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EphB4 mediates resistance to antiangiogenic therapy in experimental glioma
Christian Uhl1, Moritz Markel1, Thomas Broggini1
1Department of Neurosurgery, Universitätsmedizin Charite - Campus Mitte, Luisenstrasse 46, 10117, Berlin, Germany.
Introduction:
Alterations in vascular morphogenesis are hallmarks of antiangiogenesis-resistant tumor vessels. Vascular morphogenesis is regulated by ephrinB2-EphB4 system which may induce different biological effects depending on the oncological and molecular contexts. It was the aim of the current study to characterize the influence of EphB4 on tumor microcirculation after antiangiogenic treatment using different SF126 glioma models.
Materials And Methods:
Using an ecotropic transfection system, empty vector (pLXSN) or EphB4 (EphB4OE) overexpressing Phoenix-ECO cells were coimplanted with SF126 glioma cells subcutaneously (dorsal skinfold chamber, DSC) and orthotopically (cranial window, CW). Tumor volume was assessed by MRI. Intravital microscopy (IVM) allowed microcirculatory analysis (total {TVD} and functional vessel density {FVD}, diameter {D}, and permeability index {PI}) before and after antiangiogenic treatment (Sunitinib: DSC: 40 mg/kg BW, 6 days; CW: 80 mg/kg BW, 4 days). Immunohistochemistry included Pecam-Desmin, Ki67, TUNEL, and Caspase 3 stainings.
Results:
EphB4OE induced large and treatment-resistant tumor vessels (FVD: Control/Su: 110 ± 23 cm/cm2 vs. EphB4OE/Su: 103 ± 42 cm/cm2). Maintenance of pericyte-endothelial cell interactions (Control: 80 ± 12 vs. Control/Su: 47 ± 26%; EphB4OE: 88 ± 9 vs. EphB4OE/Su: 74 ± 25%) and reduced antiproliferative (Control: 637 ± 80 vs. Control/Su: 110 ± 22; EphB4OE: 298 ± 108 vs. EphB4OE/Su: 213 ± 80) and proapoptotic responses (Control: 196 ± 25 vs. Control / Su: 404 ± 60; EphB4OE: 183 ± 20 vs. EphB4OE/Su: 270 ± 66) were observed under EphB4 overexpression.
Conclusion:
EphB4 overexpression leads to vascular resistance by altering vascular morphogenesis, pericyte coverage, and cellular proliferation/apoptosis in experimental SF126 glioma models.
Insights
EphB4 overexpression promotes antiangiogenesis resistance in SF126 glioma models by altering tumor vascular morphogenesis and pericyte coverage. This leads to larger, treatment-resistant vessels and impacts cellular proliferation and apoptosis.
Area of Science:
- Oncology
- Vascular Biology
- Molecular Biology
Background:
- Tumor vascular morphogenesis is crucial for antiangiogenesis therapy resistance.
- The ephrinB2-EphB4 system plays a role in regulating vascular morphogenesis.
- Understanding EphB4's influence is key to overcoming treatment resistance in glioma.
Purpose of the Study:
- To investigate the impact of EphB4 overexpression on tumor microcirculation.
- To characterize the resistance mechanisms in SF126 glioma models after antiangiogenic treatment.
Main Methods:
- SF126 glioma cells were co-implanted with EphB4-overexpressing or control cells.
- Tumor growth was monitored using MRI.
- Microcirculation was analyzed via intravital microscopy before and after Sunitinib treatment.
- Immunohistochemistry assessed cell proliferation and apoptosis.
Main Results:
- EphB4 overexpression resulted in larger, treatment-resistant tumor vessels.
- Pericyte-endothelial cell interactions were maintained under EphB4 overexpression.
- Reduced antiproliferative and proapoptotic responses were observed with EphB4 overexpression.
Conclusions:
- EphB4 overexpression contributes to vascular resistance in experimental glioma models.
- Altered vascular morphogenesis, pericyte coverage, and cellular responses mediate this resistance.
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