Acquired Resistance to Anti-VEGF Therapy in Glioblastoma Is Associated with a Mesenchymal Transition

Antiangiogenic therapy reduces vascular permeability and delays progression but may ultimately promote an aggressive treatment-resistant phenotype. The aim of the present study was to identify mechanisms responsible for glioblastoma resistance to antiangiogenic therapy. Glioma stem cell (GSC) NSC11...

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Veröffentlicht in:Clinical cancer research 2013-08, Vol.19 (16), p.4392-4403
Hauptverfasser: YUJI PIAO, JI LIANG, HOLMES, Lindsay, HENRY, Verlene, SULMAN, Erik, DE GROOT, John F
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container_end_page 4403
container_issue 16
container_start_page 4392
container_title Clinical cancer research
container_volume 19
creator YUJI PIAO
JI LIANG
HOLMES, Lindsay
HENRY, Verlene
SULMAN, Erik
DE GROOT, John F
description Antiangiogenic therapy reduces vascular permeability and delays progression but may ultimately promote an aggressive treatment-resistant phenotype. The aim of the present study was to identify mechanisms responsible for glioblastoma resistance to antiangiogenic therapy. Glioma stem cell (GSC) NSC11 and U87 cell lines with acquired resistance to bevacizumab were developed from orthotopic xenografts in nude mice treated with bevacizumab. Genome-wide analyses were used to identify changes in tumor subtype and specific factors associated with resistance. Mice with established parental NSC11 and U87 cells responded to bevacizumab, whereas glioma cell lines derived at the time of acquired resistance to anti-VEGF therapy were resistant to bevacizumab and did not have prolongation of survival compared with untreated controls. Gene expression profiling comparing anti-VEGF therapy-resistant cell lines to untreated controls showed an increase in genes associated with a mesenchymal origin, cellular migration/invasion, and inflammation. Gene-set enrichment analysis showed that bevacizumab-treated tumors showed a highly significant correlation to published mesenchymal gene signatures. Mice bearing resistant tumors showed significantly greater infiltration of myeloid cells in NSC11- and U87-resistant tumors. Invasion-related genes were also upregulated in both NSC11 and U87 resistant cells which had higher invasion rates in vitro compared with their respective parental cell lines. Our studies identify multiple proinflammatory factors associated with resistance and identify a proneural to mesenchymal transition in tumors resistant to antiangiogenic therapy.
doi_str_mv 10.1158/1078-0432.CCR-12-1557
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The aim of the present study was to identify mechanisms responsible for glioblastoma resistance to antiangiogenic therapy. Glioma stem cell (GSC) NSC11 and U87 cell lines with acquired resistance to bevacizumab were developed from orthotopic xenografts in nude mice treated with bevacizumab. Genome-wide analyses were used to identify changes in tumor subtype and specific factors associated with resistance. Mice with established parental NSC11 and U87 cells responded to bevacizumab, whereas glioma cell lines derived at the time of acquired resistance to anti-VEGF therapy were resistant to bevacizumab and did not have prolongation of survival compared with untreated controls. Gene expression profiling comparing anti-VEGF therapy-resistant cell lines to untreated controls showed an increase in genes associated with a mesenchymal origin, cellular migration/invasion, and inflammation. Gene-set enrichment analysis showed that bevacizumab-treated tumors showed a highly significant correlation to published mesenchymal gene signatures. Mice bearing resistant tumors showed significantly greater infiltration of myeloid cells in NSC11- and U87-resistant tumors. Invasion-related genes were also upregulated in both NSC11 and U87 resistant cells which had higher invasion rates in vitro compared with their respective parental cell lines. 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Solid tumors. Tumors in childhood (general aspects) ; Myeloid Cells - immunology ; Myeloid Cells - metabolism ; Neoplasm Invasiveness ; Neovascularization, Pathologic ; Neurology ; Pharmacology. Drug treatments ; Signal Transduction ; Tumors ; Tumors of the nervous system. 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The aim of the present study was to identify mechanisms responsible for glioblastoma resistance to antiangiogenic therapy. Glioma stem cell (GSC) NSC11 and U87 cell lines with acquired resistance to bevacizumab were developed from orthotopic xenografts in nude mice treated with bevacizumab. Genome-wide analyses were used to identify changes in tumor subtype and specific factors associated with resistance. Mice with established parental NSC11 and U87 cells responded to bevacizumab, whereas glioma cell lines derived at the time of acquired resistance to anti-VEGF therapy were resistant to bevacizumab and did not have prolongation of survival compared with untreated controls. Gene expression profiling comparing anti-VEGF therapy-resistant cell lines to untreated controls showed an increase in genes associated with a mesenchymal origin, cellular migration/invasion, and inflammation. Gene-set enrichment analysis showed that bevacizumab-treated tumors showed a highly significant correlation to published mesenchymal gene signatures. Mice bearing resistant tumors showed significantly greater infiltration of myeloid cells in NSC11- and U87-resistant tumors. Invasion-related genes were also upregulated in both NSC11 and U87 resistant cells which had higher invasion rates in vitro compared with their respective parental cell lines. 