Intratumoral myeloid cells regulate responsiveness and resistance to antiangiogenic therapy.

Intratumoral myeloid cells regulate responsiveness and resistance to antiangiogenic therapy.
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DOI:
10.1016/j.celrep.2015.03.055
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发表时间:
2015-04-28
期刊:
影响因子:
8.8
通讯作者:
Bergers G
Bergers G
中科院分区:
生物学1区
文献类型:
--
作者:
Rivera LB;Meyronet D;Hervieu V;Frederick MJ;Bergsland E;Bergers G

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Antiangiogenic therapy is commonly used in the clinic but its beneficial effects are short-lived leading to tumor relapse within months. Here, we demonstrate that the efficacy of angiogenic inhibitors targeting the VEGF/VEGFR pathway is dependent on the induction of the angiostatic and immunestimulatory 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 non-responsive 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 as TAM would compensate for their lack 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 anti-angiogenic therapy remained efficient.
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