The anti-cancer drug lenalidomide inhibits angiogenesis and metastasis via multiple inhibitory effects on endothelial cell function in normoxic and hypoxic conditions

Lenalidomide (Revlimid®) is approved for the treatment of transfusion-dependent patients with anemia due to low- or intermediate-1-risk Myelodysplastic Syndromes (MDS) associated with a del 5q cytogenetic abnormality with or without additional cytogenetic abnormalities, and in combination with dexam...

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Veröffentlicht in:Microvascular research 2009-03, Vol.77 (2), p.78-86
Hauptverfasser: Lu, Ling, Payvandi, Faribourz, Wu, Lei, Zhang, Ling-Hua, Hariri, Robert J, Man, Hon-Wah, Chen, Roger S., Muller, George W., Hughes, Christopher C.W., Stirling, David I., Schafer, Peter H., Bartlett, J. Blake
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container_end_page 86
container_issue 2
container_start_page 78
container_title Microvascular research
container_volume 77
creator Lu, Ling
Payvandi, Faribourz
Wu, Lei
Zhang, Ling-Hua
Hariri, Robert J
Man, Hon-Wah
Chen, Roger S.
Muller, George W.
Hughes, Christopher C.W.
Stirling, David I.
Schafer, Peter H.
Bartlett, J. Blake
description Lenalidomide (Revlimid®) is approved for the treatment of transfusion-dependent patients with anemia due to low- or intermediate-1-risk Myelodysplastic Syndromes (MDS) associated with a del 5q cytogenetic abnormality with or without additional cytogenetic abnormalities, and in combination with dexamethasone for the treatment of multiple myeloma patients who have received at least one prior therapy. Previous reports suggest that lenalidomide is anti-angiogenic and this property appears to be related to efficacy in patients with MDS. We have investigated the effect of lenalidomide on the formation of microvessels in a novel in vitro angiogenesis assay utilizing human umbilical arterial rings and in a capillary-like cord formation assay using cultured primary endothelial cells. We found that lenalidomide consistently inhibits both sprout formation by arterial rings and cord formation by endothelial cells in a dose-dependent manner. We also found an inhibitory effect of lenalidomide on the associations between cadherin 5, β-catenin and CD31, adherens junction proteins whose interaction is critical for endothelial cell cord formation. Furthermore, lenalidomide inhibited VEGF-induced PI3K–Akt pathway signaling, which is known to regulate adherens junction formation. We also found a strong inhibitory effect of lenalidomide on hypoxia-induced endothelial cell formation of cords and HIF-1α expression, the main mediator of hypoxia-mediated effects and a key driver of angiogenesis and metastasis. Anti-metastatic activity of lenalidomide in vivo was confirmed in the B16-F10 mouse melanoma model by a > 40% reduction in melanoma lung colony counts versus untreated mice. Our results suggest that inhibitory effects on microvessel formation, in particular adherens junction formation and inhibition of hypoxia-induced processes support a potential anti-angiogenic and anti-metastatic mechanism for this clinically active drug.
doi_str_mv 10.1016/j.mvr.2008.08.003
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Blake</creator><creatorcontrib>Lu, Ling ; Payvandi, Faribourz ; Wu, Lei ; Zhang, Ling-Hua ; Hariri, Robert J ; Man, Hon-Wah ; Chen, Roger S. ; Muller, George W. ; Hughes, Christopher C.W. ; Stirling, David I. ; Schafer, Peter H. ; Bartlett, J. Blake</creatorcontrib><description>Lenalidomide (Revlimid®) is approved for the treatment of transfusion-dependent patients with anemia due to low- or intermediate-1-risk Myelodysplastic Syndromes (MDS) associated with a del 5q cytogenetic abnormality with or without additional cytogenetic abnormalities, and in combination with dexamethasone for the treatment of multiple myeloma patients who have received at least one prior therapy. Previous reports suggest that lenalidomide is anti-angiogenic and this property appears to be related to efficacy in patients with MDS. We have investigated the effect of lenalidomide on the formation of microvessels in a novel in vitro angiogenesis assay utilizing human umbilical arterial rings and in a capillary-like cord formation assay using cultured primary endothelial cells. We found that lenalidomide consistently inhibits both sprout formation by arterial rings and cord formation by endothelial cells in a dose-dependent manner. We also found an inhibitory effect of lenalidomide on the associations between cadherin 5, β-catenin and CD31, adherens junction proteins whose interaction is critical for endothelial cell cord formation. Furthermore, lenalidomide inhibited VEGF-induced PI3K–Akt pathway signaling, which is known to regulate adherens junction formation. We also found a strong inhibitory effect of lenalidomide on hypoxia-induced endothelial cell formation of cords and HIF-1α expression, the main mediator of hypoxia-mediated effects and a key driver of angiogenesis and metastasis. 