Vascular response patterns to targeted therapies in murine breast cancer models with divergent degrees of malignancy.

Immune checkpoint inhibition Magnetic resonance imaging Sorafenib Targeted therapy Tumor microenvironment Tumor vasculature

Journal

Breast cancer research : BCR
ISSN: 1465-542X
Titre abrégé: Breast Cancer Res
Pays: England
ID NLM: 100927353

Informations de publication

Date de publication:
23 05 2023
Historique:
received: 06 01 2023
accepted: 14 05 2023
medline: 25 5 2023
pubmed: 24 5 2023
entrez: 24 5 2023
Statut: epublish

Résumé

Response assessment of targeted cancer therapies is becoming increasingly challenging, as it is not adequately assessable with conventional morphological and volumetric analyses of tumor lesions. The tumor microenvironment is particularly constituted by tumor vasculature which is altered by various targeted therapies. The aim of this study was to noninvasively assess changes in tumor perfusion and vessel permeability after targeted therapy in murine models of breast cancer with divergent degrees of malignancy. Low malignant 67NR or highly malignant 4T1 tumor-bearing mice were treated with either the multi-kinase inhibitor sorafenib or immune checkpoint inhibitors (ICI, combination of anti-PD1 and anti-CTLA4). Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) with i.v. injection of albumin-binding gadofosveset was conducted on a 9.4 T small animal MRI. Ex vivo validation of MRI results was achieved by transmission electron microscopy, immunohistochemistry and laser ablation-inductively coupled plasma-mass spectrometry. Therapy-induced changes in tumor vasculature differed between low and highly malignant tumors. Sorafenib treatment led to decreased tumor perfusion and endothelial permeability in low malignant 67NR tumors. In contrast, highly malignant 4T1 tumors demonstrated characteristics of a transient window of vascular normalization with an increase in tumor perfusion and permeability early after therapy initiation, followed by decreased perfusion and permeability parameters. In the low malignant 67NR model, ICI treatment also mediated vessel-stabilizing effects with decreased tumor perfusion and permeability, while ICI-treated 4T1 tumors exhibited increasing tumor perfusion with excessive vascular leakage. DCE-MRI enables noninvasive assessment of early changes in tumor vasculature after targeted therapies, revealing different response patterns between tumors with divergent degrees of malignancy. DCE-derived tumor perfusion and permeability parameters may serve as vascular biomarkers that allow for repetitive examination of response to antiangiogenic treatment or immunotherapy.

Sections du résumé

BACKGROUND
Response assessment of targeted cancer therapies is becoming increasingly challenging, as it is not adequately assessable with conventional morphological and volumetric analyses of tumor lesions. The tumor microenvironment is particularly constituted by tumor vasculature which is altered by various targeted therapies. The aim of this study was to noninvasively assess changes in tumor perfusion and vessel permeability after targeted therapy in murine models of breast cancer with divergent degrees of malignancy.
METHODS
Low malignant 67NR or highly malignant 4T1 tumor-bearing mice were treated with either the multi-kinase inhibitor sorafenib or immune checkpoint inhibitors (ICI, combination of anti-PD1 and anti-CTLA4). Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) with i.v. injection of albumin-binding gadofosveset was conducted on a 9.4 T small animal MRI. Ex vivo validation of MRI results was achieved by transmission electron microscopy, immunohistochemistry and laser ablation-inductively coupled plasma-mass spectrometry.
RESULTS
Therapy-induced changes in tumor vasculature differed between low and highly malignant tumors. Sorafenib treatment led to decreased tumor perfusion and endothelial permeability in low malignant 67NR tumors. In contrast, highly malignant 4T1 tumors demonstrated characteristics of a transient window of vascular normalization with an increase in tumor perfusion and permeability early after therapy initiation, followed by decreased perfusion and permeability parameters. In the low malignant 67NR model, ICI treatment also mediated vessel-stabilizing effects with decreased tumor perfusion and permeability, while ICI-treated 4T1 tumors exhibited increasing tumor perfusion with excessive vascular leakage.
CONCLUSION
DCE-MRI enables noninvasive assessment of early changes in tumor vasculature after targeted therapies, revealing different response patterns between tumors with divergent degrees of malignancy. DCE-derived tumor perfusion and permeability parameters may serve as vascular biomarkers that allow for repetitive examination of response to antiangiogenic treatment or immunotherapy.

Identifiants

pubmed: 37221619
doi: 10.1186/s13058-023-01658-9
pii: 10.1186/s13058-023-01658-9
pmc: PMC10207609
doi:

Substances chimiques

Sorafenib 9ZOQ3TZI87
Albumins 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

56

Informations de copyright

© 2023. The Author(s).

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Auteurs

Emily Hoffmann (E)

Clinic of Radiology, University of Münster, Münster, Germany. emily.hoffmann@ukmuenster.de.

Mirjam Gerwing (M)

Clinic of Radiology, University of Münster, Münster, Germany.

Tobias Krähling (T)

Clinic of Radiology, University of Münster, Münster, Germany.

Uwe Hansen (U)

Institute for Musculoskeletal Medicine, University of Münster, Münster, Germany.

Katharina Kronenberg (K)

Institute of Inorganic and Analytical Chemistry, University of Münster, Münster, Germany.

Max Masthoff (M)

Clinic of Radiology, University of Münster, Münster, Germany.

Christiane Geyer (C)

Clinic of Radiology, University of Münster, Münster, Germany.

Carsten Höltke (C)

Clinic of Radiology, University of Münster, Münster, Germany.

Lydia Wachsmuth (L)

Clinic of Radiology, University of Münster, Münster, Germany.

Regina Schinner (R)

Department of Radiology, University Hospital, LMU Munich, Munich, Germany.

Verena Hoerr (V)

Clinic of Radiology, University of Münster, Münster, Germany.
Heart Center Bonn, Department of Internal Medicine II, University Hospital Bonn, Bonn, Germany.

Walter Heindel (W)

Clinic of Radiology, University of Münster, Münster, Germany.

Uwe Karst (U)

Institute of Inorganic and Analytical Chemistry, University of Münster, Münster, Germany.

Michel Eisenblätter (M)

Clinic of Radiology, University of Münster, Münster, Germany.
Department of Diagnostic and Interventional Radiology, Medical Faculty OWL, University of Bielefeld, Bielefeld, Germany.

Bastian Maus (B)

Clinic of Radiology, University of Münster, Münster, Germany.

Anne Helfen (A)

Clinic of Radiology, University of Münster, Münster, Germany.

Cornelius Faber (C)

Clinic of Radiology, University of Münster, Münster, Germany.

Moritz Wildgruber (M)

Clinic of Radiology, University of Münster, Münster, Germany.
Department of Radiology, University Hospital, LMU Munich, Munich, Germany.

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