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Arsenic trioxide inhibits angiogenesis in vitro and in vivo by upregulating FoxO3a
Zhuo Sun1, Mingyan Li1, Lu Bai1
1Department of Pathology, Laboratory of Clinical and Experimental Pathology, Xuzhou Medical University, No. 209 Tongshan Road, Xuzhou, Jiangsu, 221004, China.
Abstract:
Arsenic trioxide (As2O3) has been used clinically for the treatment of acute promyelocytic leukemia and some solid tumors. However, the mechanisms of its anti-tumor effects are still elusive. Angiogenesis is a key process for tumor initiation, and increasing evidence has supported the role of anti-angiogenesis caused by arsenic in tumor suppression, although the detailed mechanism is not well understood. In the present study, we found that As2O3 significantly inhibited the angiogenesis of human umbilical vein endothelial cells (HUVECs) in vitro, and this was mediated by the upregulation of FoxO3a. Knockdown of FoxO3a could restore the angiogenic ability of HUVECs. Moreover, vascular endothelial cell-specific knockout of FoxO3a in mice could disrupt the anti-angiogenesis effect of As2O3 and endow the tumors with resistance to As2O3 treatments. Our results revealed a new mechanism by which As2O3 suppresses angiogenesis and tumor growth.
Insights
Arsenic trioxide (As2O3) inhibits tumor growth by blocking angiogenesis. This effect is mediated by the upregulation of FoxO3a, a key factor in controlling blood vessel formation.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Arsenic trioxide (As2O3) is clinically used for leukemia and some solid tumors.
- Its anti-tumor mechanisms, particularly anti-angiogenesis, are not fully understood.
Purpose of the Study:
- To elucidate the mechanism by which As2O3 suppresses angiogenesis and tumor growth.
- To investigate the role of FoxO3a in As2O3-mediated anti-angiogenesis.
Main Methods:
- In vitro studies using human umbilical vein endothelial cells (HUVECs).
- In vivo studies involving vascular endothelial cell-specific knockout of FoxO3a in mice.
- Assessment of angiogenic potential and tumor growth.
Main Results:
- As2O3 significantly inhibited HUVEC angiogenesis in vitro.
- This inhibition was mediated by the upregulation of FoxO3a.
- Knockdown of FoxO3a restored HUVEC angiogenic ability.
- Vascular endothelial cell-specific knockout of FoxO3a in mice abrogated As2O3's anti-angiogenesis effect and led to tumor resistance.
Conclusions:
- As2O3 suppresses angiogenesis and tumor growth through the upregulation of FoxO3a.
- FoxO3a is a critical mediator of As2O3's anti-angiogenic and anti-tumor effects.
- This study reveals a novel mechanism for As2O3 in cancer therapy.
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