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Transfer of Manipulated Tumor-associated Neutrophils into Tumor-Bearing Mice to Study their Angiogenic Potential In Vivo
Published on: July 20, 2019
Synergistic inhibition of human neuroblastoma-related angiogenesis by vinblastine and rapamycin
Danilo Marimpietri1, Beatrice Nico, Angelo Vacca
1Differentiation Therapy Unit Laboratory of Oncology, G Gaslini Childrens' Hospital, Genoa 16148, and Department of Human Anatomy and Histology, University of Bari Medical School, Italy.
Abstract:
The aim of this study was to evaluate the synergistic antiangiogenic effect of low dose of vinblastine (VBL) and rapamycin (RAP) in neuroblastoma (NB). Both in vitro (endothelial cells proliferation assay; TUNEL assay; phosphatidylserine exposure and cell cycle analysis) and in vivo (chick embryo chorioallantoic membrane, CAM) assays were used. Each compound alone was able to induce a significant dose- and time-response inhibition of in vitro endothelial cells (EC) growth. Interaction index evaluation indicates that a synergistic effect was found when both drugs were combined at very low doses. Comparable effects were obtained when EC were preincubated with conditioned medium (CM) derived from the human NB cell line HTLA-230. Morphological changes were induced by each drug, and their combination resulted in a clear and stronger effect. Apoptosis was demonstrated by the TUNEL assay and confirmed by Annexin V-FITC staining of EC treated with VBL, showing an increase in the percentage of cells with a G2-M and sub-G1 DNA content, whereas in those treated with RAP a block in the G1 cell fraction and inhibition of progression to the S phase were observed. Here too, the combination resulted in a synergistic cell cycle arrest and induction of apoptosis. Similar results were obtained in vivo with the CAM assay. The angiogenic responses induced by HTLA-230-derived CM, NB tumor xenografts, and human NB biopsy specimens were inhibited by each drug and more significantly by their combination. The observation that these well-known drugs display synergistic effects as antiangiogenics when administered frequently at very low dose may be of significance in the designing of new ways of treating NB.
Insights
Low doses of vinblastine (VBL) and rapamycin (RAP) synergistically inhibit neuroblastoma (NB) angiogenesis. This combination therapy shows promise for novel NB treatment strategies by targeting tumor blood vessel formation.
Area of Science:
- Oncology
- Pharmacology
- Cell Biology
Background:
- Neuroblastoma (NB) is a pediatric cancer characterized by rapid tumor growth and metastasis.
- Angiogenesis, the formation of new blood vessels, is crucial for tumor progression in NB.
- Existing therapies often have significant side effects, necessitating the exploration of novel treatment approaches.
Purpose of the Study:
- To investigate the synergistic antiangiogenic effects of low-dose vinblastine (VBL) and rapamycin (RAP) in neuroblastoma (NB).
- To evaluate the impact of VBL and RAP combination on endothelial cell growth, apoptosis, and cell cycle progression.
- To assess the in vivo efficacy of the drug combination in inhibiting NB-associated angiogenesis.
Main Methods:
- In vitro studies included endothelial cell proliferation assays, TUNEL assays, and cell cycle analysis.
- In vivo assessment utilized the chick embryo chorioallantoic membrane (CAM) assay.
- Human NB cell line (HTLA-230) conditioned medium, NB tumor xenografts, and biopsy specimens were used to model NB angiogenesis.
Main Results:
- Both VBL and RAP individually inhibited endothelial cell growth in a dose- and time-dependent manner.
- A significant synergistic antiangiogenic effect was observed when VBL and RAP were combined at very low doses.
- The combination therapy induced synergistic apoptosis and cell cycle arrest in endothelial cells, with enhanced morphological changes.
- In vivo CAM assays confirmed that the drug combination significantly inhibited angiogenic responses induced by NB models.
Conclusions:
- Low-dose VBL and RAP exhibit synergistic antiangiogenic activity against neuroblastoma.
- The combination therapy effectively inhibits endothelial cell proliferation, induces apoptosis, and disrupts angiogenesis.
- This finding suggests a potential new therapeutic strategy for neuroblastoma treatment utilizing frequent, low-dose administration of VBL and RAP.
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