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Blake</creatorcontrib><title>The anti-cancer drug lenalidomide inhibits angiogenesis and metastasis via multiple inhibitory effects on endothelial cell function in normoxic and hypoxic conditions</title><title>Microvascular research</title><addtitle>Microvasc Res</addtitle><description>Lenalidomide (Revlimid®) is approved for the treatment of transfusion-dependent patients with anemia due to low- or intermediate-1-risk Myelodysplastic Syndromes (MDS) associated with a del 5q cytogenetic abnormality with or without additional cytogenetic abnormalities, and in combination with dexamethasone for the treatment of multiple myeloma patients who have received at least one prior therapy. Previous reports suggest that lenalidomide is anti-angiogenic and this property appears to be related to efficacy in patients with MDS. We have investigated the effect of lenalidomide on the formation of microvessels in a novel in vitro angiogenesis assay utilizing human umbilical arterial rings and in a capillary-like cord formation assay using cultured primary endothelial cells. We found that lenalidomide consistently inhibits both sprout formation by arterial rings and cord formation by endothelial cells in a dose-dependent manner. We also found an inhibitory effect of lenalidomide on the associations between cadherin 5, β-catenin and CD31, adherens junction proteins whose interaction is critical for endothelial cell cord formation. Furthermore, lenalidomide inhibited VEGF-induced PI3K–Akt pathway signaling, which is known to regulate adherens junction formation. We also found a strong inhibitory effect of lenalidomide on hypoxia-induced endothelial cell formation of cords and HIF-1α expression, the main mediator of hypoxia-mediated effects and a key driver of angiogenesis and metastasis. Anti-metastatic activity of lenalidomide in vivo was confirmed in the B16-F10 mouse melanoma model by a &gt; 40% reduction in melanoma lung colony counts versus untreated mice. 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Blake</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The anti-cancer drug lenalidomide inhibits angiogenesis and metastasis via multiple inhibitory effects on endothelial cell function in normoxic and hypoxic conditions</atitle><jtitle>Microvascular research</jtitle><addtitle>Microvasc Res</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>77</volume><issue>2</issue><spage>78</spage><epage>86</epage><pages>78-86</pages><issn>0026-2862</issn><eissn>1095-9319</eissn><abstract>Lenalidomide (Revlimid®) is approved for the treatment of transfusion-dependent patients with anemia due to low- or intermediate-1-risk Myelodysplastic Syndromes (MDS) associated with a del 5q cytogenetic abnormality with or without additional cytogenetic abnormalities, and in combination with dexamethasone for the treatment of multiple myeloma patients who have received at least one prior therapy. 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subjects Adherens Junctions - drug effects
Akt
Angiogenesis
Angiogenesis Inhibitors - pharmacology
Animals
Antigens, CD - metabolism
Antineoplastic Agents - pharmacology
Basic Helix-Loop-Helix Transcription Factors - metabolism
beta Catenin - metabolism
Cadherin
Cadherins - metabolism
Cell Differentiation - drug effects
Cell Hypoxia
Cell Line, Tumor
Cells, Cultured
Endothelial Cells - drug effects
Endothelial Cells - pathology
Female
HIF-1α
Humans
Hypoxia-Inducible Factor 1, alpha Subunit - metabolism
IMiDs
In Vitro Techniques
Lenalidomide
Lung Neoplasms - prevention & control
Lung Neoplasms - secondary
Melanoma, Experimental - drug therapy
Metastasis
Mice
Microcirculation - drug effects
Neoplasm Metastasis - prevention & control
Neovascularization, Pathologic - prevention & control
Platelet Endothelial Cell Adhesion Molecule-1 - metabolism
Pregnancy
Proto-Oncogene Proteins c-akt - metabolism
Thalidomide - analogs & derivatives
Thalidomide - pharmacology
Umbilical Arteries - drug effects
Umbilical Arteries - growth & development
title The anti-cancer drug lenalidomide inhibits angiogenesis and metastasis via multiple inhibitory effects on endothelial cell function in normoxic and hypoxic conditions
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