Deficiency for endoglin in tumor vasculature weakens the endothelial barrier to metastatic dissemination.

Deficiency for endoglin in tumor vasculature weakens the endothelial barrier to metastatic dissemination.
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DOI:
10.1084/jem.20120662
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发表时间:
2013-03-11
期刊:
The Journal of experimental medicine
影响因子:
--
通讯作者:
Pietras K
Pietras K
中科院分区:
其他
文献类型:
--
作者:
Anderberg C;Cunha SI;Zhai Z;Cortez E;Pardali E;Johnson JR;Franco M;Páez-Ribes M;Cordiner R;Fuxe J;Johansson BR;Goumans MJ;Casanovas O;ten Dijke P;Arthur HM;Pietras K

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Genetic deficiency for endoglin leads to increased metastatic capability by weakening the endothelial cell barrier. Therapy-induced resistance remains a significant hurdle to achieve long-lasting responses and cures in cancer patients. We investigated the long-term consequences of genetically impaired angiogenesis by engineering multiple tumor models deprived of endoglin, a co-receptor for TGF-β in endothelial cells actively engaged in angiogenesis. Tumors from endoglin-deficient mice adapted to the weakened angiogenic response, and refractoriness to diminished endoglin signaling was accompanied by increased metastatic capability. Mechanistic studies in multiple mouse models of cancer revealed that deficiency for endoglin resulted in a tumor vasculature that displayed hallmarks of endothelial-to-mesenchymal transition, a process of previously unknown significance in cancer biology, but shown by us to be associated with a reduced capacity of the vasculature to avert tumor cell intra- and extravasation. Nevertheless, tumors deprived of endoglin exhibited a delayed onset of resistance to anti-VEGF (vascular endothelial growth factor) agents, illustrating the therapeutic utility of combinatorial targeting of multiple angiogenic pathways for the treatment of cancer.
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