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Solid tumors. Tumors in childhood (general aspects)</subject><subject>Myeloid Cells - immunology</subject><subject>Myeloid Cells - metabolism</subject><subject>Neoplasm Invasiveness</subject><subject>Neovascularization, Pathologic</subject><subject>Neurology</subject><subject>Pharmacology. Drug treatments</subject><subject>Signal Transduction</subject><subject>Tumors</subject><subject>Tumors of the nervous system. Phacomatoses</subject><subject>Vascular Endothelial Growth Factor A - antagonists &amp; inhibitors</subject><subject>Vascular Endothelial Growth Factor A - metabolism</subject><subject>Xenograft Model Antitumor Assays</subject><issn>1078-0432</issn><issn>1557-3265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkEtLw0AQgBdRtD5-grIXwUt0X0m3x1JqFRRBqtdlspnQlTzazBbpvzehVU8zh--bgY-xaynupUztgxRjmwij1f1s9p5Ilcg0HR-x0TASrbL0uN9_mTN2TvQlhDRSmFN2prQVxig9YsXUb7ahw4K_IwWK0HjkseXTJobkc7545MsVdrDe8dDwRRXavAKKbQ38mfiUqPUBYm9_h7jiwF-RsPGrXQ0VX3bQUIihbS7ZSQkV4dVhXrCPx_ly9pS8vC2eZ9OXxGubxWSSokdZlJBPhM3LQqTgC4MZgE4LNcmsR1NKBT7PNKhMiEJPxjnoEkoLKEBfsLv93XXXbrZI0dWBPFYVNNhuyUkzWNpY26PpHvVdS9Rh6dZdqKHbOSncENgN8dwQz_WBnVRuKNt7N4cX27zG4s_6LdoDtwcAyENV9hF8oH9unGmrVKZ_AJHBhOI</recordid><startdate>20130815</startdate><enddate>20130815</enddate><creator>YUJI PIAO</creator><creator>JI LIANG</creator><creator>HOLMES, Lindsay</creator><creator>HENRY, Verlene</creator><creator>SULMAN, Erik</creator><creator>DE GROOT, John F</creator><general>American Association for Cancer Research</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130815</creationdate><title>Acquired Resistance to Anti-VEGF Therapy in Glioblastoma Is Associated with a Mesenchymal Transition</title><author>YUJI PIAO ; JI LIANG ; HOLMES, Lindsay ; HENRY, Verlene ; SULMAN, Erik ; DE GROOT, John F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-95ece1dfab908bfd05acd4e6aa35d2968ce4f12acb63a2600d397ba3faf8ae0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Angiogenesis Inhibitors - pharmacology</topic><topic>Animals</topic><topic>Antibodies, Monoclonal, Humanized - pharmacology</topic><topic>Antineoplastic agents</topic><topic>Bevacizumab</topic><topic>Biological and medical sciences</topic><topic>Cell Line, Tumor</topic><topic>Disease Models, Animal</topic><topic>Drug Resistance, Neoplasm</topic><topic>Epithelial-Mesenchymal Transition - drug effects</topic><topic>Female</topic><topic>Gene Expression Profiling</topic><topic>Glioblastoma - drug therapy</topic><topic>Glioblastoma - metabolism</topic><topic>Glioblastoma - mortality</topic><topic>Glioblastoma - pathology</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Mice</topic><topic>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</topic><topic>Myeloid Cells - immunology</topic><topic>Myeloid Cells - metabolism</topic><topic>Neoplasm Invasiveness</topic><topic>Neovascularization, Pathologic</topic><topic>Neurology</topic><topic>Pharmacology. Drug treatments</topic><topic>Signal Transduction</topic><topic>Tumors</topic><topic>Tumors of the nervous system. Phacomatoses</topic><topic>Vascular Endothelial Growth Factor A - antagonists &amp; inhibitors</topic><topic>Vascular Endothelial Growth Factor A - metabolism</topic><topic>Xenograft Model Antitumor Assays</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>YUJI PIAO</creatorcontrib><creatorcontrib>JI LIANG</creatorcontrib><creatorcontrib>HOLMES, Lindsay</creatorcontrib><creatorcontrib>HENRY, Verlene</creatorcontrib><creatorcontrib>SULMAN, Erik</creatorcontrib><creatorcontrib>DE GROOT, John F</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical cancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>YUJI PIAO</au><au>JI LIANG</au><au>HOLMES, Lindsay</au><au>HENRY, Verlene</au><au>SULMAN, Erik</au><au>DE GROOT, John F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acquired Resistance to Anti-VEGF Therapy in Glioblastoma Is Associated with a Mesenchymal Transition</atitle><jtitle>Clinical cancer research</jtitle><addtitle>Clin Cancer Res</addtitle><date>2013-08-15</date><risdate>2013</risdate><volume>19</volume><issue>16</issue><spage>4392</spage><epage>4403</epage><pages>4392-4403</pages><issn>1078-0432</issn><eissn>1557-3265</eissn><coden>CCREF4</coden><abstract>Antiangiogenic therapy reduces vascular permeability and delays progression but may ultimately promote an aggressive treatment-resistant phenotype. 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subjects Angiogenesis Inhibitors - pharmacology
Animals
Antibodies, Monoclonal, Humanized - pharmacology
Antineoplastic agents
Bevacizumab
Biological and medical sciences
Cell Line, Tumor
Disease Models, Animal
Drug Resistance, Neoplasm
Epithelial-Mesenchymal Transition - drug effects
Female
Gene Expression Profiling
Glioblastoma - drug therapy
Glioblastoma - metabolism
Glioblastoma - mortality
Glioblastoma - pathology
Humans
Medical sciences
Mice
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
Myeloid Cells - immunology
Myeloid Cells - metabolism
Neoplasm Invasiveness
Neovascularization, Pathologic
Neurology
Pharmacology. Drug treatments
Signal Transduction
Tumors
Tumors of the nervous system. Phacomatoses
Vascular Endothelial Growth Factor A - antagonists & inhibitors
Vascular Endothelial Growth Factor A - metabolism
Xenograft Model Antitumor Assays
title Acquired Resistance to Anti-VEGF Therapy in Glioblastoma Is Associated with a Mesenchymal Transition
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