PMID- 15814650 OWN - NLM STAT- MEDLINE DCOM- 20050808 LR - 20220408 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 11 IP - 7 DP - 2005 Apr 1 TI - Functional expression of the angiotensin II type 1 receptor in human ovarian carcinoma cells and its blockade therapy resulting in suppression of tumor invasion, angiogenesis, and peritoneal dissemination. PG - 2686-94 AB - PURPOSE: Angiotensin II is a bioactive peptide of the renin-angiotensin system, acting not only as a vasoconstrictor but also as a growth promoter via angiotensin II type 1 receptors (AT1R). The present study examined AT1R expression in human ovarian carcinoma and attempted to determine whether AT1R blocker could suppress the tumor progression. EXPERIMENTAL DESIGN: Expression of AT1R, vascular endothelial growth factor (VEGF), and CD34 was immunohistochemically analyzed in ovarian tumor tissues (n=99). Effects of AT1R blocker on invasive potential and VEGF secretion in ovarian cancer cells were examined in vitro. Effects of AT1R blocker in vivo were evaluated in a mouse model of peritoneal carcinomatosis. RESULTS: AT1R was expressed in 57 of 67 (85%) invasive ovarian adenocarcinomas and 12 of 18 (66%) borderline malignant tumors but in only 2 of 14 (14%) benign cystadenomas. In invasive carcinomas, VEGF expression intensity and intratumor microvessel density were significantly higher in cases that were strongly positive for AT1R (n = 37) compared with those in cases weakly positive (n = 20) or negative (n = 10) for AT1R. Angiotensin II significantly enhanced the invasive potential and VEGF secretion in AT1R-positive SKOV-3 ovarian cancer cells, both of which were completely inhibited by the AT1R blocker candesartan. Administration of candesartan into SKOV-3-transplanted athymic mice resulted in the reduction of peritoneal dissemination, decreased ascitic VEGF concentration, and suppression of tumor angiogenesis. CONCLUSIONS: AT1R is functionally expressed in ovarian carcinoma and involved in tumor progression and angiogenesis. AT1R blockade therapy may become a novel and promising strategy for ovarian cancer treatment. FAU - Suganuma, Takayasu AU - Suganuma T AD - Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Ino, Kazuhiko AU - Ino K FAU - Shibata, Kiyosumi AU - Shibata K FAU - Kajiyama, Hiroaki AU - Kajiyama H FAU - Nagasaka, Tetsuro AU - Nagasaka T FAU - Mizutani, Shigehiko AU - Mizutani S FAU - Kikkawa, Fumitaka AU - Kikkawa F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Angiotensin II Type 1 Receptor Blockers) RN - 0 (Antigens, CD34) RN - 0 (Benzimidazoles) RN - 0 (Biphenyl Compounds) RN - 0 (Receptor, Angiotensin, Type 1) RN - 0 (Tetrazoles) RN - 0 (Vascular Endothelial Growth Factor A) RN - 11128-99-7 (Angiotensin II) RN - S8Q36MD2XX (candesartan) SB - IM MH - Adenocarcinoma/metabolism/pathology/prevention & control MH - Angiotensin II/pharmacology MH - Angiotensin II Type 1 Receptor Blockers/*pharmacology/therapeutic use MH - Animals MH - Antigens, CD34/analysis MH - Benzimidazoles/pharmacology/therapeutic use MH - Biphenyl Compounds MH - Cell Line, Tumor MH - Dose-Response Relationship, Drug MH - Female MH - Humans MH - Immunohistochemistry MH - Mice MH - Mice, Inbred BALB C MH - Mice, Nude MH - Neoplasm Invasiveness/prevention & control MH - Neovascularization, Pathologic/prevention & control MH - Ovarian Neoplasms/metabolism/pathology/*prevention & control MH - Peritoneum/*drug effects/pathology MH - Receptor, Angiotensin, Type 1/*biosynthesis/genetics MH - Tetrazoles/pharmacology/therapeutic use MH - Vascular Endothelial Growth Factor A/analysis/metabolism MH - Xenograft Model Antitumor Assays EDAT- 2005/04/09 09:00 MHDA- 2005/08/09 09:00 CRDT- 2005/04/09 09:00 PHST- 2005/04/09 09:00 [pubmed] PHST- 2005/08/09 09:00 [medline] PHST- 2005/04/09 09:00 [entrez] AID - 11/7/2686 [pii] AID - 10.1158/1078-0432.CCR-04-1946 [doi] PST - ppublish SO - Clin Cancer Res. 2005 Apr 1;11(7):2686-94. doi: 10.1158/1078-0432.CCR-04-1946.