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Publication : Periostin Limits Tumor Response to VEGFA Inhibition.

First Author  Keklikoglou I Year  2018
Journal  Cell Rep Volume  22
Issue  10 Pages  2530-2540
PubMed ID  29514082 Mgi Jnum  J:270734
Mgi Id  MGI:6278672 Doi  10.1016/j.celrep.2018.02.035
Citation  Keklikoglou I, et al. (2018) Periostin Limits Tumor Response to VEGFA Inhibition. Cell Rep 22(10):2530-2540
abstractText  Resistance to antiangiogenic drugs limits their applicability in cancer therapy. Here, we show that revascularization and progression of pancreatic neuroendocrine tumors (PNETs) under extended vascular-endothelial growth factor A (VEGFA) blockade are dependent on periostin (POSTN), a matricellular protein expressed by stromal cells. Genetic deletion of Postn in RIP1-Tag2 mice blunted tumor rebounds of M2-like macrophages and alphaSMA(+) stromal cells in response to prolonged VEGFA inhibition and suppressed PNET revascularization and progression on therapy. POSTN deficiency also impeded the upregulation of basic fibroblast growth factor (FGF2), an adaptive mechanism previously implicated in PNET evasion from antiangiogenic therapy. Higher POSTN expression correlated with markers of M2-like macrophages in human PNETs, and depleting macrophages with a colony-stimulating factor 1 receptor (CSF1R) antibody inhibited PNET revascularization and progression under VEGFA blockade despite continued POSTN production. These findings suggest a role for POSTN in orchestrating resistance to anti-VEGFA therapy in PNETs.
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