Contrast enhanced MRI and intravital fluorescence microscopy indicate improved tumor microcirculation in highly

M E Eichhorn1, S Strieth, S Luedemann

  • 1Department of Surgery, Klinikum Grosshadern, University of Munich (LMU), Germany. martin.eichhorn@med.uni-muenchen.de

Insights

Anti-VEGF therapy, combined with chemotherapy, may improve cancer treatment by normalizing tumor blood vessels. This study shows short-term treatment enhances blood flow and oxygenation in melanomas, potentially boosting drug delivery and treatment efficacy.

Area of Science:

  • Oncology
  • Vascular Biology
  • Cancer Therapeutics

Background:

  • Anti-angiogenic therapy targeting Vascular Endothelial Growth Factor Receptor (VEGFR) signaling is a novel cancer treatment strategy.
  • The precise mechanisms by which anti-VEGF therapy enhances anti-tumoral effects, such as tumor vessel normalization and improved drug delivery, remain debated.

Purpose of the Study:

  • To investigate the impact of anti-VEGFR treatment on tumor microvascular function in highly vascularized melanomas.
  • To assess changes in tumor microcirculation, blood flow, and oxygenation following VEGFR tyrosine kinase inhibitor treatment.

Main Methods:

  • Intravital microscopy was used to analyze tumor microcirculation, including vessel diameter and blood flow velocity, in hamster melanomas.
  • Tumor tissue oxygenation was measured using phosphorescence quenching.
  • Contrast-enhanced MRI (CE-MRI) evaluated overall tumor microcirculation and contrast agent uptake.

Main Results:

  • Anti-VEGFR treatment (SU5416) led to decreased vessel density but increased vessel diameters and red blood cell velocities in remaining tumor vessels.
  • A trend towards elevated tumor tissue oxygenation (pO2) was observed.
  • CE-MRI revealed significantly increased tumor inflow kinetics and contrast agent uptake post-treatment.

Conclusions:

  • Short-term anti-VEGFR treatment temporarily improves microvascular function in highly vascularized melanomas.
  • Enhanced tumor blood supply and oxygenation suggest improved efficacy for concurrent chemotherapy or radiotherapy.

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