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Endothelial EphrinB2 Regulates Sunitinib Therapy Response in Murine Glioma
Thomas Broggini1, Lena Stange1, Kristin Elizabeth Lucia1
1Department of Neurosurgery, University Hospital Frankfurt, 60528 Frankfurt am Main, Germany.
Abstract:
Vascular guidance is critical in developmental vasculogenesis and pathological angiogenesis. Brain tumors are strongly vascularized, and antiangiogenic therapy was anticipated to exhibit a strong anti-tumor effect in this tumor type. However, vascular endothelial growth factor A (VEGFA) specific inhibition had no significant impact in clinical practice of gliomas. More research is needed to understand the failure of this therapeutic approach. EphrinB2 has been found to directly interact with vascular endothelial growth factor receptor 2 (VEGFR2) and regulate its activity. Here we analyzed the expression of ephrinB2 and EphB4 in human glioma, we observed vascular localization of ephrinB2 in physiology and pathology and found a significant survival reduction in patients with elevated ephrinB2 tumor expression. Induced endothelial specific depletion of ephrinB2 in the adult mouse (efnb2i∆EC) had no effect on the quiescent vascular system of the brain. However, we found glioma growth and perfusion altered in efnb2i∆EC animals similar to the effects observed with antiangiogenic therapy. No additional anti-tumor effect was observed in efnb2i∆EC animals treated with antiangiogenic therapy. Our data indicate that ephrinB2 and VEGFR2 converge on the same pathway and intervention with either molecule results in a reduction in angiogenesis.
Insights
EphrinB2 interacts with VEGFR2, impacting glioma growth. Targeting this pathway, similar to antiangiogenic therapy, affects tumor vascularization and progression, offering new therapeutic insights for brain tumors.
Area of Science:
- Oncology
- Vascular Biology
- Neuroscience
Background:
- Vascular endothelial growth factor A (VEGFA) inhibition has shown limited efficacy in treating gliomas, necessitating further research into alternative therapeutic targets.
- EphrinB2 is identified as a molecule that directly interacts with vascular endothelial growth factor receptor 2 (VEGFR2), modulating its activity.
- Understanding the role of EphrinB2 in glioma vascularization is crucial for developing effective anti-tumor strategies.
Purpose of the Study:
- To investigate the expression and role of ephrinB2 and EphB4 in human glioma.
- To determine the impact of ephrinB2 depletion on glioma growth and vascularization in a preclinical model.
- To explore the convergence of ephrinB2 and VEGFR2 signaling pathways in the context of glioma angiogenesis.
Main Methods:
- Analysis of ephrinB2 and EphB4 expression in human glioma tissues.
- Observation of vascular localization of ephrinB2 in physiological and pathological conditions.
- Generation and utilization of an inducible endothelial-specific ephrinB2-depleted mouse model (efnb2i∆EC) to study glioma growth and perfusion.
Main Results:
- Elevated ephrinB2 tumor expression in patients correlated with significantly reduced survival.
- Endothelial-specific depletion of ephrinB2 in mice did not affect the quiescent brain vasculature but altered glioma growth and perfusion.
- No additive anti-tumor effect was observed when ephrinB2 depletion was combined with antiangiogenic therapy.
Conclusions:
- EphrinB2 plays a significant role in glioma progression and vascularization.
- EphrinB2 and VEGFR2 converge on a common pathway, suggesting that targeting either molecule can inhibit angiogenesis.
- These findings highlight ephrinB2 as a potential therapeutic target for glioma, offering an alternative or complementary approach to current antiangiogenic therapies.
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