Tumor refractoriness to anti-VEGF treatment is mediated by CD11b+Gr1+ myeloid cells
Abstract
Vascular endothelial growth factor (VEGF) is an essential regulator of normal and abnormal blood vessel growth. A monoclonal antibody (mAb) that targets VEGF suppresses tumor growth in murine cancer models and human patients. We investigated cellular and molecular events that mediate refractoriness of tumors to anti-angiogenic therapy. Inherent anti-VEGF refractoriness is associated with infiltration of the tumor tissue by CD11b+Gr1+ myeloid cells. Recruitment of these myeloid cells is also sufficient to confer refractoriness. Combining anti-VEGF treatment with a mAb that targets myeloid cells inhibits growth of refractory tumors more effectively than anti-VEGF alone. Gene expression analysis in CD11b+Gr1+ cells isolated from the bone marrow of mice bearing refractory tumors reveals higher expression of a distinct set of genes known to be implicated in active mobilization and recruitment of myeloid cells. These findings indicate that, in our models, refractoriness to anti-VEGF treatment is determined by the ability of tumors to prime and recruit CD11b+Gr1+ cells.
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CD11b+Gr1+ myeloid cells are a heterogeneous group with known roles in tumor angiogenesis and T cell immunosuppression.
“CD11b+Gr1+ myeloid cells are a heterogeneous group with previously identified roles in tumor angiogenesis and T cell immunosuppression (Gabrilovich and Nagaraj, 2009; Ostrand-Rosenberg and Sinha, 2009; Shojaei et al., 2007).”
From A CXCL1 Paracrine Network Links Cancer Chemoresistance and Metastasis (2012) · cites this paper as Shojaei et al., 2007
Immunosuppression contributes to resistance to antiangiogenesis treatments.
“emerging data suggest that immunosuppression, in turn, contributes to resistance to antiangiogenesis treatments37–39,41”
From Enhancing cancer immunotherapy using antiangiogenics: opportunities and challenges (2018) · cites this paper as [41]
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Angiogenesis Inhibitors for Colorectal Cancer. A Review of the Clinical Data
Hansen, T. F., Qvortrup, C., & Pfeiffer, P. (2021) · Cancers · doi:10.3390/cancers13051031 · Cited by 43 · see citing works
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von der Lippe Gythfeldt, H., Lien, T., Tekpli, X., Silwal‐Pandit, L., Borgen, E., Garred, Ø., Skjerven, H., Schlichting, E., Lundgren, S., Wist, E., et al. (2020) · International Journal of Cancer · doi:10.1002/ijc.33108 · Cited by 20 · see citing works
- Authors
- Shojaei, F., Wu, X., Malik, A. K., Zhong, C., Baldwin, M. E., Schanz, S., Fuh, G., Gerber, H.-P., & Ferrara, N.
- Affiliations
- Genentech (US)
- Corresponding author
- Shojaei, Farbod
- Ferrara, Napoleone
- ORCID
- Venue
- Nature Biotechnology
- Published
- 2007-07-29
- Volume
- 25
- Issue
- 8
- Pages
- 911-920
- ISSN
- 0733-222X (ISSN-L)
- 1087-0156
- 1546-1696
- OpenAlex
- W2139877124
- Cited by
- 849
- References
- 51
- Citations by year
- 2026: 7 · 2025: 16 · 2024: 17 · 2023: 26 · 2022: 21 · 2021: 32 · 2020: 34 · 2019: 27 · 2018: 37 · 2017: 56 · 2016: 60 · 2015: 49 · 2014: 66 · 2013: 81 · 2012: 73
- FWCI
- 22.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Biotechnology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Angiogenesis and VEGF in Cancer
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Health Sciences › Medicine › Hematology › Multiple Myeloma Research and Treatments
- Keywords
- anti-VEGF therapy, myeloid cell recruitment, anti-angiogenic therapy, combination therapy, tumor-associated myeloid cells, bone marrow gene expression
- MeSH terms
- Animals, Antineoplastic Agents, Leukemia, Myeloid, Mice, Inbred C57BL, Neovascularization, Pathologic, Treatment Outcome, Drug Resistance, Neoplasm, Receptors, Chemokine, CD11b Antigen, Vascular Endothelial Growth Factor A, Cell Line, Tumor, Mice
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