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10.1111/cas.12475

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suck abstract from ncbi


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pmid24981602
      Cancer+Sci 2014 ; 105 (9 ): 1142-51
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  • Prostaglandin E2 receptor EP4 as the common target on cancer cells and macrophages to abolish angiogenesis, lymphangiogenesis, metastasis, and stem-like cell functions #MMPMID24981602
  • Majumder M ; Xin X ; Liu L ; Girish GV ; Lala PK
  • Cancer Sci 2014[Sep]; 105 (9 ): 1142-51 PMID24981602 show ga
  • We previously established that COX-2 overexpression promotes breast cancer progression and metastasis. As long-term use of COX-2 inhibitors (COX-2i) can promote thrombo-embolic events, we tested an alternative target, prostaglandin E2 receptor EP4 subtype (EP4), downstream of COX-2. Here we used the highly metastatic syngeneic murine C3L5 breast cancer model to test the role of EP4-expressing macrophages in vascular endothelial growth factor (VEGF)-C/D production, angiogenesis, and lymphangiogenesis in situ, the role of EP4 in stem-like cell (SLC) functions of tumor cells, and therapeutic effects of an EP4 antagonist RQ-15986 (EP4A). C3L5 cells expressed all EP receptors, produced VEGF-C/D, and showed high clonogenic tumorsphere forming ability in vitro, functions inhibited with COX-2i or EP4A. Treating murine macrophage RAW 264.7 cell line with COX-2i celecoxib and EP4A significantly reduced VEGF-A/C/D production in vitro, measured with quantitative PCR and Western blots. Orthotopic implants of C3L5 cells in C3H/HeJ mice showed rapid tumor growth, angiogenesis, lymphangiogenesis (CD31/LYVE-1 and CD31/PROX1 immunostaining), and metastasis to lymph nodes and lungs. Tumors revealed high incidence of EP4-expressing, VEGF-C/D producing macrophages identified with dual immunostaining of F4/80 and EP4 or VEGF-C/D. Celecoxib or EP4A therapy at non-toxic doses abrogated tumor growth, lymphangiogenesis, and metastasis to lymph nodes and lungs. Residual tumors in treated mice revealed markedly reduced VEGF-A/C/D and phosphorylated Akt/ERK proteins, VEGF-C/D positive macrophage infiltration, and proliferative/apoptotic cell ratios. Knocking down COX-2 or EP4 in C3L5 cells or treating cells in vitro with celecoxib or EP4A and treating tumor-bearing mice in vivo with the same drug reduced SLC properties of tumor cells including preferential co-expression of COX-2 and SLC markers ALDH1A, CD44, OCT-3/4, ?-catenin, and SOX-2. Thus, EP4 is an excellent therapeutic target to block stem-like properties, angiogenesis, and lymphangiogenesis induced by VEGF-A/C/D secreted by cancer cells and tumor infiltrating macrophages.
  • |Adenocarcinoma/blood supply/*drug therapy/secondary [MESH]
  • |Animals [MESH]
  • |Antineoplastic Agents/pharmacology/therapeutic use [MESH]
  • |Apoptosis [MESH]
  • |Benzamides/pharmacology/therapeutic use [MESH]
  • |Celecoxib [MESH]
  • |Cell Line, Tumor [MESH]
  • |Cell Proliferation [MESH]
  • |Cyclooxygenase 2/metabolism [MESH]
  • |Drug Screening Assays, Antitumor [MESH]
  • |Female [MESH]
  • |Lung Neoplasms/blood supply/*drug therapy/secondary [MESH]
  • |Lymphangiogenesis [MESH]
  • |Lymphatic Metastasis [MESH]
  • |Macrophages/*metabolism [MESH]
  • |Mammary Neoplasms, Experimental/blood supply/*drug therapy/pathology [MESH]
  • |Mice [MESH]
  • |Mice, Inbred C3H [MESH]
  • |Molecular Targeted Therapy [MESH]
  • |Neoplasm Transplantation [MESH]
  • |Neoplastic Stem Cells [MESH]
  • |Neovascularization, Pathologic/*drug therapy [MESH]
  • |Pyrazoles/pharmacology/therapeutic use [MESH]
  • |Receptors, Prostaglandin E, EP4 Subtype/*antagonists & inhibitors/metabolism [MESH]
  • |Sulfonamides/pharmacology/therapeutic use [MESH]
  • |Tumor Burden [MESH]


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