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Updated: Aug 7, 2026

Monitoring Functionality and Morphology of Vasculature Recruited by Factors Secreted by Fast-growing Tumor-generating Cells
Published on: November 23, 2014
Vascular targeting and antiangiogenesis agents induce drug resistance effector GRP78 within the tumor
Dezheng Dong1, Bryce Ko, Peter Baumeister
1Department of Biochemistry and Molecular Biology, University of Southern California Keck School of Medicine, Los Angeles, California 90089-9176, USA.
Abstract:
Therapeutic targeting of the tumor vasculature that destroys preexisting blood vessels of the tumor and antiangiogenesis therapy capitalize on the requirement of tumor cells on an intact vascular supply for oxygen and nutrients for growth, expansion and metastasis to the distal organs. Whereas these classes of agents show promise in delaying tumor progression, they also create glucose and oxygen deprivation conditions within the tumor that could trigger unintended prosurvival responses. The glucose-regulated protein GRP78, a major endoplasmic reticulum chaperone, is inducible by severe glucose depletion, anoxia, and acidosis. Here we report that in a xenograft model of human breast cancer, treatment with the vascular targeting agent, combretastatin A4P, or the antiangiogenic agent, contortrostatin, promotes transcriptional activation of the Grp78 promoter and elevation of GRP78 protein in surviving tumor cells. We further show that GRP78 is overexpressed in a panel of human breast cancer cells that has developed resistance to a variety of drug treatment regimens. Suppression of GRP78 through the use of lentiviral vector expressing small interfering RNA sensitizes human breast cancer cells to etoposide-mediated cell death. Our studies imply that antivascular and antiangiogenesis therapy that results in severe glucose and oxygen deprivation will induce GRP78 expression that could lead to drug resistance.
Insights
Targeting tumor blood vessels can cause glucose and oxygen deprivation, increasing GRP78 (glucose-regulated protein 78) expression. This may lead to drug resistance in breast cancer, but GRP78 suppression sensitizes cells to chemotherapy.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Tumor vascular targeting and antiangiogenesis therapies aim to inhibit tumor growth by limiting nutrient and oxygen supply.
- These therapies can induce severe glucose and oxygen deprivation within tumors, potentially triggering adaptive prosurvival mechanisms.
- Glucose-regulated protein 78 (GRP78), an endoplasmic reticulum chaperone, is upregulated by stress conditions like glucose depletion and anoxia.
Purpose of the Study:
- To investigate the role of GRP78 in breast cancer response to antivascular and antiangiogenic therapies.
- To determine if GRP78 overexpression contributes to drug resistance in human breast cancer.
- To evaluate the therapeutic potential of suppressing GRP78 in combination with chemotherapy.
Main Methods:
- Utilized a human breast cancer xenograft model treated with vascular targeting (combretastatin A4P) and antiangiogenic (contortrostatin) agents.
- Assessed GRP78 promoter activity and protein levels in tumor cells.
- Examined GRP78 expression in drug-resistant human breast cancer cell lines.
- Employed lentiviral vectors expressing small interfering RNA (siRNA) to suppress GRP78 in cancer cells.
Main Results:
- Treatment with combretastatin A4P or contortrostatin led to transcriptional activation of the Grp78 promoter and increased GRP78 protein levels in surviving tumor cells.
- GRP78 was found to be overexpressed in human breast cancer cells resistant to various drug treatments.
- Suppression of GRP78 using siRNA sensitized these cancer cells to etoposide-induced cell death.
Conclusions:
- Antivascular and antiangiogenesis therapies can induce GRP78 expression in breast tumors due to severe glucose and oxygen deprivation.
- Elevated GRP78 expression is associated with drug resistance in human breast cancer.
- Targeting GRP78 may represent a viable strategy to overcome resistance and enhance chemotherapy efficacy in breast cancer treatment.
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