author_facet Chae, Sung-Suk
Kamoun, Walid S.
Farrar, Christian T.
Kirkpatrick, Nathaniel D.
Niemeyer, Elisabeth
de Graaf, Annemarie M.A.
Sorensen, A. Gregory
Munn, Lance L.
Jain, Rakesh K.
Fukumura, Dai
Chae, Sung-Suk
Kamoun, Walid S.
Farrar, Christian T.
Kirkpatrick, Nathaniel D.
Niemeyer, Elisabeth
de Graaf, Annemarie M.A.
Sorensen, A. Gregory
Munn, Lance L.
Jain, Rakesh K.
Fukumura, Dai
author Chae, Sung-Suk
Kamoun, Walid S.
Farrar, Christian T.
Kirkpatrick, Nathaniel D.
Niemeyer, Elisabeth
de Graaf, Annemarie M.A.
Sorensen, A. Gregory
Munn, Lance L.
Jain, Rakesh K.
Fukumura, Dai
spellingShingle Chae, Sung-Suk
Kamoun, Walid S.
Farrar, Christian T.
Kirkpatrick, Nathaniel D.
Niemeyer, Elisabeth
de Graaf, Annemarie M.A.
Sorensen, A. Gregory
Munn, Lance L.
Jain, Rakesh K.
Fukumura, Dai
Clinical Cancer Research
Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas
Cancer Research
Oncology
author_sort chae, sung-suk
spelling Chae, Sung-Suk Kamoun, Walid S. Farrar, Christian T. Kirkpatrick, Nathaniel D. Niemeyer, Elisabeth de Graaf, Annemarie M.A. Sorensen, A. Gregory Munn, Lance L. Jain, Rakesh K. Fukumura, Dai 1078-0432 1557-3265 American Association for Cancer Research (AACR) Cancer Research Oncology http://dx.doi.org/10.1158/1078-0432.ccr-09-3073 <jats:title>Abstract</jats:title> <jats:p>Purpose: In brain tumors, cerebral edema is a significant source of morbidity and mortality. Recent studies have shown that inhibition of vascular endothelial growth factor (VEGF) signaling induces transient vascular normalization and reduces cerebral edema, resulting in a modest survival benefit in glioblastoma patients. During anti-VEGF treatment, circulating levels of angiopoietin (Ang)-2 remained high after an initial minor reduction. It is not known, however, whether Ang-2 can modulate anti-VEGF treatment of glioblastoma. Here, we used an orthotopic glioma model to test the hypothesis that Ang-2 is an additional target for improving the efficacy of current anti-VEGF therapies in glioma patients.</jats:p> <jats:p>Experimental Design: To recapitulate high levels of Ang-2 in glioblastoma patients during anti-VEGF treatment, Ang-2 was ectopically expressed in U87 glioma cells. Animal survival and tumor growth were assessed to determine the effects of Ang-2 and anti–VEGF receptor 2 (VEGFR2) treatment. We also monitored morphologic and functional vascular changes using multiphoton laser scanning microscopy and immunohistochemistry.</jats:p> <jats:p>Results: Ectopic expression of Ang-2 had no effect on vascular permeability, tumor growth, or survival, although it resulted in higher vascular density, with dilated vessels and reduced mural cell coverage. On the other hand, when combined with anti-VEGFR2 treatment, Ang-2 destabilized vessels without affecting vessel regression and compromised the survival benefit of VEGFR2 inhibition by increasing vascular permeability. VEGFR2 inhibition normalized tumor vasculature whereas ectopic expression of Ang-2 diminished the beneficial effects of VEGFR2 blockade by inhibiting vessel normalization.</jats:p> <jats:p>Conclusion: Cancer treatment regimens combining anti-VEGF and anti-Ang-2 agents may be an effective strategy to improve the efficacy of current anti-VEGF therapies. Clin Cancer Res; 16(14); 3618–27. ©2010 AACR.</jats:p> Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas Clinical Cancer Research
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title Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas
title_unstemmed Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas
title_full Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas
title_fullStr Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas
title_full_unstemmed Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas
title_short Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas
title_sort angiopoietin-2 interferes with anti-vegfr2–induced vessel normalization and survival benefit in mice bearing gliomas
topic Cancer Research
Oncology
url http://dx.doi.org/10.1158/1078-0432.ccr-09-3073
publishDate 2010
physical 3618-3627
