Abstract

ABSTRACTAngiosarcomas are a rare group of tumours which have poor prognosis and limited treatment options. The development of new therapies has been hampered by a lack of good preclinical models. Here, we describe the development of an autochthonous mouse model of angiosarcoma driven by loss of p53 in VE-cadherin-expressing endothelial cells. Using Cdh5-Cre to drive recombination in adult endothelial cells, mice developed angiosarcomas with 100% penetrance upon homozygous deletion of Trp53 with a median lifespan of 325 days. In contrast, expression of the R172H mutant p53 resulted in formation of thymic lymphomas with a more rapid onset (median lifespan 151 days). We also used Pdgfrb-Cre-expressing mice, allowing us to target predominantly pericytes, as these have been reported as the cell of origin for a number of soft tissue sarcomas. Pdgfrb-Cre also results in low levels of recombination in venous blood endothelial cells in multiple tissues during development. Upon deletion of Trp53 in Pdgfrb-Cre-expressing mice (Pdgfrb-Cre, Trp53fl/fl mice), 65% developed lymphomas and 21% developed pleomorphic undifferentiated soft tissue sarcomas. None developed angiosarcomas. In contrast, 75% of Pdgfrb-Cre, Trp53R172H/R172H mice developed angiosarcomas, with 60% of these mice also developing lymphomas. The median lifespan of the Pdgfrb-Cre, Trp53R172H/R172H mice was 151 days. Re-implantation of angiosarcoma tumour fragments from Cdh5-Cre, Trp53fl/fl mice provided a more consistent and rapid model of angiosarcoma than the two spontaneous models. The ability to passage tumour fragments through the mouse provides a novel model which is amenable to preclinical studies and will help the development of potential new therapies for angiosarcoma.

Highlights

  • IntroductionBut they develop following ionizing radiation and chronic lymphoedema

  • Angiosarcomas are rare but aggressive endothelial cell tumours

  • The predominant tumour type driven by Trp53R172H in the Cdh5-CreERT2 mice was lymphoma, in contrast to the angiosarcomas that developed in the Pdgfrb-Cre, Trp53R172H/R172H mice

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Summary

Introduction

But they develop following ionizing radiation and chronic lymphoedema. Received 19 December 2018; Accepted 13 June 2019 recurrence and metastasis, with limited treatment options such that the overall five year survival is ∼35% (Young et al, 2010). They typically express endothelial markers such as CD31 ( known as PECAM1) and vascular endothelial growth factor (VEGF) and, for this reason, there is interest in the use of anti-angiogenic therapies for their treatment.

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