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Updated: May 16, 2026

Evaluating the Angiogenetic Properties of Ovarian Cancer Stem-Like Cells using the Three-Dimensional Co-Culture System, NICO-1
Published on: December 5, 2020
Genetic and pharmacologic inhibition of complement impairs endothelial cell function and ablates ovarian cancer
Selene Nunez-Cruz1, Phyllis A Gimotty, Matthew W Guerra
1Penn Ovarian Cancer Research Center, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA 19104, USA.
Abstract:
Complement activation plays a critical role in controlling inflammatory responses. To assess the role of complement during ovarian cancer progression, we crossed two strains of mice with genetic complement deficiencies with transgenic mice that develop epithelial ovarian cancer (TgMISIIR-TAg). TgMISIIR-TAg mice fully or partially deficient for complement factor 3 (C3) (Tg(+)C3(KO) and Tg(+)C3(HET), respectively) or fully deficient for complement factor C5a receptor (C5aR) (Tg(+)C5aR(KO)) develop either no ovarian tumors or tumors that were small and poorly vascularized compared to wild-type littermates (Tg(+)C3(WT), Tg(+)C5aR(WT)). The percentage of tumor infiltrating immune cells in Tg(+)C3(HET) tumors compared to Tg(+)C3(WT) controls was either similar (macrophages, B cells, myeloid-derived suppressor cells), elevated (effector T cells), or decreased (regulatory T cells). Regardless of these ratios, cytokine production by immune cells taken from Tg(+)C3(HET) tumors was reduced on stimulation compared to Tg(+)C3(WT) controls. Interestingly, CD31(+) endothelial cell (EC) function in angiogenesis was significantly impaired in both C3(KO) and C5aR(KO) mice. Further, using the C5aR antagonist PMX53, tube formation of ECs was shown to be C5a-dependent, possibly through interactions with the VEGF(165) but not VEGF(121) isoform. Finally, the mouse VEGF(164) transcript was underexpressed in C3(KO) livers compare to C3(WT) livers. Thus, we conclude that complement inhibition blocks tumor outgrowth by altering EC function and VEGF(165) expression.
Insights
Complement inhibition, by targeting complement factor 3 (C3) or C5a receptor (C5aR), significantly reduces ovarian tumor growth. This occurs by impairing endothelial cell function and altering vascular endothelial growth factor (VEGF) expression, highlighting complement
Area of Science:
- Immunology
- Oncology
- Molecular Biology
Background:
- Complement activation is crucial for regulating inflammatory responses.
- The role of complement in ovarian cancer progression requires further elucidation.
- Genetic complement deficiencies were investigated in a transgenic epithelial ovarian cancer model.
Purpose of the Study:
- To assess the impact of complement factor 3 (C3) and C5a receptor (C5aR) deficiency on ovarian cancer development.
- To investigate the effects of complement deficiency on tumor-infiltrating immune cells and cytokine production.
- To determine the role of complement in endothelial cell (EC) function and angiogenesis within the tumor microenvironment.
Main Methods:
- Generation of transgenic mice with epithelial ovarian cancer (TgMISIIR-TAg) crossed with mice deficient in C3 or C5aR.
- Analysis of tumor incidence, size, vascularization, and immune cell infiltration.
- Assessment of EC function, angiogenesis, and vascular endothelial growth factor (VEGF) isoform expression.
Main Results:
- Mice deficient in C3 or C5aR exhibited significantly reduced tumor development or smaller, poorly vascularized tumors.
- Immune cell composition varied, but cytokine production was reduced in C3-deficient tumors.
- Endothelial cell function and angiogenesis were impaired in C3- and C5aR-deficient mice, linked to VEGF(165) expression.
Conclusions:
- Complement inhibition, specifically targeting C3 or C5aR, effectively blocks ovarian tumor outgrowth.
- The anti-tumor effect is mediated by impaired endothelial cell function and altered VEGF(165) expression.
- Targeting the complement system presents a potential therapeutic strategy for ovarian cancer.
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