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Blood, 15 December 2002, Vol. 100, No. 13, pp. 4622-4628
NEOPLASIA
In vivo administration of vascular endothelial growth factor
(VEGF) and its antagonist, soluble neuropilin-1, predicts a role of
VEGF in the progression of acute myeloid leukemia in
vivo
Gunter Schuch,
Marcelle Machluf,
Georg Bartsch Jr,
Masashi Nomi,
Henri Richard,
Anthony Atala, and
Shay Soker
From the Department of Urology, Laboratory for Cellular
Therapeutics, Children's Hospital, Boston, MA.
Recent findings implied that the progression of hematologic
malignancies, like that of solid tumors, is dependent on
neovascularization. Recent studies on patients with acute myeloid
leukemia (AML) showed increased levels of leukocyte-associated vascular
endothelial growth factor (VEGF) and neovascularization of the bone
marrow. Murine (32D, M1) and human (HEL, U937, and UKE-1) leukemic cell lines and freshly isolated leukemic cells were analyzed for the expression of VEGF and VEGF receptor mRNA. The expression of VEGF and
VEGF receptors KDR and neuropilin-1 (NRP-1) was detected in these
cells. In a murine chloroma model, delivery of VEGF165
using microencapsulation technology resulted in enhanced tumor growth and vascularization, whereas treatment with a VEGF antagonist soluble
NRP-1 (sNRP-1) inhibited tumor angiogenesis and growth. In a systemic
leukemia model, survival of mice injected with adenovirus (Ad) encoding
for Fc-sNRP-1 (sNRP-1 dimer) was significantly prolonged as compared
with mice injected with Ad-LacZ. Further analyses showed a reduction in
circulating leukemic cells and infiltration of liver and spleen as well
as bone marrow neovascularization and cellularity. Taken together,
these results demonstrate that angiogenic factors such as VEGF promote
AML progression in vivo. The use of VEGF antagonists as an
antiangiogenesis approach offers a potential treatment for AML.
Finally, our novel in vivo drug delivery model may be useful for
testing the activities of other peptide antiangiogenic factors.

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