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Efficacy of Tie2 receptor antagonism in angiosarcoma
Jason R Hasenstein1, Kelsey Kasmerchak, Darya Buehler
1Department of Human Oncology, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Abstract:
Angiosarcomas are malignant endothelial cell tumors with few effective systemic treatments. Despite a unique endothelial origin, molecular candidates for targeted therapeutic intervention have been elusive. In this study, we explored the tunica internal endothelial cell kinase 2 (Tie2) receptor as a potential therapeutic target in angiosarcoma. Human angiosarcomas from diverse sites were shown to be universally immunoreactive for Tie2. Tie2 and vascular endothelial growth factor receptor (VEGFR) antagonists inhibited SVR and MS1-VEGF angiosarcoma cell survival in vitro. In the high-grade SVR cell line, Tie2 and VEGF antagonists inhibited cell survival synergistically, whereas effects were largely additive in the low-grade MS1-VEGF cell line. Xenograft modeling using these cell lines closely recapitulated the human disease. In vivo, Tie2 and VEGFR inhibition resulted in significant angiosarcoma growth delay. The combination proved more effective than either agent alone. Tie2 inhibition seemed to elicit tumor growth delay through increased tumor cell apoptosis, whereas VEGFR inhibition reduced tumor growth by lowering tumor cell proliferation. These data identify Tie2 antagonism as a potential novel, targeted therapy for angiosarcomas and provide a foundation for further investigation of Tie2 inhibition, alone and in combinations, in the management of this disease.
Insights
Targeting tunica internal endothelial cell kinase 2 (Tie2) shows promise for angiosarcoma treatment. Inhibiting Tie2 and vascular endothelial growth factor receptor (VEGFR) significantly delays tumor growth by inducing apoptosis and reducing proliferation.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Angiosarcomas are rare, aggressive endothelial tumors with limited treatment options.
- Identifying molecular targets for effective systemic therapy remains a challenge.
Purpose of the Study:
- To investigate the tunica internal endothelial cell kinase 2 (Tie2) receptor as a potential therapeutic target in angiosarcoma.
- To evaluate the efficacy of Tie2 and vascular endothelial growth factor receptor (VEGFR) antagonists in preclinical angiosarcoma models.
Main Methods:
- Human angiosarcoma samples were assessed for Tie2 expression.
- In vitro studies using angiosarcoma cell lines (SVR and MS1-VEGF) treated with Tie2 and VEGFR antagonists.
- In vivo xenograft models were established using these cell lines.
- Tumor growth delay, apoptosis, and proliferation were analyzed.
Main Results:
- Tie2 expression was universally detected in human angiosarcomas.
- Combined Tie2 and VEGFR antagonism demonstrated synergistic and additive effects on cell survival in vitro.
- In vivo, dual inhibition significantly delayed tumor growth more effectively than single-agent treatment.
- Tie2 inhibition increased tumor cell apoptosis, while VEGFR inhibition reduced proliferation.
Conclusions:
- Tie2 antagonism represents a potential novel targeted therapy for angiosarcomas.
- Combination therapy with Tie2 and VEGFR inhibitors warrants further investigation for angiosarcoma management.
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