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Published on: June 30, 2023
Endothelial p130cas confers resistance to anti-angiogenesis therapy
Yunfei Wen1, Anca Chelariu-Raicu1, Sujanitha Umamaheswaran1
1Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, 1155 Herman Pressler Boulevard, Houston, TX 77030, USA.
Abstract:
Anti-angiogenic therapies, such as anti-VEGF antibodies (AVAs), have shown promise in clinical settings. However, adaptive resistance to such therapies occurs frequently. We use orthotopic ovarian cancer models with AVA-adaptive resistance to investigate the underlying mechanisms. Genomic profiling of AVA-resistant tumors guides us to endothelial p130cas. We find that bevacizumab induces cleavage of VEGFR2 in endothelial cells by caspase-10 and that VEGFR2 fragments internalize into the nucleus and autophagosomes. Nuclear VEGFR2 and p130cas fragments, together with TNKS1BP1 (tankyrase-1-binding protein), initiate endothelial cell death. Blockade of autophagy in AVA-resistant endothelial cells retains VEGFR2 at the membrane with bevacizumab treatment. Targeting host p130cas with RGD (Arg-Gly-Asp)-tagged nanoparticles or genomic ablation of vascular p130cas in p130casflox/floxTie2Cre mice significantly extends the survival of mice with AVA-resistant ovarian tumors. Higher vascular p130cas is associated with shorter survival of individuals with ovarian cancer. Our findings identify opportunities for new strategies to overcome adaptive resistance to AVA therapy.
Insights
Overcoming resistance to anti-VEGF antibodies (AVAs) in ovarian cancer is crucial. Targeting endothelial p130cas and blocking autophagy offers a promising strategy to re-sensitize tumors to AVA therapy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Anti-angiogenic therapies, including anti-VEGF antibodies (AVAs), are used for cancer treatment.
- Adaptive resistance frequently limits the efficacy of AVAs.
- Understanding resistance mechanisms is vital for improving cancer therapy.
Purpose of the Study:
- To investigate the mechanisms of adaptive resistance to AVAs in ovarian cancer.
- To identify novel therapeutic targets for overcoming AVA resistance.
Main Methods:
- Orthotopic ovarian cancer models with AVA-adaptive resistance were utilized.
- Genomic profiling of resistant tumors was performed.
- Endothelial cell death pathways and autophagy were analyzed.
- Targeting of p130cas using nanoparticles and genetic ablation was tested.
Main Results:
- Endothelial p130cas was identified as a key factor in AVA resistance.
- Bevacizumab treatment led to VEGFR2 cleavage and nuclear/autophagosomal internalization.
- Nuclear VEGFR2 and p130cas fragments initiated endothelial cell death.
- Blocking autophagy or targeting p130cas extended survival in resistant ovarian cancer models.
- Elevated vascular p130cas correlated with poorer patient survival.
Conclusions:
- Endothelial p130cas and VEGFR2 processing are critical in AVA resistance.
- Strategies targeting p130cas and modulating autophagy can overcome AVA resistance.
- Vascular p130cas is a potential prognostic biomarker for ovarian cancer.
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