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מדינת ישראל STATE OF ISRAEL MINISTRY OF HEALTH CHIEF SCIENTIST OFFICE JERUSALEM משרד הבריאות לשכת המדען הראשי ירושלים Research Number: 300000-6039 Title: The role of cancer stem cells in angiogenesis following cytotoxic drug therapy. Principal Investigator: Yuval Shaked Institute: Technion Other Author(s): Institute(s): Year (Start): 2010 Year (End): 2012 Background: Tumor initiating cells (TICs) which probably display the only cells in the tumor with a proliferative capacity, have been shown to induce angiogenesis. We hypothesized that tumors enriched with TICs following chemotherapy, can induce angiogenesis, and may promote tumor re-growth. Research Hypothesis: TIC may contribute to angiogenesis and vasculogenesis. Aims: Study the angiogenic and vaculogenic profile of TICs of various tumor types, and assess the effects of antiangiogenic drugs on the TIC population. Methods: To test this, we generated cultures of human cell-lines of glioma (U87), colon (HT29), and pancreatic (PANC1) cancers either as monolayers (‘TIC-low’) or as tumorspheres (‘TIC-high’). The efficacy of antiangiogenic drug was evaluated on tumor bearing mice, and levels of TICs was tested in treated tumors. Results: We demonstrate that TIC-high consists of stem-cell properties by means of stem-cell surface markers, aldehyde-dehydrogenase activity, P21 expression, and resistance to standard therapy. TIC-high conditioned media (CM) of U87 and HT29 but not of PANC1 significantly induced angiogenesis in vitro and in Matrigel plugs containing CM, as opposed to TIC-low CM. Interestingly, the addition of an antiangiogenic drug to TIC-high CM of U87 and HT29, but not TIC-high nor TIC-low CM of PANC1 inhibited microvessel sprouting. Mouse studies investigating the angiogenesis properties of TICs from U87 and PANC1 following chemotherapy and antiangiogenic therapy revealed that antiangiogenic drug therapy is effective in U87 but not PANC1. In addition, TICs from a variety of glioblastoma cells revealed a significant change in the angiogenesis profile, and as a result, diverse affect of antiangiogenic drugs was observed in such conditions. Discussion and conclusions: Our results may suggest that both glioma and colon carcinoma, but not pancreatic adenocarcinoma, can induce angiogenesis following chemotherapy, which may explain why antiangiogenic drugs show additional treatment benefits in such cancers. Our results also suggest that TICs enriched from different tumors can predict clinical outcome of antiangiogenic drug based on their angiogenesis profile. Keywords: antiangiogenic drugs, tumor initiating cells, bone marrow derived cells, cancer stem cells. The State of Israel Ministry of Health Chief Scientist Office Israeli Medical Abstracts Repository (IMAR) J Publications associated with the project: 1. Enhanced anti-tumor activity and safety profile of targeted nano-scaled HPMA copolymer-alendronate-TNP-470 conjugate in the treatment of bone malignances. Segal E, Pan H, Benayoun L, Kopečková P, Shaked Y, Kopeček J, Satchi-Fainaro R. Biomaterials. 2011 Jul;32(19):4450-63. 2. Host response to short-term, single-agent chemotherapy induces matrix metalloproteinase-9 expression and accelerates metastasis in mice. Gingis-Velitski S, Loven D, Benayoun L, Munster M, Bril R, Voloshin T, Alishekevitz D, Bertolini F, Shaked Y. Cancer Res. 2011 Nov 15;71(22):6986-96. 3. G-CSF supplementation with chemotherapy can promote revascularization and subsequent tumor regrowth: prevention by a CXCR4 antagonist. Voloshin T, GingisVelitski S, Bril R, Benayoun L, Munster M, Milsom C, Man S, Kerbel RS, Shaked Y. Blood. 2011 Sep 22;118(12):3426-35. 02-6725833 פקס,02-5681208/9 טלפון,91010 ירושלים2 טבאי- רח' בן: למכתבים. תלפיות ירושלים,29 רח' רבקה 29 Rivka St. Talpiot, Jerusalem, Mailing address: 2 Ben-Tabai St. Jerusalem 91010, Israel Tel.: 972-2-568-1208/9, Fax: 972-2-672-5833 e-mail address: [email protected]