Targeting Metabolic Symbiosis to Overcome Resistance to Anti-angiogenic Therapy

Despite the approval of several anti-angiogenic therapies, clinical results remain unsatisfactory, and transient benefits are followed by rapid tumor recurrence. Here, we demonstrate potent anti-angiogenic efficacy of the multi-kinase inhibitors nintedanib and sunitinib in a mouse model of breast ca...

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Main Authors: Laura Pisarsky, Ruben Bill, Ernesta Fagiani, Sarah Dimeloe, Ryan William Goosen, Jörg Hagmann, Christoph Hess, Gerhard Christofori
Format: Article
Language:English
Published: Elsevier 2016-05-01
Series:Cell Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2211124716304417
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author Laura Pisarsky
Ruben Bill
Ernesta Fagiani
Sarah Dimeloe
Ryan William Goosen
Jörg Hagmann
Christoph Hess
Gerhard Christofori
author_facet Laura Pisarsky
Ruben Bill
Ernesta Fagiani
Sarah Dimeloe
Ryan William Goosen
Jörg Hagmann
Christoph Hess
Gerhard Christofori
author_sort Laura Pisarsky
collection DOAJ
description Despite the approval of several anti-angiogenic therapies, clinical results remain unsatisfactory, and transient benefits are followed by rapid tumor recurrence. Here, we demonstrate potent anti-angiogenic efficacy of the multi-kinase inhibitors nintedanib and sunitinib in a mouse model of breast cancer. However, after an initial regression, tumors resume growth in the absence of active tumor angiogenesis. Gene expression profiling of tumor cells reveals metabolic reprogramming toward anaerobic glycolysis. Indeed, combinatorial treatment with a glycolysis inhibitor (3PO) efficiently inhibits tumor growth. Moreover, tumors establish metabolic symbiosis, illustrated by the differential expression of MCT1 and MCT4, monocarboxylate transporters active in lactate exchange in glycolytic tumors. Accordingly, genetic ablation of MCT4 expression overcomes adaptive resistance against anti-angiogenic therapy. Hence, targeting metabolic symbiosis may be an attractive avenue to avoid resistance development to anti-angiogenic therapy in patients.
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spelling doaj.art-2e1f3cdad32948ae82dae8837ddcdd502022-12-22T01:04:43ZengElsevierCell Reports2211-12472016-05-011561161117410.1016/j.celrep.2016.04.028Targeting Metabolic Symbiosis to Overcome Resistance to Anti-angiogenic TherapyLaura Pisarsky0Ruben Bill1Ernesta Fagiani2Sarah Dimeloe3Ryan William Goosen4Jörg Hagmann5Christoph Hess6Gerhard Christofori7Department of Biomedicine, University of Basel, 4058 Basel, SwitzerlandDepartment of Biomedicine, University of Basel, 4058 Basel, SwitzerlandDepartment of Biomedicine, University of Basel, 4058 Basel, SwitzerlandDepartment of Biomedicine, University of Basel, 4058 Basel, SwitzerlandDepartment of Biomedicine, University of Basel, 4058 Basel, SwitzerlandDepartment of Biomedicine, University of Basel, 4058 Basel, SwitzerlandDepartment of Biomedicine, University of Basel, 4058 Basel, SwitzerlandDepartment of Biomedicine, University of Basel, 4058 Basel, SwitzerlandDespite the approval of several anti-angiogenic therapies, clinical results remain unsatisfactory, and transient benefits are followed by rapid tumor recurrence. Here, we demonstrate potent anti-angiogenic efficacy of the multi-kinase inhibitors nintedanib and sunitinib in a mouse model of breast cancer. However, after an initial regression, tumors resume growth in the absence of active tumor angiogenesis. Gene expression profiling of tumor cells reveals metabolic reprogramming toward anaerobic glycolysis. Indeed, combinatorial treatment with a glycolysis inhibitor (3PO) efficiently inhibits tumor growth. Moreover, tumors establish metabolic symbiosis, illustrated by the differential expression of MCT1 and MCT4, monocarboxylate transporters active in lactate exchange in glycolytic tumors. Accordingly, genetic ablation of MCT4 expression overcomes adaptive resistance against anti-angiogenic therapy. Hence, targeting metabolic symbiosis may be an attractive avenue to avoid resistance development to anti-angiogenic therapy in patients.http://www.sciencedirect.com/science/article/pii/S2211124716304417
spellingShingle Laura Pisarsky
Ruben Bill
Ernesta Fagiani
Sarah Dimeloe
Ryan William Goosen
Jörg Hagmann
Christoph Hess
Gerhard Christofori
Targeting Metabolic Symbiosis to Overcome Resistance to Anti-angiogenic Therapy
Cell Reports
title Targeting Metabolic Symbiosis to Overcome Resistance to Anti-angiogenic Therapy
title_full Targeting Metabolic Symbiosis to Overcome Resistance to Anti-angiogenic Therapy
title_fullStr Targeting Metabolic Symbiosis to Overcome Resistance to Anti-angiogenic Therapy
title_full_unstemmed Targeting Metabolic Symbiosis to Overcome Resistance to Anti-angiogenic Therapy
title_short Targeting Metabolic Symbiosis to Overcome Resistance to Anti-angiogenic Therapy
title_sort targeting metabolic symbiosis to overcome resistance to anti angiogenic therapy
url http://www.sciencedirect.com/science/article/pii/S2211124716304417
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