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Combined mTOR and MEK inhibition is an effective therapy in a novel mouse model for angiosarcoma
Michelle L Chadwick1,2, Adam Lane2, Dana Thomas2
1Department of Cancer and Cell Biology, University of Cincinnati, Cincinnati, OH, USA.
Abstract:
Angiosarcoma is an aggressive malignancy of vascular origin that occurs de novo or in the context of previous cancer therapy. Despite multi-modal aggressive treatment including surgical resection, chemotherapy, and radiation, five-year overall survival remains poor at 35%. Due to its rarity, little is known about its molecular pathology and clinical trials have been extremely difficult to conduct. Development of animal models for rare diseases like angiosarcoma is critical to improve our understanding of tumorigenesis and to test novel treatment regimens. A genetically engineered mouse model for angiosarcoma was generated by conditional deletion of Trp53, Pten, and Ptpn12 in endothelial cells. Tumors arising from these mice recapitulate the histology and molecular pathology of the human disease including hyperactivation of the PI3K/mTOR and MAPK signaling pathways. Treatment of tumor-bearing mice with mTOR or MEK inhibitors effectively inactivated signaling and resulted in reduced proliferation and elevated apoptosis leading to tumor regression. The effect of treatment on tumor growth was transient and proliferation was restored after a period of dormancy. However, combined inhibition of mTOR and MEK resulted in profound tumor regression which was sustained for the duration of treatment. These results suggest that angiosarcoma may be effectively treated by this drug combination. .
Insights
A new mouse model for angiosarcoma, a rare vascular cancer, was developed. Combined mTOR and MEK inhibitor therapy showed sustained tumor regression, offering a promising treatment strategy for this aggressive malignancy.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Angiosarcoma is a rare and aggressive vascular cancer with poor survival rates.
- Limited understanding of angiosarcoma's molecular pathology hinders effective treatment development.
- Developing relevant animal models is crucial for studying angiosarcoma tumorigenesis and therapeutic strategies.
Purpose of the Study:
- To create a genetically engineered mouse model that recapitulates human angiosarcoma.
- To investigate the efficacy of targeted therapies, specifically mTOR and MEK inhibitors, in this model.
- To identify effective combination therapies for angiosarcoma.
Main Methods:
- Generated a mouse model by conditionally deleting Trp53, Pten, and Ptpn12 in endothelial cells.
- Analyzed tumor histology and molecular signaling pathways (PI3K/mTOR, MAPK).
- Treated tumor-bearing mice with single-agent and combination mTOR and MEK inhibitors.
Main Results:
- The mouse model exhibited angiosarcoma histology and molecular features similar to human disease.
- Single-agent mTOR or MEK inhibitors caused transient tumor regression.
- Combined mTOR and MEK inhibition led to sustained and profound tumor regression.
Conclusions:
- The developed mouse model accurately reflects human angiosarcoma, aiding in understanding its pathology.
- Targeting PI3K/mTOR and MAPK pathways is a viable strategy for angiosarcoma treatment.
- Combination therapy with mTOR and MEK inhibitors shows significant therapeutic potential for angiosarcoma.
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