respectively. For assessment, we established a tumour-bearing mouse model with LLC cells and investigated the anti-angiogenic and antitumor effects of Bev + Apa by F-FDG PET/CT imaging, immunohistochemistry and TUNEL staining. Bev + Apa treatment significantly inhibited LLC cell growth and proliferation in a larger scale compared to therapy of either of the only agent. Bev + Apa inhibited tumour growth and extended the median survival time of tumour-bearing mice. Mechanistically, Bev + Apa reduced angiogenesis by inhibiting VEGF and VEGFR-2 expression and reducing glucose metabolism in tumour tissues. Thus, Bev and Apa inhibited tumour angiogenesis synergistically, indicating their potential clinical utility for NSCLC treatment.
血管生成参与实体瘤的增殖和转移;因此,它是一个有吸引力的治疗靶点。然而,大多数接受抗血管生成药物治疗的患者并不能完全使肿瘤消退,从而导致耐药性。本研究旨在探讨贝伐单抗(Bev)联合阿帕替尼(Apa)治疗非小细胞肺癌(NSCLC)的疗效。Bev 是一种抗血管内皮生长因子(VEGF)-A 抗体,Apa 是一种 VEGFR 受体(VEGFR)-2 靶向酪氨酸激酶抑制剂。我们通过 3-(4,5-二甲基噻唑-2-基)-2,5-二苯基四氮唑溴盐(MTT)法和 Annexin V 染色分别评估了 Bev+Apa 处理对 Lewis 肺癌(LLC)细胞增殖和凋亡的影响。为了评估,我们用 LLC 细胞建立了荷瘤小鼠模型,并通过 F-FDG PET/CT 成像、免疫组织化学和 TUNEL 染色研究了 Bev+Apa 的抗血管生成和抗肿瘤作用。与单独使用任何一种药物相比,Bev+Apa 治疗显著抑制了 LLC 细胞的生长和增殖。Bev+Apa 抑制肿瘤生长,延长荷瘤小鼠的中位生存时间。机制上,Bev+Apa 通过抑制 VEGF 和 VEGFR-2 表达以及降低肿瘤组织中的葡萄糖代谢来抑制肿瘤血管生成。因此,Bev 和 Apa 协同抑制肿瘤血管生成,表明它们在 NSCLC 治疗中的潜在临床应用价值。