[PDF][PDF] Postsurgical adjuvant tumor therapy by combining anti-angiopoietin-2 and metronomic chemotherapy limits metastatic growth

K Srivastava, J Hu, C Korn, S Savant, M Teichert… - Cancer cell, 2014 - cell.com
K Srivastava, J Hu, C Korn, S Savant, M Teichert, SS Kapel, M Jugold, E Besemfelder…
Cancer cell, 2014cell.com
Antiangiogenic tumor therapy has failed in the adjuvant setting. Here we show that inhibition
of the Tie2 ligand angiopoietin-2 (Ang2) effectively blocks metastatic growth in preclinical
mouse models of postsurgical adjuvant therapy. Ang2 antibody treatment combines well
with low-dose metronomic chemotherapy (LDMC) in settings in which maximum-dose
chemotherapy does not prove effective. Mechanistically, Ang2 blockade could be linked to
quenching the inflammatory and angiogenic response of endothelial cells (ECs) in the …
Summary
Antiangiogenic tumor therapy has failed in the adjuvant setting. Here we show that inhibition of the Tie2 ligand angiopoietin-2 (Ang2) effectively blocks metastatic growth in preclinical mouse models of postsurgical adjuvant therapy. Ang2 antibody treatment combines well with low-dose metronomic chemotherapy (LDMC) in settings in which maximum-dose chemotherapy does not prove effective. Mechanistically, Ang2 blockade could be linked to quenching the inflammatory and angiogenic response of endothelial cells (ECs) in the metastatic niche. Reduced EC adhesion molecule and chemokine expression inhibits the recruitment of tumor-promoting CCR2+Tie2 metastasis-associated macrophages. Moreover, LDMC contributes to therapeutic efficacy by inhibiting the recruitment of protumorigenic bone marrow-derived myeloid cells. Collectively, these data provide a rationale for mechanism-guided adjuvant tumor therapies.
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