Abstract
Since growing tumors stimulate angiogenesis, via vascular endothelial growth factor (VEGF), angiogenesis inhibitors (AIs, blockers of the VEGF signaling pathway) have been introduced to cancer therapy. However, AIs often yielded only modest and short-lived gains in cancer patients and more invasive tumor phenotypes in animal models. Combining anti-VEGF strategies with lactate uptake blockers may boost both efficacy and safety of AIs. We assessed this hypothesis by using the ex ovo chorioallantoic membrane (CAM) assay. We show that AI-based monotherapy (Avastin®, AVA) increases tumor hypoxia in human CAM cancer cell xenografts and cell spread in human as well as canine CAM cancer cell xenografts. In contrast, combining AVA treatment with lactate importer MCT1 inhibitors (α-cyano-4-hydroxycinnamic acid (CHC) or AZD3965 (AZD)) reduced both tumor growth and cell dissemination of human and canine explants. Moreover, combining AVA+AZD diminished blood perfusion and tumor hypoxia in human explants. Thus, the ex ovo CAM assay as an easy, fast and cheap experimental setup is useful for pre-clinical cancer research. Moreover, as an animal-free experimental setup the CAM assay can reduce the high number of laboratory animals used in pre-clinical cancer research.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Angiogenesis Inhibitors / pharmacology*
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Animals
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Cell Line, Tumor
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Chick Embryo
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Chorioallantoic Membrane* / blood supply
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Chorioallantoic Membrane* / metabolism
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Chorioallantoic Membrane* / pathology
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Dogs
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Humans
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Mice
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Monocarboxylic Acid Transporters / antagonists & inhibitors
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Monocarboxylic Acid Transporters / metabolism
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Neoplasm Proteins / antagonists & inhibitors
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Neoplasm Proteins / metabolism
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Neoplasms, Experimental* / blood supply
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Neoplasms, Experimental* / drug therapy
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Neoplasms, Experimental* / metabolism
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Neoplasms, Experimental* / pathology
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Neovascularization, Pathologic* / drug therapy
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Neovascularization, Pathologic* / metabolism
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Neovascularization, Pathologic* / pathology
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Oxygen Consumption / drug effects*
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Pyrimidinones / pharmacology*
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Symporters / antagonists & inhibitors
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Symporters / metabolism
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Thiophenes / pharmacology*
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Xenograft Model Antitumor Assays
Substances
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AZD3965
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Angiogenesis Inhibitors
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Monocarboxylic Acid Transporters
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Neoplasm Proteins
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Pyrimidinones
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Symporters
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Thiophenes
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monocarboxylate transport protein 1
Grants and funding
TAG: Krebsliga Zürich and Marie-Louise von Muralt-Stiftung für Kleintiere HA: Swisslife MG: Stiftung für wissenschaftliche Forschung an der Universität Zürich The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.