Impact of alendronate and VEGF-antisense combined treatment on highly VEGF-expressing A431 cells

Medge Mongerard-Coulanges1, Evelyne Migianu-Griffoni, Marc Lecouvey

  • 1Laboratoire de Biophysique Moleculaire, Cellulaire et Tissulaire, CNRS, UMR 7033, France.

Insights

Alendronate shows anti-cancer effects by inhibiting tumor cell growth and angiogenesis. Combining alendronate with VEGF-antisense oligonucleotides enhances its anti-cancer properties, offering a potential therapeutic strategy.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Bisphosphonates, particularly nitrogen-containing ones, exhibit anti-cancer properties like apoptosis induction and anti-proliferation.
  • Alendronate, an amino-bisphosphonate, is explored for its potential as an anti-cancer agent.
  • A431 cells, characterized by high VEGF expression, were used to study alendronate's effects.

Purpose of the Study:

  • To investigate the time-dependent anti-cancer effects of alendronate on tumor cells.
  • To elucidate the role of VEGF and TGF-alpha in mediating alendronate's early effects.
  • To evaluate the potential of combining alendronate with VEGF-targeted therapy for enhanced anti-cancer activity.

Main Methods:

  • Treatment of A431 cells with alendronate at different time points (24h and 48h).
  • Assessment of VEGF and TGF-alpha expression (mRNA and protein).
  • Utilized VEGF-antisense oligonucleotides to investigate pathway involvement and combined effects with alendronate.

Main Results:

  • Alendronate exhibited a biphasic effect: initial pro-survival response (increased VEGF and TGF-alpha) at 24h, followed by anti-proliferative and anti-angiogenic effects at 48h.
  • The early survival response involved the PI3K pathway and was mediated by enhanced VEGF expression.
  • Combination therapy with alendronate (2 microM) and VEGF-antisense oligonucleotide demonstrated significant anti-angiogenic effects as early as 12h.

Conclusions:

  • Alendronate's anti-cancer efficacy is time-dependent, with an initial counteracting survival mechanism.
  • Targeting VEGF signaling, particularly in combination with alendronate, can overcome the initial resistance and enhance anti-cancer outcomes.
  • This combination strategy holds promise for early and effective anti-angiogenic therapy in cancer treatment.