Identification of RSK and TTK as Modulators of Blood Vessel Morphogenesis Using an Embryonic Stem Cell-Based Vascular Differentiation Assay

Blood vessels are formed through vasculogenesis, followed by remodeling of the endothelial network through angiogenesis. Many events that occur during embryonic vascular development are recapitulated during adult neoangiogenesis, which is critical to tumor growth and metastasis. Current antiangiogenic tumor therapies, based largely on targeting the vascular endothelial growth factor pathway, show limited clinical benefits, thus necessitating the discovery of alternative targets. Here we report the development of a robust embryonic stem cell-based vascular differentiation assay amenable to small-molecule screens to identify novel modulators of angiogenesis. In this context, RSK and TTK were identified as angiogenic modulators. Inhibition of these pathways inhibited angiogenesis in embryoid bodies and human umbilical vein endothelial cells. Furthermore, inhibition of RSK and TTK reduced tumor growth, vascular density, and improved survival in an in vivo Lewis lung carcinoma mouse model. Our study suggests that RSK and TTK are potential targets for antiangiogenic therapy, and provides an assay system for further pathway screens. •Development of ESC-based vascular differentiation assay amenable to drug screening•Screening a kinase library identified RSK and TTK as angiogenic modulators•RSK and TTK inhibition disrupted angiogenesis in vitro•RSK and TTK inhibition inhibited Lewis lung tumor growth and angiogenesis in vivo Rossant and colleagues developed a robust embryonic stem cell-based vascular differentiation assay, which was used to screen a small-molecule kinase library. They identified RSK and TTK as angiogenic modulators. Inhibition of these pathways inhibited angiogenesis in embryoid bodies and HUVECs in vitro, and reduced tumor growth and vascular density in an in vivo Lewis lung carcinoma mouse model.