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.

Cell Reports
|January 26, 2022
PubMed

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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