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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 4

Endothelial cell–specific CD93 deletion impairs HCmel12 vascular integrity and increases metastatic spread.

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Endothelial cell–specific CD93 deletion impairs HCmel12 vascular integri...
(A) Immunofluorescent staining showing CD93 levels (green) in HCmel12 tumors implanted in wild-type, CD93 heterozygous (CD93–/+), and CD93–/iECKO mice. Vessels are detected by CD31 (red) and nuclei by Hoechst (blue). Scale bars: 20 μm. (B) Quantification of CD93 levels in HCmel12 vessels of wild-type (n = 3, 3 fields of view/sample), CD93–/+ (n = 3, 3 fields of view/sample), and CD93–/iECKO (n = 3, 3 fields of view/sample) mice. ***P < 0.001 by 1-way ANOVA with Tukey′s multiple-comparison test. NS, not significant. (C) Tumor growth in CD93–/+ and CD93–/iECKO mice (n = 11/group). (D) Representative images of tumor vessels stained for CD31 (red). Scale bars: 25 μm. (E) Quantification of CD31+ area in CD93–/+ and CD93–/iECKO mice (n = 11/group, minimum of 4 fields of view/sample). (F) Representative images of VE-cadherin (green), (H) ZO1 (green), and (J) desmin (green) in HCmel12 tumors from in CD93–/+ and CD93–/iECKO mice. Scale bars: 20 μm and 10 μm (high-magnification insets in F, H, and J). (G, I, and K) Quantification graphs of VE-cadherin, ZO1, and desmin levels normalized by CD31+ area. CD93–/+ (n = 9, minimum of 4 fields of view/sample), CD93–/iECKO (n = 11, minimum of 4 fields of view/sample). AU, arbitrary units. **P < 0.01, ***P < 0.001, ****P < 0.0001 by 2-tailed t test. (L) Percentage of mice that developed lung metastasis 22 days after subcutaneous inoculation of HCmel12 cells (n = 11/group). Values represent mean ± SEM.

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