© 2003 by Oxford University Press
Journal of the National Cancer Institute, Vol. 95, No. 6, 437-448,
March 19, 2003
© 2003 Oxford University Press
ARTICLE |
Effects of Interferon Alpha on Vascular Endothelial Growth Factor Gene Transcription and Tumor Angiogenesis
Affiliations of authors: Z. von Marschall, A. Scholz, T. Cramer, G. Schäfer, B. Wiedenmann, M. Höcker, S. Rosewicz, Department of Hepatology, Gastroenterology, Endocrinology and Metabolism, Charité, Campus Virchow-Klinikum, Humboldt-University, Berlin, Germany; M. Schirner, Corporate Research, Schering AG, Berlin; K. Öberg, Department of Internal Medicine, University Hospital, Uppsala, Sweden.
Correspondence to: Stefan Rosewicz, M.D., Department of Hepatology, Gastroenterology, Endocrinology and Metabolism, Charité, Campus Virchow-Klinikum, Humboldt-University, Augustenburger Platz 1, 13353 Berlin, Germany (e-mail: stefan.rosewicz{at}charite.de).
Background: Interferon alpha (IFN-
) has antiangiogenic activity, although the underlying mechanism of action is unclear. Because human neuroendocrine (NE) tumors are highly vascularized and sensitive to IFN-
, we investigated whether the therapeutic effects of IFN-
result from an inhibition of angiogenesis mediated by a decrease in vascular endothelial growth factor (VEGF) gene expression. Methods: VEGF gene and protein expression was analyzed in NE tumors by immunohistochemistry and in NE tumor cell lines by quantitative competitive reverse transcriptionpolymerase chain reaction (RTPCR) and enzyme-linked immunosorbent assay (ELISA). VEGF promoterreporter gene constructs containing various deletions or mutations and gel shift assays were used to identify minimal promoter requirements and potential transcription factors. A xenograft nude mouse model (five mice per group) was used to determine the effect of IFN-
on tumor growth (NE Bon cells and pancreatic Capan-1 cells) and microvessel density. Liver metastases from eight patients with NE tumors were analyzed for microvessel density, VEGF mRNA content, and VEGF plasma levels before and after initiation of IFN-
therapy. Results: NE tumors and cell lines expressed VEGF mRNA and secreted VEGF protein. In vitro, IFN-
decreased transcription of VEGF gene expression through an Sp1- and/or Sp3-dependent inhibition of VEGF promoter activity. Compared with vehicle treatment in mice, IFN-
inhibited tumor growth by 36% and reduced microvessel density from 56 (95% confidence interval [CI] = 49 to 69) to 37 per x400 Field (95% CI = 32 to 41, P = .015). Patients with NE tumors had lower VEGF plasma levels and reduced VEGF mRNA levels and microvessel density in liver metastasis biopsy material after IFN-
treatment. Conclusion: IFN-
confers its antitumor activity, at least in part, by its antiangiogenic activity, which results from Sp1- and/or Sp3-mediated inhibition of VEGF gene transcription.
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