description <jats:title>Abstract</jats:title> <jats:p>Purpose: In brain tumors, cerebral edema is a significant source of morbidity and mortality. Recent studies have shown that inhibition of vascular endothelial growth factor (VEGF) signaling induces transient vascular normalization and reduces cerebral edema, resulting in a modest survival benefit in glioblastoma patients. During anti-VEGF treatment, circulating levels of angiopoietin (Ang)-2 remained high after an initial minor reduction. It is not known, however, whether Ang-2 can modulate anti-VEGF treatment of glioblastoma. Here, we used an orthotopic glioma model to test the hypothesis that Ang-2 is an additional target for improving the efficacy of current anti-VEGF therapies in glioma patients.</jats:p> <jats:p>Experimental Design: To recapitulate high levels of Ang-2 in glioblastoma patients during anti-VEGF treatment, Ang-2 was ectopically expressed in U87 glioma cells. Animal survival and tumor growth were assessed to determine the effects of Ang-2 and anti–VEGF receptor 2 (VEGFR2) treatment. We also monitored morphologic and functional vascular changes using multiphoton laser scanning microscopy and immunohistochemistry.</jats:p> <jats:p>Results: Ectopic expression of Ang-2 had no effect on vascular permeability, tumor growth, or survival, although it resulted in higher vascular density, with dilated vessels and reduced mural cell coverage. On the other hand, when combined with anti-VEGFR2 treatment, Ang-2 destabilized vessels without affecting vessel regression and compromised the survival benefit of VEGFR2 inhibition by increasing vascular permeability. VEGFR2 inhibition normalized tumor vasculature whereas ectopic expression of Ang-2 diminished the beneficial effects of VEGFR2 blockade by inhibiting vessel normalization.</jats:p> <jats:p>Conclusion: Cancer treatment regimens combining anti-VEGF and anti-Ang-2 agents may be an effective strategy to improve the efficacy of current anti-VEGF therapies. Clin Cancer Res; 16(14); 3618–27. ©2010 AACR.</jats:p>
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author Chae, Sung-Suk, Kamoun, Walid S., Farrar, Christian T., Kirkpatrick, Nathaniel D., Niemeyer, Elisabeth, de Graaf, Annemarie M.A., Sorensen, A. Gregory, Munn, Lance L., Jain, Rakesh K., Fukumura, Dai
author_facet Chae, Sung-Suk, Kamoun, Walid S., Farrar, Christian T., Kirkpatrick, Nathaniel D., Niemeyer, Elisabeth, de Graaf, Annemarie M.A., Sorensen, A. Gregory, Munn, Lance L., Jain, Rakesh K., Fukumura, Dai, Chae, Sung-Suk, Kamoun, Walid S., Farrar, Christian T., Kirkpatrick, Nathaniel D., Niemeyer, Elisabeth, de Graaf, Annemarie M.A., Sorensen, A. Gregory, Munn, Lance L., Jain, Rakesh K., Fukumura, Dai
author_sort chae, sung-suk
container_issue 14
container_start_page 3618
container_title Clinical Cancer Research
container_volume 16
description <jats:title>Abstract</jats:title> <jats:p>Purpose: In brain tumors, cerebral edema is a significant source of morbidity and mortality. Recent studies have shown that inhibition of vascular endothelial growth factor (VEGF) signaling induces transient vascular normalization and reduces cerebral edema, resulting in a modest survival benefit in glioblastoma patients. During anti-VEGF treatment, circulating levels of angiopoietin (Ang)-2 remained high after an initial minor reduction. It is not known, however, whether Ang-2 can modulate anti-VEGF treatment of glioblastoma. Here, we used an orthotopic glioma model to test the hypothesis that Ang-2 is an additional target for improving the efficacy of current anti-VEGF therapies in glioma patients.</jats:p> <jats:p>Experimental Design: To recapitulate high levels of Ang-2 in glioblastoma patients during anti-VEGF treatment, Ang-2 was ectopically expressed in U87 glioma cells. Animal survival and tumor growth were assessed to determine the effects of Ang-2 and anti–VEGF receptor 2 (VEGFR2) treatment. We also monitored morphologic and functional vascular changes using multiphoton laser scanning microscopy and immunohistochemistry.</jats:p> <jats:p>Results: Ectopic expression of Ang-2 had no effect on vascular permeability, tumor growth, or survival, although it resulted in higher vascular density, with dilated vessels and reduced mural cell coverage. On the other hand, when combined with anti-VEGFR2 treatment, Ang-2 destabilized vessels without affecting vessel regression and compromised the survival benefit of VEGFR2 inhibition by increasing vascular permeability. VEGFR2 inhibition normalized tumor vasculature whereas ectopic expression of Ang-2 diminished the beneficial effects of VEGFR2 blockade by inhibiting vessel normalization.</jats:p> <jats:p>Conclusion: Cancer treatment regimens combining anti-VEGF and anti-Ang-2 agents may be an effective strategy to improve the efficacy of current anti-VEGF therapies. Clin Cancer Res; 16(14); 3618–27. ©2010 AACR.</jats:p>
