PMID- 16096774 OWN - NLM STAT- MEDLINE DCOM- 20060308 LR - 20181113 IS - 1432-9417 (Print) IS - 1432-9417 (Linking) VI - 9 IP - 5 DP - 2005 Sep TI - [Antiangiogenic and anti-immunosuppressive therapeutic strategies in human head and neck squamous cell carcinoma (HNSCC)]. PG - 273-81 AB - BACKGROUND: Angiogenesis and tumor-associated immunosuppression are two of the hallmarks of carcinogenesis. In previous studies we demonstrated in vitro that HNSCC tumor cells attract monocytes via monocyte chemotactic protein-1 (MCP-1) and activate them via transforming growth factor-beta 1(TGF-beta1) to secrete interleukin (IL)-1alpha, which in turn stimulates tumor cells to secrete increased levels of the angiogenic and immunosuppressive vascular endothelial growth factor (VEGF). These findings suggest that interaction between the immune system and VEGF-mediated angiogenesis is important for progression of HNSCC. Recent studies in vitro show that retinoic acid (RA) downregulates the release of MCP-1 and TGF-beta1 by tumor cells. Therefore, we investigated the ability of RA to modulate the ability of tumor cells to recruit and activate monocytes for participation in VEGF-mediated angiogenesis and immunosuppression in vivo. MATERIAL AND METHODS: Mice (ten/group) were injected daily with RA (160 microg/kg) for 3 weeks. After that time mice were sacrificed, and paraffin sections of tumors were obtained and stained for VEGF-A, CD68, and PECAM (CD31) by immunohistochemistry. The lungs, liver, and myocardium were analyzed for macro- and micrometastases. The plasma protein levels of VEGF-A and MCP-1 were determined by ELISA. RESULTS: In RA-treated mice tumors regressed completely and RA prevented metastases (p=0.00) and macrophage infiltration (p=0.007). Treated mice downregulated VEGF-A (0 pg/ml) and MCP-1 (12 pg/ml) in peripheral blood (p=0.001). CONCLUSION: Our findings suggest a new therapeutic possibility: the development of treatment protocols that can block each of the ways in which tumors induce new blood vessel growth and immunosuppression of the host. FAU - Strauss, L AU - Strauss L AD - Abteilung Onkologie, Universitatsspital Zurich. strauss_ewers@hotmail.com FAU - Volland, D AU - Volland D FAU - Guerrero, A AU - Guerrero A FAU - Reichert, T AU - Reichert T LA - ger PT - English Abstract PT - Journal Article TT - Tumorangiogenese und Immunsuppression. Strategische Angriffspunkte fur neue Therapieansatze beim Plattenepithelkarzinom der Mundhohle (HNSCC). PL - Germany TA - Mund Kiefer Gesichtschir JT - Mund-, Kiefer- und Gesichtschirurgie : MKG JID - 9716576 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Chemokine CCL2) RN - 0 (Interleukin-1) RN - 0 (TGFB1 protein, human) RN - 0 (Tgfb1 protein, mouse) RN - 0 (Transforming Growth Factor beta) RN - 0 (Transforming Growth Factor beta1) RN - 0 (Vascular Endothelial Growth Factor A) RN - 5688UTC01R (Tretinoin) SB - IM MH - Angiogenesis Inhibitors/*pharmacology MH - Animals MH - Carcinoma, Squamous Cell/*blood supply/*immunology MH - Cell Line, Tumor MH - Chemokine CCL2/antagonists & inhibitors/physiology MH - Disease Progression MH - Down-Regulation/drug effects MH - Humans MH - Immune Tolerance/*drug effects MH - Interleukin-1/metabolism MH - Macrophage Activation/*drug effects/immunology MH - Male MH - Mice MH - Mice, Inbred A MH - Mouth Neoplasms/*blood supply/*immunology MH - Neoplasm Metastasis MH - Neoplasm Transplantation MH - Transforming Growth Factor beta/antagonists & inhibitors/physiology MH - Transforming Growth Factor beta1 MH - Tretinoin/*pharmacology MH - Vascular Endothelial Growth Factor A/physiology EDAT- 2005/08/13 09:00 MHDA- 2006/03/09 09:00 CRDT- 2005/08/13 09:00 PHST- 2005/08/13 09:00 [pubmed] PHST- 2006/03/09 09:00 [medline] PHST- 2005/08/13 09:00 [entrez] AID - 10.1007/s10006-005-0635-3 [doi] PST - ppublish SO - Mund Kiefer Gesichtschir. 2005 Sep;9(5):273-81. doi: 10.1007/s10006-005-0635-3.