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Blood, 15 December 2008, Vol. 112, No. 13, pp. 4940-4947. Prepublished online as a Blood First Edition Paper on May 30, 2008; DOI 10.1182/blood-2007-09-113878.
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY Angiostatic activity of the antitumor cytokine interleukin-211 Angiogenesis Laboratory, School for Oncology and Developmental Biology, Departments of Pathology and Internal Medicine, Maastricht University and University Hospital, Maastricht, The Netherlands; 2 Laboratory of Molecular Immunology, National Heart, Lung, and Blood Institute, National Institute of Health, Bethesda, MD; and 3 Department of Immunology, Roswell Park Cancer Institute, Buffalo, NY Interleukin-21 (IL-21) is a recently described immunoregulatory cytokine. It has been identified as a very potent immunotherapeutic agent in several cancer types in animal models, and clinical studies are ongoing. IL-21 belongs to the type I cytokine family of which other members, ie, IL-2, IL-15, and IL-4, have been shown to exert activities on vascular endothelial cells (ECs). We hypothesized that IL-21, in addition to inducing the antitumor immune response, also inhibits tumor angiogenesis. In vitro experiments showed a decrease of proliferation and sprouting of activated ECs after IL-21 treatment. We found that the IL-21 receptor is expressed on vascular ECs. Furthermore, in vivo studies in the chorioallantoic membrane of the chick embryo and in mouse tumors demonstrated that IL-21 treatment disturbs vessel architecture and negatively affects vessel outgrowth. Our results also confirm the earlier suggested angiostatic potential of IL-2 in vitro and in vivo. The angiostatic effect of IL-21 is confirmed by the decrease in expression of angiogenesis-related genes. Interestingly, IL-21 treatment of ECs leads to a decrease of Stat3 phosphorylation. Our research shows that IL-21 is a very powerful antitumor compound that combines the induction of an effective antitumor immune response with inhibition of tumor angiogenesis.
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