New
agent may selectively destroy new blood vessel growth around malignant
tumors
Findings from research with mice indicate that a new drug formed by
linking a vascular endothelial growth factor to a toxin targets and
destroys the new vessels that provide blood flow to malignant tumors,
according to an article in the June 11th issue of the Proceedings
of the National Academy of Sciences (USA).
Dr. Michael Rosenblum, Professor
of Medicine at M. D. Anderson Cancer Center and senior author of
the study, said tests of Vascular Endothelial Growth Factor121/rGelonin
(or VEGF121/rGelonin) in mice demonstrated it could selectively
destroy blood vessels supplying human solid tumors without harming
the vasculature of normal tissue.
"This is like a 'Trojan
horse' approach to kill the blood vessels that supply solid tumors.
We're using the vascular endothelial growth factor as a carrier
to deliver a toxic agent selectively to the tumor's blood supply
-- in effect, starving the tumor," said Dr. Rosenblum.
In the current research, mice
were injected with human melanoma and human prostate cancer cells.
Tumor growth in mice that received the toxin linked to growth factor
was reduced to 16 percent of that observed in untreated mice, said
Dr. Philip Thorpe, who directed the tests.
"The anti-tumor effects
of the VEGF/rGelonin fusion construct against both melanoma and
human prostate cancer in mouse models was impressive in magnitude
and prolonged," Dr. Thorpe said. "These studies suggest
that VEGF/rGelonin has potential as an anti-tumor agent for treating
cancer patients."
A clinical trial to test the
new technique in patients is expected to begin within the year at
M. D. Anderson, Dr. Rosenblum said.
"The significance of this
fusion toxin is that it's not specific to one kind of tumor -- it
has impressive anti-tumor effects in various kinds of tumors --
including melanoma and prostate cancers," Dr. Rosenblum said.
"We need additional research to determine if it is equally
effective in other cancers."
In the mouse study, destruction
of the tumor blood vessels was observed as early as 48 hours after
administration of the agent. There was no visible damage in any
normal organs, including the kidneys, of the treated mice, Dr. Rosenblum
said.
"The receptors
for vascular endothelial growth factor are overexpressed on the
endothelium of tumor vasculature but are almost undetectable in
the adjacent normal tissue, so they make excellent targets for the
development of therapeutic agents that inhibit tumor growth and
metastatic spread by inhibiting the new blood vessel formation,"
Dr. Rosenblum said.
The researchers chose the genetically
engineered toxin gelonin to link to the growth factor carrier because
it does not appear to be antigenic in human clinical trials conducted
thus far at M. D. Anderson, and it does not cause damage to normal
blood vessels as do other toxins that have been explored for use
in anti-tumor therapies, Dr. Rosenblum said.
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