PMID- 18447716 OWN - NLM STAT- MEDLINE DCOM- 20080624 LR - 20211020 IS - 0022-3085 (Print) IS - 1933-0693 (Electronic) IS - 0022-3085 (Linking) VI - 108 IP - 5 DP - 2008 May TI - Successful inhibition of intracranial human glioblastoma multiforme xenograft growth via systemic adenoviral delivery of soluble endostatin and soluble vascular endothelial growth factor receptor-2: laboratory investigation. PG - 979-88 LID - 10.3171/JNS/2008/108/5/0979 [doi] AB - OBJECT: Glioblastoma multiforme (GBM) is characterized by neovascularization, raising the question of whether angiogenic blockade may be a useful therapeutic strategy for this disease. It has been suggested, however, that, to be useful, angiogenic blockade must be persistent and at levels sufficient to overcome proangiogenic signals from tumor cells. In this report, the authors tested the hypothesis that sustained high concentrations of 2 different antiangiogenic proteins, delivered using a systemic gene therapy strategy, could inhibit the growth of established intracranial U87 human GBM xenografts in nude mice. METHODS: Mice harboring established U87 intracranial tumors received intravenous injections of adenoviral vectors encoding either the extracellular domain of vascular endothelial growth factor receptor-2-Fc fusion protein (Ad-VEGFR2-Fc) alone, soluble endostatin (Ad-ES) alone, a combination of Ad-VEGFR2-Fc and Ad-ES, or immunoglobulin 1-Fc (Ad-Fc) as a control. RESULTS: Three weeks after treatment, magnetic resonance imaging-based determination of tumor volume showed that treatment with Ad-VEGFR2-Fc, Ad-ES, or Ad-VEGFR2-Fc in combination with Ad-ES, produced 69, 59, and 74% growth inhibition, respectively. Bioluminescent monitoring of tumor growth revealed growth inhibition in the same treatment groups to be 62, 74, and 72%, respectively. Staining with proliferating cell nuclear antigen and with terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate nick-end labeling showed reduced tumor cell proliferation and increased apoptosis in all antiangiogenic treatment groups. CONCLUSIONS: These results suggest that systemic delivery and sustained production of endostatin and soluble VEGFR2 can slow intracranial glial tumor growth by both reducing cell proliferation and increasing tumor apoptosis. This work adds further support to the concept of using antiangiogenesis therapy for intracranial GBM. FAU - Szentirmai, Oszkar AU - Szentirmai O AD - Department of Genetics, Harvard Institutes of Medicine and Harvard Medical School, and Department of Pediatrics, Children's Hospital, Boston, MA, USA. FAU - Baker, Cheryl H AU - Baker CH FAU - Bullain, Szofia S AU - Bullain SS FAU - Lin, Ning AU - Lin N FAU - Takahashi, Masaya AU - Takahashi M FAU - Folkman, Judah AU - Folkman J FAU - Mulligan, Richard C AU - Mulligan RC FAU - Carter, Bob S AU - Carter BS LA - eng GR - K08 CA082773/CA/NCI NIH HHS/United States GR - K08 CA082773-01A1/CA/NCI NIH HHS/United States PT - Journal Article PL - United States TA - J Neurosurg JT - Journal of neurosurgery JID - 0253357 RN - 0 (Endostatins) RN - EC 2.7.10.1 (Vascular Endothelial Growth Factor Receptor-2) SB - IM MH - Adenoviridae MH - Animals MH - Apoptosis MH - Brain Neoplasms/*pathology MH - Endostatins/*administration & dosage/analysis/genetics MH - Genetic Vectors MH - Glioblastoma/*pathology MH - Humans MH - Immunohistochemistry MH - In Situ Nick-End Labeling MH - Male MH - Mice MH - Mice, Nude MH - Neoplasm Transplantation MH - Neovascularization, Pathologic/drug therapy MH - Transplantation, Heterologous MH - Vascular Endothelial Growth Factor Receptor-2/*administration & dosage/analysis/genetics PMC - PMC4459889 MID - NIHMS327136 EDAT- 2008/05/02 09:00 MHDA- 2008/06/25 09:00 PMCR- 2015/06/08 CRDT- 2008/05/02 09:00 PHST- 2008/05/02 09:00 [pubmed] PHST- 2008/06/25 09:00 [medline] PHST- 2008/05/02 09:00 [entrez] PHST- 2015/06/08 00:00 [pmc-release] AID - 10.3171/JNS/2008/108/5/0979 [doi] PST - ppublish SO - J Neurosurg. 2008 May;108(5):979-88. doi: 10.3171/JNS/2008/108/5/0979.