Targeting acid sphingomyelinase with anti-angiogenic chemotherapy.

Targeting acid sphingomyelinase with anti-angiogenic chemotherapy.
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DOI:
10.1016/j.cellsig.2016.09.010
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发表时间:
2017-01
影响因子:
4.8
通讯作者:
Haimovitz-Friedman A
Haimovitz-Friedman A
中科院分区:
生物学2区
文献类型:
--
作者:
Jacobi J;García-Barros M;Rao S;Rotolo JA;Thompson C;Mizrachi A;Feldman R;Manova K;Bielawska A;Bielawska J;Fuks Z;Kolesnick R;Haimovitz-Friedman A

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Despite great promise, combining anti-angiogenic and conventional anti-cancer drugs has produced limited therapeutic benefit in clinical trials, presumably because mechanisms of anti-angiogenic tissue response remain only partially understood. Here we define a new paradigm, in which anti-angiogenic drugs can be used to chemosensitize tumors by targeting the endothelial acid sphingomyelinase (ASMase) signal transduction pathway. We demonstrate that paclitaxel and etoposide, but not cisplatin, confer ASMase-mediated endothelial injury within minutes. This rapid reaction is required for human HCT-116 colon cancer xenograft complete response and growth delay. Whereas VEGF inhibits ASMase, anti-VEGFR2 antibodies de-repress ASMase, enhancing endothelial apoptosis and drug-induced tumor response in asmase+/+, but not in asmase−/−, hosts. Such chemosensitization occurs only if the anti-angiogenic drug is delivered 1–2 hours before chemotherapy, but at no other time prior to or post chemotherapy. Our studies suggest that precisely-timed administration of anti-angiogenic drugs in combination with ASMase-targeting anti-cancer drugs is likely to optimize anti-tumor effects of systemic chemotherapy. This strategy warrants evaluation in future clinical trials.
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