Abstract

ObjectivesTumor vasculature is structurally abnormal, with anatomical deformities, reduced pericyte coverage and low tissue perfusion. As a result of this vascular dysfunction, tumors are often hypoxic, which is associated with an aggressive tumor phenotype, and reduced delivery of therapeutic compounds to the tumor. We have previously shown that a peptide containing the thrombospondin-1 type I repeats (3TSR) specifically targets tumor vessels and induces vascular normalization in a mouse model of epithelial ovarian cancer (EOC). However, due to its small size, 3TSR is rapidly cleared from circulation. We now introduce a novel construct with the 3TSR peptide fused to the C-terminus of each of the two heavy chains of the Fc region of human IgG1 (Fc3TSR). We hypothesize that Fc3TSR will have greater anti-tumor activity in vitro and in vivo compared to the native compound. MethodsFc3TSR was evaluated in vitro using proliferation and apoptosis assays to investigate differences in efficacy compared to native 3TSR. In light of the multivalency of Fc3TSR, we also investigate whether it induces greater clustering of its functional receptor, CD36. We also compare the compounds in vivo using an orthotopic, syngeneic mouse model of advanced stage EOC. The impact of the two compounds on changes to tumor vasculature morphology was also investigated. ResultsFc3TSR significantly decreased the viability and proliferative potential of EOC cells and endothelial cells in vitro compared to native 3TSR. High-resolution imaging followed by image correlation spectroscopy demonstrated enhanced clustering of the CD36 receptor in cells treated with Fc3TSR. This was associated with enhanced downstream signaling and greater in vitro and in vivo cellular responses. Fc3TSR induced greater vascular normalization and disease regression compared to native 3TSR in an orthotopic, syngeneic mouse model of advanced stage ovarian cancer. ConclusionThe development of Fc3TSR which is greater in size, stable in circulation and enhances receptor activation compared to 3TSR, facilitates its translational potential as a therapy in the treatment of metastatic advanced stage ovarian cancer.

Highlights

  • Epithelial ovarian cancer (EOC) is the most common and the most lethal gynecological malignancy, characterized by late detection and low five-year survival rates

  • The development of Fc3TSR which is greater in size, stable in circulation and enhances receptor activation compared to 3TSR, facilitates its translational potential as a therapy in the treatment of metastatic advanced stage ovarian cancer

  • The concentrations of Fc3TSR in the plasma at different time points were determined by human IgG enzyme-linked immunosorbent assay (ELISA)

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Summary

Introduction

Epithelial ovarian cancer (EOC) is the most common and the most lethal gynecological malignancy, characterized by late detection and low five-year survival rates. The process of angiogenesis is closely regulated by a balance between stimulatory and inhibitory angiogenic factors. TSP-1 is a 450 kDa homotrimeric glycoprotein with six distinct types of modular domains [3] giving the protein multiple functions. TSP-1 regulates a multitude of processes, such as angiogenesis, cell proliferation, apoptosis, adhesion, migration and immunity [4,5,6]. While native TSP-1 exerts several functions that inhibit cancer progression, its large size and multiple biological activities pose considerable challenges to its development as a therapeutic compound. While some regions of TSP-1 inhibit angiogenesis, the N-terminal domain reportedly has pro-angiogenic activity [7]. Fragments of TSP-1, with smaller size and more defined function, could be important inhibitors of tumorigenesis

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