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Updated: Jul 12, 2026

Monitoring Functionality and Morphology of Vasculature Recruited by Factors Secreted by Fast-growing Tumor-generating Cells
Published on: November 23, 2014
Targeting integrins and PI3K/Akt-mediated signal transduction pathways enhances radiation-induced anti-angiogenesis
Shoucheng Ning1, Zhijian Chen, Amie Dirks
1Department of Radiation Oncology, Stanford University Medical Center, Stanford, CA 94305-5152, USA.
Abstract:
The integrins and PI3K/Akt are important mediators of the signal transduction pathways involved in tumor angiogenesis and cell survival after exposure to ionizing radiation. Selective targeting of either integrins or PI3K/Akt can radiosensitize tumors. In this study, we tested the hypothesis that the combined inhibition of integrin alphanubeta3 by cRGD and PI3K/Akt by LY294002 would significantly enhance radiation-induced inhibition of angiogenesis by vascular endothelial cells. Treatment with cRGD inhibited the adhesion and tube formation of human umbilical vein endothelial cells (HUVECs). The inhibitory effect was further increased when cRGD and LY294002 were applied simultaneously. Both radiation and cRGD induced Akt phosphorylation, up-regulated COX2 expression, and increased PGE2 production in HUVECs. Treatment with LY294002 effectively inhibited radiation- and cRGD-induced Akt phosphorylation and up-regulation of COX2 and increased apoptosis of HUVECs. The combined use of cRGD and LY294002 enhanced radiation-induced cell killing. The clonogenic survival of HUVECs was decreased from 34% with 2 Gy radiation to 4% with these agents combined. These results demonstrate that combined use of ionizing radiation, cRGD and LY294002 inhibited multiple signaling transduction pathways involved in tumor angiogenesis and enhanced radiation-induced effects on vascular endothelial cells.
Insights
Combining integrin (cRGD) and PI3K/Akt (LY294002) inhibitors with radiation enhances tumor blood vessel cell death. This radiosensitization strategy targets key pathways in tumor angiogenesis and cell survival.
Area of Science:
- Oncology
- Molecular Biology
- Radiotherapy
Background:
- Integrins and PI3K/Akt signaling are crucial for tumor angiogenesis and endothelial cell survival post-radiation.
- Targeting either integrins or PI3K/Akt can sensitize tumors to radiation therapy.
Purpose of the Study:
- To investigate if combined inhibition of integrin αvβ3 (cRGD) and PI3K/Akt (LY294002) enhances radiation-induced inhibition of vascular endothelial cells.
Main Methods:
- Human umbilical vein endothelial cells (HUVECs) were treated with cRGD, LY294002, and ionizing radiation.
- Assessed effects on cell adhesion, tube formation, Akt phosphorylation, COX2 expression, PGE2 production, and apoptosis.
Main Results:
- cRGD inhibited HUVEC adhesion and tube formation; combined cRGD and LY294002 showed greater inhibition.
- LY294002 blocked radiation- and cRGD-induced Akt phosphorylation, COX2 upregulation, and increased apoptosis.
- Combined treatment decreased HUVEC clonogenic survival from 34% (radiation alone) to 4%.
Conclusions:
- Combined inhibition of integrin αvβ3 and PI3K/Akt synergizes with ionizing radiation.
- This combination effectively inhibits tumor angiogenesis pathways and enhances radiosensitization of endothelial cells.
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Activation of Integrins
In "outside-in signaling," external factors in the extracellular space bind to exposed ligand binding sites on integrins. This causes the inactive protein to undergo a conformational change to become active. Integrins are often clustered on the cell membrane. Repetitive and regularly spaced ligand binding events provide an effective stimulus.
Mechanism of Angiogenesis

