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2017 ; 17
(1
): 189
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Endothelial Dll4 overexpression reduces vascular response and inhibits tumor
growth and metastasization in vivo
#MMPMID28288569
Trindade A
; Djokovic D
; Gigante J
; Mendonça L
; Duarte A
BMC Cancer
2017[Mar]; 17
(1
): 189
PMID28288569
show ga
BACKGROUND: The inhibition of Delta-like 4 (Dll4)/Notch signaling has been shown
to result in excessive, nonfunctional vessel proliferation and significant tumor
growth suppression. However, safety concerns emerged with the identification of
side effects resulting from chronic Dll4/Notch blockade. Alternatively, we
explored the endothelial Dll4 overexpression using different mouse tumor models.
METHODS: We used a transgenic mouse model of endothelial-specific Dll4
overexpression, previously produced. Growth kinetics and vascular histopathology
of several types of solid tumors was evaluated, namely Lewis Lung Carcinoma
xenografts, chemically-induced skin papillomas and RIP1-Tag2 insulinomas.
RESULTS: We found that increased Dll4/Notch signaling reduces tumor growth by
reducing vascular endothelial growth factor (VEGF)-induced endothelial
proliferation, tumor vessel density and overall tumor blood supply. In addition,
Dll4 overexpression consistently improved tumor vascular maturation and
functionality, as indicated by increased vessel calibers, enhanced mural cell
recruitment and increased network perfusion. Importantly, the tumor vessel
normalization is not more effective than restricted vessel proliferation, but was
found to prevent metastasis formation and allow for increased delivery to the
tumor of concomitant chemotherapy, improving its efficacy. CONCLUSIONS: By
reducing endothelial sensitivity to VEGF, these results imply that Dll4/Notch
stimulation in tumor microenvironment could be beneficial to solid cancer patient
treatment by reducing primary tumor size, improving tumor drug delivery and
reducing metastization. Endothelial specific Dll4 overexpression thus appears as
a promising anti-angiogenic modality that might improve cancer control.
|*Gene Expression Regulation, Neoplastic
[MESH]
|Adaptor Proteins, Signal Transducing
[MESH]
|Animals
[MESH]
|Calcium-Binding Proteins
[MESH]
|Carcinoma, Lewis Lung/blood supply/genetics/pathology
[MESH]