Increased hypoxia following vessel targeting in a murine model of retinoblastoma

Hinda Boutrid1, Yolanda Piña, Colleen M Cebulla

  • 1Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, FL 33101, USA.

Abstract

Insights

Vessel-targeting agents like anecortave acetate increase hypoxia in retinoblastoma tumors, while carboplatin decreases it. This suggests combining vessel-targeting agents with glycolytic inhibitors may benefit children with this disease.

Area of Science:

  • Oncology
  • Ophthalmology
  • Translational Medicine

Background:

  • Retinoblastoma is a pediatric eye cancer.
  • Tumor hypoxia is a critical factor in retinoblastoma progression and treatment resistance.
  • Understanding the impact of different therapeutic agents on tumor hypoxia is crucial for developing effective treatment strategies.

Purpose of the Study:

  • To evaluate how vessel-targeting agents and chemotherapy affect hypoxic regions in LH(BETA)T(AG) murine retinoblastoma models.
  • To assess the temporal changes in tumor hypoxia following treatment with anecortave acetate and carboplatin.

Main Methods:

  • LH(BETA)T(AG) transgenic mice with retinoblastoma were treated with saline, anecortave acetate, or carboplatin.
  • Pimonidazole was administered to assess hypoxia.
  • Tumor sections were analyzed at 1 day, 1 week, and 1 month post-injection.

Main Results:

  • Anecdotave acetate significantly increased hypoxia in 16-week-old mice (28% at 1 day, 17% at 1 week) and 12-week-old mice (2.0% at 1 day).
  • Carboplatin significantly decreased hypoxia in 16-week-old mice (21.7% at 1 week, 4.51% at 1 month) and 12-week-old mice (0.0429% at 1 month).
  • Vessel-targeting agents induced changes in the tumor microenvironment as early as 1 day post-treatment.

Conclusions:

  • Vessel-targeting agents can increase tumor hypoxia, altering the tumor microenvironment.
  • Combining vessel-targeting agents with glycolytic inhibitors could be a promising therapeutic strategy for retinoblastoma.
  • Further investigation is warranted to explore this combination therapy for retinoblastoma treatment in children.