51. Blocking Angiopoietin-2 Promotes Vascular Damage and Growth Inhibition in Mouse Tumors Treated with Small Doses of Radiation
- Author
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Jenny Högström, Emilia A. Korhonen, Elina Jokinen, Suvendu Das, Marianne Lähde, Jefim Brodkin, Kari Alitalo, Sarika Heino, Pauliina Kallio, CAN-PRO - Translational Cancer Medicine Program, University of Helsinki, Digital Precision Cancer Medicine (iCAN), Research Programs Unit, HUSLAB, and Kari Alitalo / Principal Investigator
- Subjects
Male ,0301 basic medicine ,Cancer Research ,Angiogenesis ,medicine.medical_treatment ,Melanoma, Experimental ,Angiogenesis Inhibitors ,Apoptosis ,HYPOXIA ,PROGRESSION ,ANGIOGENESIS ,ANG-2 ,Mice ,chemistry.chemical_compound ,0302 clinical medicine ,Tumor Microenvironment ,Macrophage ,RNA-Seq ,Neovascularization, Pathologic ,Melanoma ,Chemoradiotherapy ,VEGF ,3. Good health ,medicine.anatomical_structure ,Oncology ,030220 oncology & carcinogenesis ,Female ,Tumor necrosis factor alpha ,Single-Cell Analysis ,Growth inhibition ,Colorectal Neoplasms ,RADIOTHERAPY ,EXPRESSION ,3122 Cancers ,MECHANISMS ,Angiopoietin-2 ,03 medical and health sciences ,In vivo ,Cell Line, Tumor ,medicine ,Animals ,Humans ,business.industry ,Monocyte ,Endothelial Cells ,medicine.disease ,Xenograft Model Antitumor Assays ,ENDOTHELIAL-CELLS ,GENE ,Radiation therapy ,030104 developmental biology ,chemistry ,Cancer research ,3111 Biomedicine ,business - Abstract
Abnormal vasculature in tumors leads to poor tissue perfusion and cytostatic drug delivery. Although drugs inducing vascular normalization, for example, angiopoietin-2 (Ang2)-blocking antibodies, have shown promising results in preclinical tumor models, clinical studies have so far shown only little efficacy. Because Ang2 is known to play a protective role in stressed endothelial cells, we tested here whether Ang2 blocking could enhance radiation-induced tumor vascular damage. Tumor-bearing mice were treated with anti-Ang2 antibodies every 3 or 4 days starting 3 days before 3 × 2 Gy or 4 × 0.5 Gy whole-body or tumor-focused radiation. Combination treatment with anti-Ang2 and radiation improved tumor growth inhibition and extended the survival of mice with melanoma or colorectal tumors. Single-cell RNA-sequencing revealed that Ang2 blocking rescued radiation-induced decreases in T cells and cells of the monocyte/macrophage lineage. In addition, anti-Ang2 enhanced radiation-induced apoptosis in cultured endothelial cells. In vivo, combination treatment decreased tumor vasculature and increased tumor necrosis in comparison with tumors treated with monotherapies. These results suggest that a combination of Ang2-blocking antibodies with radiation increases tumor growth inhibition and extends the survival of tumor-bearing mice. Significance: These findings offer a preclinical rationale for further testing of the use of radiation in combination with Ang2-blocking antibodies to improve the overall outcome of cancer treatment.
- Published
- 2020
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