PMID- 18172277 OWN - NLM STAT- MEDLINE DCOM- 20080327 LR - 20080103 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 14 IP - 1 DP - 2008 Jan 1 TI - Blocking vascular endothelial growth factor-A inhibits the growth of pituitary adenomas and lowers serum prolactin level in a mouse model of multiple endocrine neoplasia type 1. PG - 249-58 LID - 10.1158/1078-0432.CCR-07-1552 [doi] AB - PURPOSE: Multiple endocrine neoplasia type 1 (MEN1) is defined clinically by the combined occurrence of multiple tumors, typically of the parathyroid glands, pancreatic islet cells, and anterior pituitary gland. A mouse model with a heterozygous deletion of the Men1 gene recapitulates the tumorigenesis of MEN1. We wished to determine the role of vascular endothelial growth factor (VEGF)-A in the vascularization and growth of MEN1-associated tumors, with an emphasis on pituitary adenomas. EXPERIMENTAL DESIGN: To investigate whether tumor growth in Men1(+/-) mice is mediated by VEGF-A dependent angiogenesis, we carried out a monotherapy with the anti-VEGF-A monoclonal antibody (mAb) G6-31. We evaluated tumor growth by magnetic resonance imaging and assessed vascular density in tissue sections. We also measured hormone levels in the serum. RESULTS: During the treatment with mAb G6-31, a significant inhibition of the pituitary adenoma growth was observed, leading to an increased mean tumor doubling-free survival compared with mice treated with a control antibody. Similarly, the growth of s.c. pituitary adenoma transplants was effectively inhibited by administration of anti-VEGF-A mAb. Serum prolactin was lowered by mAb G6-31 treatment but not by control antibody, potentially providing a new therapeutic approach for treating the hormonal excess in MEN1 patients. Additionally, the vascular density in pancreatic islet tumors was significantly reduced by the treatment. CONCLUSIONS: These results suggest that VEGF-A blockade may represent a nonsurgical treatment for benign tumors of the endocrine system. FAU - Korsisaari, Nina AU - Korsisaari N AD - Genentech, Inc., South San Francisco, California 94080, USA. FAU - Ross, Jed AU - Ross J FAU - Wu, Xiumin AU - Wu X FAU - Kowanetz, Marcin AU - Kowanetz M FAU - Pal, Navneet AU - Pal N FAU - Hall, Linda AU - Hall L FAU - Eastham-Anderson, Jeffrey AU - Eastham-Anderson J FAU - Forrest, William F AU - Forrest WF FAU - Van Bruggen, Nicholas AU - Van Bruggen N FAU - Peale, Franklin V AU - Peale FV FAU - Ferrara, Napoleone AU - Ferrara N LA - eng PT - Journal Article 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 (Antibodies, Monoclonal) RN - 0 (Vascular Endothelial Growth Factor A) RN - 9002-62-4 (Prolactin) SB - IM MH - Adenoma/blood/*metabolism/pathology MH - Animals MH - Antibodies, Monoclonal/pharmacology MH - Disease Models, Animal MH - Immunohistochemistry MH - Magnetic Resonance Imaging MH - Mice MH - Mice, Mutant Strains MH - Mice, Nude MH - Multiple Endocrine Neoplasia Type 1/blood/metabolism/*pathology MH - Neovascularization, Pathologic MH - Pituitary Neoplasms/blood/metabolism/*pathology MH - Prolactin/*blood MH - Reverse Transcriptase Polymerase Chain Reaction MH - Vascular Endothelial Growth Factor A/*antagonists & inhibitors/drug effects EDAT- 2008/01/04 09:00 MHDA- 2008/03/28 09:00 CRDT- 2008/01/04 09:00 PHST- 2008/01/04 09:00 [pubmed] PHST- 2008/03/28 09:00 [medline] PHST- 2008/01/04 09:00 [entrez] AID - 14/1/249 [pii] AID - 10.1158/1078-0432.CCR-07-1552 [doi] PST - ppublish SO - Clin Cancer Res. 2008 Jan 1;14(1):249-58. doi: 10.1158/1078-0432.CCR-07-1552.