Anti-angiogenesis: making the tumor vulnerable to the immune system

Arjan W Griffioen1

  • 1Department of Pathology, Research Institute for Growth and Development (GROW), University Hospital Maastricht, AZ Maastricht, The Netherlands. aw.griffioen@path.unimaas.nl

Insights

Ongoing angiogenesis suppresses the immune system by reducing leukocyte interactions. Inhibiting angiogenesis can restore these interactions, making tumors more vulnerable to immune attack and enhancing cancer immunotherapy.

Area of Science:

  • Immunology
  • Oncology
  • Vascular Biology

Background:

  • Ongoing angiogenesis contributes to immune suppression via mechanisms like reduced adhesion molecule expression on vascular endothelium.
  • Tumor endothelium's altered adhesion molecules facilitate immune evasion and support tumor growth.
  • Angiogenesis inhibition is hypothesized to counteract this immune suppressive effect.

Purpose of the Study:

  • To investigate whether inhibiting angiogenesis can restore immune cell interactions with tumor vasculature.
  • To determine if angiogenesis inhibitors can enhance anti-tumor immunity and facilitate immunotherapy.

Main Methods:

  • In vitro and in vivo studies were conducted.
  • The effects of various angiogenesis inhibitors on endothelial adhesion molecule expression were assessed.
  • Leukocyte-endothelium interactions and inflammatory infiltrate in tumors were analyzed.

Main Results:

  • Angiogenesis inhibitors normalized endothelial adhesion molecule expression in tumor blood vessels.
  • Restoration of leukocyte-vessel wall interactions was observed.
  • Enhanced inflammatory infiltrate within tumors was detected.

Conclusions:

  • Inhibition of angiogenesis can reverse immune suppressive effects associated with tumor vasculature.
  • Angiogenesis inhibitors may re-sensitize tumors to the immune system.
  • These inhibitors show potential as adjuncts to facilitate cancer immunotherapy approaches.

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