[PDF][PDF] Intratumoral myeloid cells regulate responsiveness and resistance to antiangiogenic therapy

LB Rivera, D Meyronet, V Hervieu, MJ Frederick… - Cell reports, 2015 - cell.com
LB Rivera, D Meyronet, V Hervieu, MJ Frederick, E Bergsland, G Bergers
Cell reports, 2015cell.com
Antiangiogenic therapy is commonly used in the clinic, but its beneficial effects are short-
lived, leading to tumor relapse within months. Here, we found that the efficacy of angiogenic
inhibitors targeting the VEGF/VEGFR pathway was dependent on induction of the
angiostatic and immune-stimulatory chemokine CXCL14 in mouse models of pancreatic
neuroendocrine and mammary tumors. In response, tumors reinitiated angiogenesis and
immune suppression by activating PI3K signaling in all CD11b+ cells, rendering tumors …
Summary
Antiangiogenic therapy is commonly used in the clinic, but its beneficial effects are short-lived, leading to tumor relapse within months. Here, we found that the efficacy of angiogenic inhibitors targeting the VEGF/VEGFR pathway was dependent on induction of the angiostatic and immune-stimulatory chemokine CXCL14 in mouse models of pancreatic neuroendocrine and mammary tumors. In response, tumors reinitiated angiogenesis and immune suppression by activating PI3K signaling in all CD11b+ cells, rendering tumors nonresponsive to VEGF/VEGFR inhibition. Adaptive resistance was also associated with an increase in Gr1+CD11b+ cells, but targeting Gr1+ cells was not sufficient to further sensitize angiogenic blockade because tumor-associated macrophages (TAMs) would compensate for the lack of such cells and vice versa, leading to an oscillating pattern of distinct immune-cell populations. However, PI3K inhibition in CD11b+ myeloid cells generated an enduring angiostatic and immune-stimulatory environment in which antiangiogenic therapy remained efficient.
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