Malignant mesothelioma growth inhibition by agents that target the VEGF and VEGF-C autocrine loops
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Updated: Sep 27, 2026

Generation and Expansion of Primary, Malignant Pleural Mesothelioma Tumor Lines
Published on: April 21, 2022
Rizwan Masood1, Ajay Kundra, SuTao Zhu
1Department of Pathology, University of Southern California Keck School of Medicine, Los Angeles, CA, USA. masood@usc.edu
Abstract:
Malignant mesothelioma (MM) is a locally aggressive tumor that originates from the mesothelial cells of the pleural and sometimes peritoneal surface. Conventional treatments for MM, consisting of chemotherapy or surgery give little survival benefit to patients, who generally die within 1 year of diagnosis. Hence, there is an urgent need for the development of alternative therapies. Vascular endothelial growth factor (VEGF) is an autocrine growth factor for MM. The closely related molecule, VEGF-C, is also implicated in malignant mesothelioma growth. VEGF-C and its cognate receptor VEGFR-3 are co-expressed in mesothelioma cell lines. A functional VEGF-C autocrine growth loop was demonstrated in mesothelioma cells by targeting VEGF-C expression and binding to VEGFR-3. The ability of novel agents that reduce the levels of VEGF and VEGF-C to inhibit mesothelioma cell growth in vitro was assessed. Antisense oligonucleotide (ODN) complementary to VEGF that inhibited VEGF and VEGF-C expression simultaneously specifically inhibited mesothelioma cell growth. Similarly, antibodies to VEGF receptor (VEGFR-2) and VEGF-C receptor (VEGFR-3) were synergistic in inhibiting mesothelioma cell growth. In addition, a diphtheria toxin-VEGF fusion protein (DT-VEGF), which is toxic to cells that express VEGF receptors was very effective in inhibiting mesothelioma cell growth in vitro. These results indicate that targeting VEGF and VEGF-C simultaneously may be an effective therapeutic approach for malignant mesothelioma.
Insights
Targeting vascular endothelial growth factor (VEGF) and VEGF-C simultaneously shows promise for treating malignant mesothelioma (MM). Novel agents inhibiting these factors effectively reduced MM cell growth in vitro, suggesting a new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Malignant mesothelioma (MM) is an aggressive cancer with limited treatment options and poor prognosis.
- Conventional therapies offer minimal survival benefits, necessitating novel treatment strategies.
- Vascular Endothelial Growth Factor (VEGF) and VEGF-C are implicated as autocrine growth factors in MM.
Purpose of the Study:
- To investigate the therapeutic potential of targeting VEGF and VEGF-C in malignant mesothelioma.
- To assess the efficacy of novel agents that reduce VEGF and VEGF-C levels in inhibiting MM cell growth.
Main Methods:
- In vitro assessment of novel agents targeting VEGF and VEGF-C.
- Use of antisense oligonucleotide (ODN) to inhibit VEGF and VEGF-C expression.
- Employing antibodies against VEGF receptor (VEGFR-2) and VEGF-C receptor (VEGFR-3).
- Utilizing a diphtheria toxin-VEGF fusion protein (DT-VEGF).
Main Results:
- Simultaneous inhibition of VEGF and VEGF-C expression by antisense ODN specifically inhibited MM cell growth.
- Antibodies targeting VEGFR-2 and VEGFR-3 demonstrated synergistic inhibition of MM cell growth.
- DT-VEGF effectively inhibited MM cell growth in vitro by targeting cells expressing VEGF receptors.
Conclusions:
- Simultaneous targeting of VEGF and VEGF-C represents a promising therapeutic strategy for malignant mesothelioma.
- Novel agents that inhibit VEGF and VEGF-C pathways warrant further investigation for MM treatment.
- The findings suggest a potential new avenue for improving outcomes in malignant mesothelioma patients.
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