Drug resistance by evasion of antiangiogenic targeting of VEGF signaling in late-stage pancreatic islet tumors

Function-blocking antibodies to VEGF receptors R1 and R2 were used to probe their roles in controlling angiogenesis in a mouse model of pancreatic islet carcinogenesis. Inhibition of VEGFR2 but not VEGFR1 markedly disrupted angiogenic switching, persistent angiogenesis, and initial tumor growth. In...

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Veröffentlicht in:Cancer cell 2005-10, Vol.8 (4), p.299-309
Hauptverfasser: Casanovas, Oriol, Hicklin, Daniel J., Bergers, Gabriele, Hanahan, Douglas
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container_title Cancer cell
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creator Casanovas, Oriol
Hicklin, Daniel J.
Bergers, Gabriele
Hanahan, Douglas
description Function-blocking antibodies to VEGF receptors R1 and R2 were used to probe their roles in controlling angiogenesis in a mouse model of pancreatic islet carcinogenesis. Inhibition of VEGFR2 but not VEGFR1 markedly disrupted angiogenic switching, persistent angiogenesis, and initial tumor growth. In late-stage tumors, phenotypic resistance to VEGFR2 blockade emerged, as tumors regrew during treatment after an initial period of growth suppression. This resistance to VEGF blockade involves reactivation of tumor angiogenesis, independent of VEGF and associated with hypoxia-mediated induction of other proangiogenic factors, including members of the FGF family. These other proangiogenic signals are functionally implicated in the revascularization and regrowth of tumors in the evasion phase, as FGF blockade impairs progression in the face of VEGF inhibition.
doi_str_mv 10.1016/j.ccr.2005.09.005
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subjects Cell Line, Tumor
Drug Resistance, Neoplasm
Fibroblast Growth Factors - antagonists & inhibitors
Fibroblast Growth Factors - metabolism
Humans
Islets of Langerhans - pathology
Neovascularization, Pathologic - prevention & control
Pancreatic Neoplasms - blood supply
Pancreatic Neoplasms - metabolism
Receptors, Vascular Endothelial Growth Factor - antagonists & inhibitors
Signal Transduction - physiology
Vascular Endothelial Growth Factor A - antagonists & inhibitors
Vascular Endothelial Growth Factor A - physiology
title Drug resistance by evasion of antiangiogenic targeting of VEGF signaling in late-stage pancreatic islet tumors
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