Soluble CD146, a biomarker and a target for preventing resistance to anti-angiogenic therapy in glioblastoma

Abstract Rationale Glioblastoma multiforme (GBM) is a primary brain tumor with poor prognosis. The U.S. food and drug administration approved the use of the anti-VEGF antibody bevacizumab in recurrent GBM. However, resistance to this treatment is frequent and fails to enhance the overall survival of...

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Main Authors: Ahmad Joshkon, Emeline Tabouret, Wael Traboulsi, Richard Bachelier, Stéphanie Simoncini, Sandrine Roffino, Carine Jiguet-Jiglaire, Bassam Badran, Benjamin Guillet, Alexandrine Foucault-Bertaud, Aurelie S. Leroyer, Françoise Dignat-George, Olivier Chinot, Hussein Fayyad-Kazan, Nathalie Bardin, Marcel Blot-Chabaud
Format: Article
Language:English
Published: BMC 2022-10-01
Series:Acta Neuropathologica Communications
Subjects:
Online Access:https://doi.org/10.1186/s40478-022-01451-3
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author Ahmad Joshkon
Emeline Tabouret
Wael Traboulsi
Richard Bachelier
Stéphanie Simoncini
Sandrine Roffino
Carine Jiguet-Jiglaire
Bassam Badran
Benjamin Guillet
Alexandrine Foucault-Bertaud
Aurelie S. Leroyer
Françoise Dignat-George
Olivier Chinot
Hussein Fayyad-Kazan
Nathalie Bardin
Marcel Blot-Chabaud
author_facet Ahmad Joshkon
Emeline Tabouret
Wael Traboulsi
Richard Bachelier
Stéphanie Simoncini
Sandrine Roffino
Carine Jiguet-Jiglaire
Bassam Badran
Benjamin Guillet
Alexandrine Foucault-Bertaud
Aurelie S. Leroyer
Françoise Dignat-George
Olivier Chinot
Hussein Fayyad-Kazan
Nathalie Bardin
Marcel Blot-Chabaud
author_sort Ahmad Joshkon
collection DOAJ
description Abstract Rationale Glioblastoma multiforme (GBM) is a primary brain tumor with poor prognosis. The U.S. food and drug administration approved the use of the anti-VEGF antibody bevacizumab in recurrent GBM. However, resistance to this treatment is frequent and fails to enhance the overall survival of patients. In this study, we aimed to identify novel mechanism(s) responsible for bevacizumab-resistance in CD146-positive glioblastoma. Methods The study was performed using sera from GBM patients and human GBM cell lines in culture or xenografted in nude mice. Results We found that an increase in sCD146 concentration in sera of GBM patients after the first cycle of bevacizumab treatment was significantly associated with poor progression free survival and shorter overall survival. Accordingly, in vitro treatment of CD146-positive glioblastoma cells with bevacizumab led to a high sCD146 secretion, inducing cell invasion. These effects were mediated through integrin αvβ3 and were blocked by mucizumab, a novel humanized anti-sCD146 antibody. In vivo, the combination of bevacizumab with mucizumab impeded CD146 + glioblastoma growth and reduced tumor cell dissemination to an extent significantly higher than that observed with bevacizumab alone. Conclusion We propose sCD146 to be 1/ an early biomarker to predict and 2/ a potential target to prevent bevacizumab resistance in patients with glioblastoma.
