PMID- 10873065 OWN - NLM STAT- MEDLINE DCOM- 20001207 LR - 20211203 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 6 IP - 6 DP - 2000 Jun TI - Modulation of radiation response after epidermal growth factor receptor blockade in squamous cell carcinomas: inhibition of damage repair, cell cycle kinetics, and tumor angiogenesis. PG - 2166-74 AB - We have recently demonstrated that molecular blockade of the epidermal growth factor receptor with the anti-epidermal growth factor receptor (EGFR) monoclonal antibody C225 enhances the in vitro radiosensitivity of human squamous cell carcinomas (SCCs) derived from the head and neck. In the present study, we further investigated the capacity of C225 to modulate the in vitro and in vivo radiation response of human SCC tumor cells and xenografts, and we examined several potential mechanisms that may contribute to the enhanced radiation response induced by C225. Tumor xenograft studies demonstrated complete regression of both newly established (20 mm3) and well-established (100 mm3) SCC tumors over a 55-100 day follow-up period in athymic mice treated with the combination of C225 (i.p. injection) and radiation. Cell cycle analysis via flow cytometry confirmed that combined treatment with C225 and radiation induced an accumulation of cells in the more radiosensitive cell cycle phases (G1, G2-M) with concurrent reduction in the proportion of cells in the more radioresistant S phase. Results from sublethal damage repair and potentially lethal damage repair analyses in cultured SCC cells demonstrated a strong inhibitory effect of C225 on postradiation damage repair. Further, exposure of SCC cells to C225 induced a redistribution of DNA-dependent protein kinase from the nucleus to the cytosol, suggesting one potential mechanism whereby C225 may influence the cellular response to radiation. Immunohistochemical analysis of SCC tumor xenografts after systemic administration of C225 demonstrated inhibition of the in vivo expression of tumor angiogenesis markers, including vascular endothelial growth factor and Factor VIII. Taken together, the collective data suggest that the profound in vivo antitumor activity identified in the xenograft setting when C225 is combined with radiation derives from more than simply the antiproliferative and cell cycle effects of EGFR system inhibition. In addition to antiproliferative growth inhibition, EGFR blockade with C225 appears to influence the capacity of human SCCs to effect DNA repair after exposure to radiation, and to express classic markers of tumor angiogenesis. FAU - Huang, S M AU - Huang SM AD - Department of Human Oncology, University of Wisconsin School of Medicine and Comprehensive Cancer Center, Madison 53792-0600, USA. FAU - Harari, P M AU - Harari PM LA - eng GR - CA 66786/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. 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 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - 0 (DNA-Binding Proteins) RN - 0 (Endothelial Growth Factors) RN - 0 (Lymphokines) RN - 0 (Nuclear Proteins) RN - 0 (Proliferating Cell Nuclear Antigen) RN - 0 (Recombinant Fusion Proteins) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (Vascular Endothelial Growth Factors) RN - 9001-27-8 (Factor VIII) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.11.1 (DNA-Activated Protein Kinase) RN - EC 2.7.11.1 (PRKDC protein, human) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - PQX0D8J21J (Cetuximab) SB - IM MH - Animals MH - Antibodies, Monoclonal/*therapeutic use MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/*therapeutic use MH - Carcinoma, Squamous Cell/*drug therapy/*pathology/*radiotherapy MH - Cell Cycle/*drug effects/radiation effects MH - Cell Nucleus/metabolism MH - Cetuximab MH - Cytosol/metabolism MH - DNA Repair/drug effects/radiation effects MH - DNA-Activated Protein Kinase MH - *DNA-Binding Proteins MH - Dose-Response Relationship, Radiation MH - Endothelial Growth Factors/biosynthesis MH - ErbB Receptors/antagonists & inhibitors MH - Factor VIII/biosynthesis MH - Female MH - Flow Cytometry MH - Head and Neck Neoplasms/*drug therapy/*pathology/*radiotherapy MH - Humans MH - Immunoblotting MH - Immunohistochemistry MH - Kinetics MH - Lymphokines/biosynthesis MH - Mice MH - Mice, Nude MH - Neoplasm Transplantation MH - *Neovascularization, Pathologic MH - Nuclear Proteins MH - Proliferating Cell Nuclear Antigen/biosynthesis MH - Protein Serine-Threonine Kinases/biosynthesis MH - Radiation Tolerance MH - Recombinant Fusion Proteins/therapeutic use MH - Subcellular Fractions/metabolism MH - Time Factors MH - Tumor Cells, Cultured MH - Vascular Endothelial Growth Factor A MH - Vascular Endothelial Growth Factors EDAT- 2000/06/29 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/06/29 11:00 PHST- 2000/06/29 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/06/29 11:00 [entrez] PST - ppublish SO - Clin Cancer Res. 2000 Jun;6(6):2166-74.