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Updated: Aug 29, 2026

An In Vitro Model for Studying Cellular Transformation by Kaposi Sarcoma Herpesvirus
Published on: August 25, 2017
Inhibition of Kaposi's sarcoma in vivo by fenretinide
Nicoletta Ferrari1, Monica Morini, Ulrich Pfeffer
1Molecular Oncology Laboratory, the National Institute for Cancer Research, Genova, Italy.
Purpose:
We examined the effects of fenretinide [N-(4-hydroxyphenyl)retinamide; (4HPR)] on highly angiogenic Kaposi's sarcoma tumors in vivo and investigated the mechanisms involved for potential clinical applications.
Experimental Design:
(CD-1)BR nude mice bearing KS-Imm cell tumors were randomized to receive 4HPR or vehicle until sacrifice. In vitro, KS-Imm and endothelial cells were treated with 4HPR to study the effects on proliferation, apoptosis, migration, and invasion; in vivo angiogenesis was evaluated in the Matrigel model. Angiogenesis-related and retinoid receptor molecules were examined at the mRNA and protein expression levels.
Results:
In vivo, 4HPR significantly (P<0.001) reduced growth of detectable Kaposi's sarcoma (KS) xenografts and inhibited angiogenesis in the Matrigel plug assay (P<0.04). In vitro, 4HPR affected KS-Imm and endothelial cell growth and KS-Imm migration and invasion. 4HPR invasion inhibition was associated with decreased release of matrix metalloprotease-2 and rapid reduction of vascular endothelial growth factor (VEGF) expression by KS cells and of vascular endothelial growth factor receptor 2 (VEGFR2) by KS and endothelial cells. Finally, 4HPR repression of angiogenesis was associated with a 4HPR-induced increase in retinoic acid receptor beta expression.
Conclusions:
These data indicate that 4HPR inhibits KS tumor growth in vivo through a mechanism involving the modulation of angiogenesis-associated growth factors and their receptors on both tumor and endothelial cells. In addition, 4HPR inhibited invasion by decreasing of matrix metalloprotease-2 activity. Our results justify further studies to evaluate the utility of 4HPR as a chemopreventive or therapeutic agent in KS, a malignancy associated with immune suppression that has a high risk of recurrence with highly active antiretroviral therapy failure.
Insights
Fenretinide (4HPR) effectively inhibits Kaposi
Area of Science:
- Oncology
- Molecular Biology
- Angiogenesis Research
Background:
- Kaposi's sarcoma (KS) is a highly angiogenic malignancy often associated with immune suppression.
- Current therapies for KS, including highly active antiretroviral therapy (HAART), carry risks of recurrence.
- Novel therapeutic strategies targeting tumor growth and angiogenesis are needed for KS management.
Purpose of the Study:
- To evaluate the efficacy of fenretinide [N-(4-hydroxyphenyl)retinamide; (4HPR)] against highly angiogenic Kaposi's sarcoma (KS) tumors in vivo.
- To elucidate the underlying mechanisms of 4HPR's action on KS tumor growth and angiogenesis.
- To explore the potential clinical applications of 4HPR as a chemopreventive or therapeutic agent for KS.
Main Methods:
- Tumor xenograft models using KS-Imm cells in nude mice were treated with 4HPR or vehicle.
- In vitro studies assessed 4HPR's effects on KS-Imm and endothelial cell proliferation, apoptosis, migration, and invasion.
- In vivo angiogenesis was evaluated using a Matrigel plug assay, with examination of angiogenesis-related molecules and retinoid receptors at mRNA and protein levels.
Main Results:
- 4HPR significantly reduced the growth of Kaposi's sarcoma xenografts in vivo and inhibited angiogenesis in the Matrigel assay.
- In vitro, 4HPR impacted KS-Imm and endothelial cell growth, migration, and invasion, notably decreasing matrix metalloprotease-2 activity.
- 4HPR treatment led to reduced vascular endothelial growth factor (VEGF) and vascular endothelial growth factor receptor 2 (VEGFR2) expression, and increased retinoic acid receptor beta expression.
Conclusions:
- Fenretinide (4HPR) demonstrates significant in vivo efficacy against Kaposi's sarcoma by inhibiting tumor growth and angiogenesis.
- The mechanism involves modulating angiogenesis factors (VEGF, VEGFR2) and their receptors, and inhibiting invasion via matrix metalloprotease-2.
- These findings support further investigation of 4HPR as a potential chemopreventive or therapeutic agent for Kaposi's sarcoma.
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