Journal Article DKFZ-2020-02307

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Timed Ang2-targeted therapy identifies the Angiopoietin-Tie pathway as key regulator of fatal lymphogenous metastasis.

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2021
Philadelphia, Pa.

Cancer discovery 11(2), 424-445 () [10.1158/2159-8290.CD-20-0122]
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Abstract: Recent clinical and preclinical advances have highlighted the existence of a previously hypothesized lymphogenous route of metastasis. However, due to a lack of suitable preclinical modeling tools, its contribution to long-term disease outcome and relevance for therapy remain controversial. Here, we established a GEMM fragment-based tumor model uniquely sustaining a functional network of intratumoral lymphatics that facilitates seeding of fatal peripheral metastases. Multi-regimen survival studies and correlative patient data identified primary tumor-derived Angiopoietin-2 (Ang2) as a potent therapeutic target to restrict lymphogenous tumor cell dissemination. Mechanistically, tumor-associated lymphatic endothelial cells (EC), in contrast to blood vascular EC, were found to be critically addicted to the Angiopoietin-Tie pathway. Genetic manipulation experiments in combination with single-cell mapping revealed agonistically-acting Ang2/Tie2-signaling as key regulator of lymphatic maintenance. Correspondingly, acute pre-surgical Ang2-neutralization was sufficient to prolong survival by regressing established intratumoral lymphatics, hence identifying a novel therapeutic regimen that warrants further clinical evaluation.

Classification:

Note: DKFZ-ZMBH Alliance#EA:A190#LA:A190#2021 Feb;11(2):424-445

Contributing Institute(s):
  1. A190 Vaskuläre Onkologie und Metastasierung (A190)
  2. Bioinformatik und Omics Data Analytics (B240)
  3. Molekulare Grundlagen Gastrointestinaler Tumoren (D200)
  4. KKE Dermatoonkologie (A370)
Research Program(s):
  1. 311 - Zellbiologie und Tumorbiologie (POF4-311) (POF4-311)

Appears in the scientific report 2021
Database coverage:
Medline ; BIOSIS Previews ; Biological Abstracts ; Clarivate Analytics Master Journal List ; Essential Science Indicators ; IF >= 25 ; JCR ; NCBI Molecular Biology Database ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection
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 Record created 2020-10-29, last modified 2024-02-29



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