Endothelial cell-derived angiopoietin-2 is a therapeutic target in treatment-naive and bevacizumab-resistant glioblastoma

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Alexander Scholz - , Universitätsklinikum Frankfurt, Stanford University (Autor:in)
  • Patrick N. Harter - , Universitätsklinikum Frankfurt, Deutsches Krebsforschungszentrum (DKFZ) (Autor:in)
  • Sebastian Cremer - , Universitätsklinikum Frankfurt (Autor:in)
  • Burak H. Yalcin - , Universitätsklinikum Frankfurt (Autor:in)
  • Stefanie Gurnik - , Universitätsklinikum Frankfurt (Autor:in)
  • Maiko Yamaji - , Universitätsklinikum Frankfurt (Autor:in)
  • Mariangela Di Tacchio - , Universitätsklinikum Frankfurt (Autor:in)
  • Kathleen Sommer - , Universitätsklinikum Frankfurt (Autor:in)
  • Peter Baumgarten - , Universitätsklinikum Frankfurt (Autor:in)
  • Oliver Bähr - , Universitätsklinikum Frankfurt (Autor:in)
  • Joachim P. Steinbach - , Deutsches Krebsforschungszentrum (DKFZ), Universitätsklinikum Frankfurt (Autor:in)
  • Jörg Trojan - , Universitätsklinikum Frankfurt (Autor:in)
  • Martin Glas - , Robert Janker Klinik (Autor:in)
  • Ulrich Herrlinger - , Universität Bonn (Autor:in)
  • Dietmar Krex - , Klinik und Poliklinik für Neurochirurgie, Technische Universität Dresden (Autor:in)
  • Matthias Meinhardt - , Institut für Pathologie, Technische Universität Dresden (Autor:in)
  • Astrid Weyerbrock - , Albert-Ludwigs-Universität Freiburg (Autor:in)
  • Marco Timmer - , Universität zu Köln (Autor:in)
  • Roland Goldbrunner - , Universität zu Köln (Autor:in)
  • Martina Deckert - , Universität zu Köln (Autor:in)
  • Christian Braun - , Eberhard Karls Universität Tübingen (Autor:in)
  • Jens Schittenhelm - , Eberhard Karls Universität Tübingen (Autor:in)
  • Jochen T. Frueh - , Universitätsklinikum Frankfurt (Autor:in)
  • Evelyn Ullrich - , Universitätsklinikum Frankfurt (Autor:in)
  • Michel Mittelbronn - , Universitätsklinikum Frankfurt, Deutsches Krebsforschungszentrum (DKFZ) (Autor:in)
  • Karl H. Plate - , Universitätsklinikum Frankfurt, Deutsches Krebsforschungszentrum (DKFZ) (Autor:in)
  • Yvonne Reiss - , Universitätsklinikum Frankfurt, Deutsches Krebsforschungszentrum (DKFZ) (Autor:in)

Abstract

Glioblastoma multiforme (GBM) is treated by surgical resection followed by radiochemotherapy. Bevacizumab is commonly deployed for anti-angiogenic therapy of recurrent GBM; however, innate immune cells have been identified as instigators of resistance to bevacizumab treatment. We identified angiopoietin-2 (Ang-2) as a potential target in both naive and bevacizumab-treated glioblastoma. Ang-2 expression was absent in normal human brain endothelium, while the highest Ang-2 levels were observed in bevacizumab-treated GBM. In a murine GBM model, VEGF blockade resulted in endothelial upregulation of Ang-2, whereas the combined inhibition of VEGF and Ang-2 leads to extended survival, decreased vascular permeability, depletion of tumor-associated macrophages, improved pericyte coverage, and increased numbers of intratumoral T lymphocytes. CD206+ (M2-like) macrophages were identified as potential novel targets following anti-angiogenic therapy. Our findings imply a novel role for endothelial cells in therapy resistance and identify endothelial cell/myeloid cell crosstalk mediated by Ang-2 as a potential resistance mechanism. Therefore, combining VEGF blockade with inhibition of Ang-2 may potentially overcome resistance to bevacizumab therapy. Synopsis: While recurrent glioblastoma is treated by inhibiting angiogenesis, resistance limits therapeutic efficacy. Angiopoietin-2 (Ang-2), a potent endothelium-derived angiogenesis factor and regulator of myeloid cell infiltration, is a therapeutic target for treating naive and bevacizumab-resistant glioblastoma. The therapeutic benefit of co-targeting Ang-2 and VEGF signaling (using AMG386 and aflibercept/VEGF-trap) is shown in mouse models of GBM. Ang-2 and VEGF combination therapy decreased GBM angiogenesis and permeability, improved vascular maturation, and limited the number of tumor-associated macrophages. Numbers of CD206+ (M2-like) macrophages remained high upon therapy, suggestive of subsequent targeting of M2-like macrophages in bevacizumab-resistant GBM. Inhibition of Ang-2, either alone or in combination with VEGF inhibition is of potential use to overcome resistance in GBM patients that have failed bevacizumab therapy. While recurrent glioblastoma is treated by inhibiting angiogenesis, resistance limits therapeutic efficacy. Angiopoietin-2 (Ang-2), a potent endothelium-derived angiogenesis factor and regulator of myeloid cell infiltration, is a therapeutic target for treating naive and bevacizumab-resistant glioblastoma.

Details

OriginalspracheEnglisch
Seiten (von - bis)39-57
Seitenumfang19
FachzeitschriftEMBO molecular medicine
Jahrgang8
Ausgabenummer1
PublikationsstatusVeröffentlicht - 1 Jan. 2016
Peer-Review-StatusJa

Externe IDs

PubMed 26666269

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • Anti-angiogenic therapy, Glioblastoma, Macrophage polarization, Therapy resistance, Tumor angiogenesis