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CD93 maintains endothelial barrier function and limits metastatic dissemination
Kalyani Vemuri, Beatriz de Alves Pereira, Patricia Fuenzalida, Yelin Subashi, Stefano Barbera, Luuk van Hooren, Marie Hedlund, Fredrik Pontén, Cecilia Lindskog, Anna-Karin Olsson, Roberta Lugano, Anna Dimberg
Kalyani Vemuri, Beatriz de Alves Pereira, Patricia Fuenzalida, Yelin Subashi, Stefano Barbera, Luuk van Hooren, Marie Hedlund, Fredrik Pontén, Cecilia Lindskog, Anna-Karin Olsson, Roberta Lugano, Anna Dimberg
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Research Article Oncology Vascular biology

CD93 maintains endothelial barrier function and limits metastatic dissemination

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Abstract

Compromised vascular integrity facilitates extravasation of cancer cells and promotes metastatic dissemination. CD93 has emerged as a target for antiangiogenic therapy, but its importance for vascular integrity in metastatic cancers has not been evaluated. Here, we demonstrate that CD93 participates in maintaining the endothelial barrier and reducing metastatic dissemination. Primary melanoma growth was hampered in CD93–/– mice, but metastatic dissemination was increased and associated with disruption of adherens and tight junctions in tumor endothelial cells and elevated expression of matrix metalloprotease 9 at the metastatic site. CD93 directly interacted with vascular endothelial growth factor receptor 2 (VEGFR2) and its absence led to VEGF-induced hyperphosphorylation of VEGFR2 in endothelial cells. Antagonistic anti-VEGFR2 antibody therapy rescued endothelial barrier function and reduced the metastatic burden in CD93–/– mice to wild-type levels. These findings reveal a key role of CD93 in maintaining vascular integrity, which has implications for pathological angiogenesis and endothelial barrier function in metastatic cancer.

Authors

Kalyani Vemuri, Beatriz de Alves Pereira, Patricia Fuenzalida, Yelin Subashi, Stefano Barbera, Luuk van Hooren, Marie Hedlund, Fredrik Pontén, Cecilia Lindskog, Anna-Karin Olsson, Roberta Lugano, Anna Dimberg

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Figure 2

CD93 deficiency impairs subcutaneous HCmel12 melanoma growth and tumor vascular integrity.

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CD93 deficiency impairs subcutaneous HCmel12 melanoma growth and tumor v...
(A) HCmel12 tumor stained for CD93 (green), CD31 (red), and with Hoechst (blue). Scale bars: 20 μm. (B) Tumor growth in wild-type and CD93–/– mice (n = 16/group). *P < 0.05 by 2-way ANOVA. (C) Representative images of tumor vessels stained with Hoechst (blue) and for CD31 (red). Scale bars: 100 μm. (D) Quantification of CD31+ area in wild-type and CD93–/– tumors (n = 7/group, 6–8 fields of view/sample). (E) Representative images of fibrinogen leakage (green) and vessels (CD31, red). Scale bar: 150 μm. (F) Quantification of tumor vessel leakage in wild-type and CD93–/– mice (tumor tilescans, n = 8–9/group). Nuclei are visualized by Hoechst (blue). AU, arbitrary units; NS, not significant. **P < 0.01 by 2-tailed t test. Immunofluorescence images for the endothelial junction markers VE-cadherin (green) (G), claudin-5 (green) (I), ZO1 (green) (K), and desmin (green) (M) in HCmel12 tumors. (H, J, L, and N) Quantification graphs represent the area covered by the analyzed endothelial junction markers normalized to the CD31+ area in wild-type (n = 9, minimum of 5 fields of view/sample) and CD93–/– (n = 9 minimum of 5 fields of view/sample) tumors. Scale bars: 20 μm. *P < 0.05, ***P < 0.001 by 2-tailed t test. Values represent mean ± SEM.

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