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Publication : Endothelial p130cas confers resistance to anti-angiogenesis therapy.

First Author  Wen Y Year  2022
Journal  Cell Rep Volume  38
Issue  4 Pages  110301
PubMed ID  35081345 Mgi Jnum  J:327101
Mgi Id  MGI:6879584 Doi  10.1016/j.celrep.2022.110301
Citation  Wen Y, et al. (2022) Endothelial p130cas confers resistance to anti-angiogenesis therapy. Cell Rep 38(4):110301
abstractText  Anti-angiogenic therapies, such as anti-VEGF antibodies (AVAs), have shown promise in clinical settings. However, adaptive resistance to such therapies occurs frequently. We use orthotopic ovarian cancer models with AVA-adaptive resistance to investigate the underlying mechanisms. Genomic profiling of AVA-resistant tumors guides us to endothelial p130cas. We find that bevacizumab induces cleavage of VEGFR2 in endothelial cells by caspase-10 and that VEGFR2 fragments internalize into the nucleus and autophagosomes. Nuclear VEGFR2 and p130cas fragments, together with TNKS1BP1 (tankyrase-1-binding protein), initiate endothelial cell death. Blockade of autophagy in AVA-resistant endothelial cells retains VEGFR2 at the membrane with bevacizumab treatment. Targeting host p130cas with RGD (Arg-Gly-Asp)-tagged nanoparticles or genomic ablation of vascular p130cas in p130cas(flox/flox)Tie2(Cre) mice significantly extends the survival of mice with AVA-resistant ovarian tumors. Higher vascular p130cas is associated with shorter survival of individuals with ovarian cancer. Our findings identify opportunities for new strategies to overcome adaptive resistance to AVA therapy.
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