Antiangiogenic immunotherapy suppresses desmoplastic and chemoresistant intestinal tumors in mice.

Details

Serval ID
serval:BIB_C704575BD9D9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Antiangiogenic immunotherapy suppresses desmoplastic and chemoresistant intestinal tumors in mice.
Journal
The Journal of clinical investigation
Author(s)
Ragusa S., Prat-Luri B., González-Loyola A., Nassiri S., Squadrito M.L., Guichard A., Cavin S., Gjorevski N., Barras D., Marra G., Lutolf M.P., Perentes J., Corse E., Bianchi R., Wetterwald L., Kim J., Oliver G., Delorenzi M., De Palma M., Petrova T.V.
ISSN
1558-8238 (Electronic)
ISSN-L
0021-9738
Publication state
Published
Issued date
02/03/2020
Peer-reviewed
Oui
Volume
130
Number
3
Pages
1199-1216
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Mutations in APC promote colorectal cancer (CRC) progression through uncontrolled WNT signaling. Patients with desmoplastic CRC have a significantly worse prognosis and do not benefit from chemotherapy, but the mechanisms underlying the differential responses of APC-mutant CRCs to chemotherapy are not well understood. We report that expression of the transcription factor prospero homeobox 1 (PROX1) was reduced in desmoplastic APC-mutant human CRCs. In genetic Apc-mutant mouse models, loss of Prox1 promoted the growth of desmoplastic, angiogenic, and immunologically silent tumors through derepression of Mmp14. Although chemotherapy inhibited Prox1-proficient tumors, it promoted further stromal activation, angiogenesis, and invasion in Prox1-deficient tumors. Blockade of vascular endothelial growth factor A (VEGFA) and angiopoietin-2 (ANGPT2) combined with CD40 agonistic antibodies promoted antiangiogenic and immunostimulatory reprogramming of Prox1-deficient tumors, destroyed tumor fibrosis, and unleashed T cell-mediated killing of cancer cells. These results pinpoint the mechanistic basis of chemotherapy-induced hyperprogression and illustrate a therapeutic strategy for chemoresistant and desmoplastic CRCs.
Keywords
Angiogenesis, Cancer immunotherapy, Colorectal cancer, Oncology, endothelial cells
Pubmed
Open Access
Yes
Create date
06/02/2020 18:26
Last modification date
07/04/2020 6:20
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