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Published on: September 16, 2019
The integrin inhibitor cilengitide affects meningioma cell motility and invasion
Annette Wilisch-Neumann1, Nadine Kliese, Doreen Pachow
1Authors' Affiliations: Departments of Neuropathology, Neurosurgery and Radiotherapy, Otto vonGuericke University; Neurosurgery, City Hospital; Special Lab for Non-Invasive Brain Imaging, Leibniz Institute for Neurobiology, Magdeburg; Neurosurgery, Paracelsus Hospital, Zwickau; and Institute of Molecular Cell Biology, Center for Molecular Biomedicine, Jena University Hospital, Jena, Germany.
Purpose:
Meningiomas are frequent intracranial or spinal neoplasms, which recur frequently and can show aggressive clinical behaviour. We elucidated the impact of the integrin inhibitor cilengitide on migration, proliferation, and radiosensitization of meningioma cells.
Experimental Design:
We analyzed integrin expression in tissue microarrays of human meningiomas and the antimeningioma properties of cilengitide in cell cultures, subcutaneous and intracranial nude mouse models by measuring tumor volumes and survival times.
Results:
αvβ5 was the predominantly expressed integrin heterodimer in meningiomas, whereas αvβ3 was mainly detected in tumor blood vessels. Application of up to 100 μg/mL cilengitide resulted in only mildly reduced proliferation/survival of meningioma cell lines. Effects on cell survival could be enhanced by irradiation. One μg/mL cilengitide was sufficient to significantly inhibit meningioma cell migration and invasion in vitro. A daily dosage of 75 mg/kg did neither affect tumor volumes nor overall survival (P = 0.813, log-rank test), but suppressed brain invasion in a significant fraction of treated animals. A combination of 75 mg/kg cilengitide daily and irradiation (2 × 5 Gy) led to a 67% reduction of MRI-estimated tumor volumes in the intracranial model (P < 0.01), whereas the corresponding reduction reached by irradiation alone was only 55% (P < 0.05).
Conclusions:
These data show that a monotherapy with cilengitide is not likely to achieve major responses in rapidly growing malignant meningiomas, although brain invasion may be reduced because of the strong antimigratory properties of the drug. The combination with radiotherapy warrants further attention.
Insights
The integrin inhibitor cilengitide showed strong antimigratory effects on meningioma cells, reducing brain invasion. Combination therapy with radiotherapy warrants further investigation for treating these aggressive brain tumors.
Area of Science:
- Neuro-oncology
- Integrin biology
- Cancer therapy
Background:
- Meningiomas are common intracranial and spinal tumors with high recurrence rates and aggressive potential.
- Integrins play a role in tumor cell migration and invasion.
- Cilengitide is an integrin inhibitor with potential anti-cancer properties.
Purpose of the Study:
- To investigate the impact of the integrin inhibitor cilengitide on meningioma cell migration, proliferation, and radiosensitization.
- To evaluate cilengitide's efficacy in preclinical models of meningioma.
Main Methods:
- Analysis of integrin expression (αvβ5 and αvβ3) in human meningioma tissue microarrays.
- Assessment of cilengitide's effects on meningioma cell lines in vitro (proliferation, migration, invasion).
- Evaluation of cilengitide in subcutaneous and intracranial nude mouse models, including combination with irradiation.
Main Results:
- αvβ5 integrin was predominantly expressed in meningiomas.
- Cilengitide (1 μg/mL) significantly inhibited meningioma cell migration and invasion in vitro.
- Monotherapy with cilengitide did not significantly affect tumor volume or survival in mouse models but reduced brain invasion.
- Combination therapy of cilengitide and irradiation resulted in a significant reduction in intracranial tumor volumes (67%) compared to irradiation alone (55%).
Conclusions:
- Cilengitide monotherapy is unlikely to yield major responses in aggressive meningiomas.
- The strong antimigratory properties of cilengitide may reduce brain invasion.
- Combining cilengitide with radiotherapy shows promise and warrants further investigation for meningioma treatment.
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