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spelling doaj.art-4d1eae0ff4d841e7be8d966be7f7fe122022-12-22T04:33:17ZengBMCActa Neuropathologica Communications2051-59602022-10-0110111210.1186/s40478-022-01451-3Soluble CD146, a biomarker and a target for preventing resistance to anti-angiogenic therapy in glioblastomaAhmad Joshkon0Emeline Tabouret1Wael Traboulsi2Richard Bachelier3Stéphanie Simoncini4Sandrine Roffino5Carine Jiguet-Jiglaire6Bassam Badran7Benjamin Guillet8Alexandrine Foucault-Bertaud9Aurelie S. Leroyer10Françoise Dignat-George11Olivier Chinot12Hussein Fayyad-Kazan13Nathalie Bardin14Marcel Blot-Chabaud15Aix-Marseille University, INSERM1263, INRAE1260, C2VNAix-Marseille University, APHM, CNRS, INP, Service de Neuro-Oncologie CHU TimoneAix-Marseille University, INSERM1263, INRAE1260, C2VNAix-Marseille University, INSERM1263, INRAE1260, C2VNAix-Marseille University, INSERM1263, INRAE1260, C2VNCNRS, ISM UMR 7287, Aix-Marseille UniversityAix-Marseille University, APHM, CNRS, INP, Service de Neuro-Oncologie CHU TimoneLaboratory of Cancer Biology and Molecular Immunology, Faculty of Science, Lebanese UniversityAix-Marseille University, INSERM1263, INRAE1260, C2VNAix-Marseille University, INSERM1263, INRAE1260, C2VNAix-Marseille University, INSERM1263, INRAE1260, C2VNAix-Marseille University, INSERM1263, INRAE1260, C2VNAix-Marseille University, APHM, CNRS, INP, Service de Neuro-Oncologie CHU TimoneLaboratory of Cancer Biology and Molecular Immunology, Faculty of Science, Lebanese UniversityAix-Marseille University, INSERM1263, INRAE1260, C2VNAix-Marseille University, INSERM1263, INRAE1260, C2VNAbstract Rationale Glioblastoma multiforme (GBM) is a primary brain tumor with poor prognosis. The U.S. food and drug administration approved the use of the anti-VEGF antibody bevacizumab in recurrent GBM. However, resistance to this treatment is frequent and fails to enhance the overall survival of patients. In this study, we aimed to identify novel mechanism(s) responsible for bevacizumab-resistance in CD146-positive glioblastoma. Methods The study was performed using sera from GBM patients and human GBM cell lines in culture or xenografted in nude mice. Results We found that an increase in sCD146 concentration in sera of GBM patients after the first cycle of bevacizumab treatment was significantly associated with poor progression free survival and shorter overall survival. Accordingly, in vitro treatment of CD146-positive glioblastoma cells with bevacizumab led to a high sCD146 secretion, inducing cell invasion. These effects were mediated through integrin αvβ3 and were blocked by mucizumab, a novel humanized anti-sCD146 antibody. In vivo, the combination of bevacizumab with mucizumab impeded CD146 + glioblastoma growth and reduced tumor cell dissemination to an extent significantly higher than that observed with bevacizumab alone. Conclusion We propose sCD146 to be 1/ an early biomarker to predict and 2/ a potential target to prevent bevacizumab resistance in patients with glioblastoma.https://doi.org/10.1186/s40478-022-01451-3Soluble CD146BiomarkerTherapeutic antibodyBevacizumabGlioblastoma
spellingShingle Ahmad Joshkon
Emeline Tabouret
Wael Traboulsi
Richard Bachelier
Stéphanie Simoncini
Sandrine Roffino
Carine Jiguet-Jiglaire
Bassam Badran
Benjamin Guillet
Alexandrine Foucault-Bertaud
Aurelie S. Leroyer
Françoise Dignat-George
Olivier Chinot
Hussein Fayyad-Kazan
Nathalie Bardin
Marcel Blot-Chabaud
Soluble CD146, a biomarker and a target for preventing resistance to anti-angiogenic therapy in glioblastoma
Acta Neuropathologica Communications
Soluble CD146
Biomarker
Therapeutic antibody
Bevacizumab
Glioblastoma
title Soluble CD146, a biomarker and a target for preventing resistance to anti-angiogenic therapy in glioblastoma
title_full Soluble CD146, a biomarker and a target for preventing resistance to anti-angiogenic therapy in glioblastoma
title_fullStr Soluble CD146, a biomarker and a target for preventing resistance to anti-angiogenic therapy in glioblastoma
title_full_unstemmed Soluble CD146, a biomarker and a target for preventing resistance to anti-angiogenic therapy in glioblastoma
title_short Soluble CD146, a biomarker and a target for preventing resistance to anti-angiogenic therapy in glioblastoma
title_sort soluble cd146 a biomarker and a target for preventing resistance to anti angiogenic therapy in glioblastoma
topic Soluble CD146
Biomarker
Therapeutic antibody
Bevacizumab
Glioblastoma
url https://doi.org/10.1186/s40478-022-01451-3
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