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imprint_str_mv American Association for Cancer Research (AACR), 2010
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spelling Chae, Sung-Suk Kamoun, Walid S. Farrar, Christian T. Kirkpatrick, Nathaniel D. Niemeyer, Elisabeth de Graaf, Annemarie M.A. Sorensen, A. Gregory Munn, Lance L. Jain, Rakesh K. Fukumura, Dai 1078-0432 1557-3265 American Association for Cancer Research (AACR) Cancer Research Oncology http://dx.doi.org/10.1158/1078-0432.ccr-09-3073 <jats:title>Abstract</jats:title> <jats:p>Purpose: In brain tumors, cerebral edema is a significant source of morbidity and mortality. Recent studies have shown that inhibition of vascular endothelial growth factor (VEGF) signaling induces transient vascular normalization and reduces cerebral edema, resulting in a modest survival benefit in glioblastoma patients. During anti-VEGF treatment, circulating levels of angiopoietin (Ang)-2 remained high after an initial minor reduction. It is not known, however, whether Ang-2 can modulate anti-VEGF treatment of glioblastoma. Here, we used an orthotopic glioma model to test the hypothesis that Ang-2 is an additional target for improving the efficacy of current anti-VEGF therapies in glioma patients.</jats:p> <jats:p>Experimental Design: To recapitulate high levels of Ang-2 in glioblastoma patients during anti-VEGF treatment, Ang-2 was ectopically expressed in U87 glioma cells. Animal survival and tumor growth were assessed to determine the effects of Ang-2 and anti–VEGF receptor 2 (VEGFR2) treatment. We also monitored morphologic and functional vascular changes using multiphoton laser scanning microscopy and immunohistochemistry.</jats:p> <jats:p>Results: Ectopic expression of Ang-2 had no effect on vascular permeability, tumor growth, or survival, although it resulted in higher vascular density, with dilated vessels and reduced mural cell coverage. On the other hand, when combined with anti-VEGFR2 treatment, Ang-2 destabilized vessels without affecting vessel regression and compromised the survival benefit of VEGFR2 inhibition by increasing vascular permeability. VEGFR2 inhibition normalized tumor vasculature whereas ectopic expression of Ang-2 diminished the beneficial effects of VEGFR2 blockade by inhibiting vessel normalization.</jats:p> <jats:p>Conclusion: Cancer treatment regimens combining anti-VEGF and anti-Ang-2 agents may be an effective strategy to improve the efficacy of current anti-VEGF therapies. Clin Cancer Res; 16(14); 3618–27. ©2010 AACR.</jats:p> Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas Clinical Cancer Research
spellingShingle Chae, Sung-Suk, Kamoun, Walid S., Farrar, Christian T., Kirkpatrick, Nathaniel D., Niemeyer, Elisabeth, de Graaf, Annemarie M.A., Sorensen, A. Gregory, Munn, Lance L., Jain, Rakesh K., Fukumura, Dai, Clinical Cancer Research, Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas, Cancer Research, Oncology
title Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas
title_full Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas
title_fullStr Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas
title_full_unstemmed Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas
title_short Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas
title_sort angiopoietin-2 interferes with anti-vegfr2–induced vessel normalization and survival benefit in mice bearing gliomas
title_unstemmed Angiopoietin-2 Interferes with Anti-VEGFR2–Induced Vessel Normalization and Survival Benefit in Mice Bearing Gliomas
topic Cancer Research, Oncology
url http://dx.doi.org/10.1158/1078-0432.ccr-09-3073