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

Charlotte Anderberg, Sara I. Cunha, Zhenhua Zhai, Eliane Cortez, Evangelia Pardali, Jill R. Johnson, Marcela Franco, Marta Páez-Ribes, Ross Cordiner, Jonas Fuxe, Bengt R. Johansson, Marie José Goumans, Oriol Casanovas, Peter ten Dijke, Helen M. Arthur, Kristian Pietras*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)563-579
Number of pages17
JournalJournal of Experimental Medicine
Volume210
Issue number3
DOIs
Publication statusPublished - 11 Feb 2013

Bibliographical note

© 2013 Anderberg et al.
This article is distributed under the terms of an Attribution–Noncommercial–Share Alike–No Mirror Sites license for the first six months after the publication date (see http://www.rupress.org/terms). After six months it is available under a Creative Commons License (Attribution–Noncommercial–Share Alike 3.0 Unported license, as described at http://creativecommons.org/licenses/by-nc-sa/3.0/).

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