Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Blood outgrowth endothelial cell-based systemic delivery of antiangiogenic gene therapy for solid tumors

Abstract

Endothelial cells and endothelial cell precursors encoding a therapeutic gene have induced antitumor responses in preclinical models. Culture of peripheral blood provides a rich supply of autologous, highly proliferative endothelial cells, also referred to as blood outgrowth endothelial cells (BOECs). The aim of this study was to evaluate a novel antiangiogenic strategy using BOECs expressing fms-like tyrosine kinase-1 (sFlt1) and/or angiostatin–endostatin (AE) fusion protein. Conditioned medium from BOECs expressing sFlt1 or AE suppressed in vitro growth of pulmonary vein endothelial cells by 70% compared with conditioned medium from non-transduced BOEC controls. Reverse transcriptase-PCR analysis indicated that systemically administered BOECs proliferated in tumor tissue relative to other organs in C3(1)SV40 TAG transgenic (C3TAG) mice with spontaneous mammary tumors. Tumor volume was reduced by half in C3TAG mice and in mice bearing established lung or pancreatic tumors in response to the treatment with sFlt1-BOECs, AE-BOECs or their combination. Studies of tumor vascular density confirmed that angiogenic inhibition contributed to slowed tumor growth. In an orthotopic model of glioma, the median survival of mice treated with sFlt1-BOECs was double that of mice receiving no BOEC treatment (P=0.0130). These results indicate that further research is warranted to develop BOECs for clinical application.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6

Similar content being viewed by others

References

  1. Folkman J . Tumor angiogenesis: therapeutic implications. N Engl J Med 1971; 285: 1182–1186.

    Article  CAS  Google Scholar 

  2. Asahara T, Masuda H, Takahashi T, Kalka C, Pastore C, Silver M et al. Bone marrow origin of endothelial progenitor cells responsible for postnatal vasculogenesis in physiological and pathological neovascularization. Circ Res 1999; 85: 221–228.

    Article  CAS  Google Scholar 

  3. Lin Y, Weisdorf DJ, Solovey A, Hebbel RP . Origins of circulating endothelial cells and endothelial outgrowth from blood. J Clin Invest 2000; 105: 71–77.

    Article  CAS  Google Scholar 

  4. Lin Y, Chang L, Solovey A, Healey JF, Lollar P, Hebbel RP . Use of blood outgrowth endothelial cells for gene therapy for hemophilia A. Blood 2002; 99: 457–462.

    Article  CAS  Google Scholar 

  5. Dudek AZ, Bodempudi V, Welsh BW, Jasinski P, Griffin RJ, Milbauer L et al. Systemic inhibition of tumour angiogenesis by endothelial cell-based gene therapy. Br J Cancer 2007; 97: 513–522.

    Article  CAS  Google Scholar 

  6. Ohlfest JR, Demorest ZL, Motooka Y, Vengco I, Oh S, Chen E et al. Combinatorial antiangiogenic gene therapy by nonviral gene transfer using the sleeping beauty transposon causes tumor regression and improves survival in mice bearing intracranial human glioblastoma. Mol Ther 2005; 12: 778–788.

    Article  CAS  Google Scholar 

  7. Somani A, Nguyen J, Milbauer LC, Solovey A, Sajja S, Hebbel RP . The establishment of murine blood outgrowth endothelial cells and observations relevant to gene therapy. Transl Res 2007; 150: 30–39.

    Article  CAS  Google Scholar 

  8. Maroulakou IG, Anver M, Garrett L, Green JE . Prostate and mammary adenocarcinoma in transgenic mice carrying a rat C3(1) simian virus 40 large tumor antigen fusion gene. Proc Natl Acad Sci USA 1994; 91: 11236–11240.

    Article  CAS  Google Scholar 

  9. Yoshino H, Ueda T, Kawahata M, Kobayashi K, Ebihara Y, Manabe A et al. Natural killer cell depletion by anti-asialo GM1 antiserum treatment enhances human hematopoietic stem cell engraftment in NOD/Shi-scid mice. Bone Marrow Transplant 2000; 26: 1211–1216.

    Article  CAS  Google Scholar 

  10. Weidner N, Semple JP, Welch WR, Folkman J . Tumor angiogenesis and metastasis--correlation in invasive breast carcinoma. N Engl J Med 1991; 324: 1–8.

    Article  CAS  Google Scholar 

  11. Wiesner SM, Decker SA, Larson JD, Ericson K, Forster C, Gallardo JL et al. De novo induction of genetically engineered brain tumors in mice using plasmid DNA. Cancer Res 2009; 69: 431–439.

    Article  CAS  Google Scholar 

  12. Zhou XH, Gao S . Confidence intervals for the log-normal mean. Stat Med 1997; 16: 783–790.

    Article  CAS  Google Scholar 

  13. Kaplan EL MP . Nonparametric estimation from incomplete observations. J Am Stat Assoc 1958; 53: 457–481.

    Article  Google Scholar 

  14. Wei J, Jarmy G, Genuneit J, Debatin KM, Beltinger C . Human blood late outgrowth endothelial cells for gene therapy of cancer: determinants of efficacy. Gene Ther 2007; 14: 344–356.

    Article  CAS  Google Scholar 

  15. Ferrari N, Glod J, Lee J, Kobiler D, Fine HA . Bone marrow-derived, endothelial progenitor-like cells as angiogenesis-selective gene-targeting vectors. Gene Ther 2003; 10: 647–656.

    Article  CAS  Google Scholar 

  16. Autiero M, Luttun A, Tjwa M, Carmeliet P . Placental growth factor and its receptor, vascular endothelial growth factor receptor-1: novel targets for stimulation of ischemic tissue revascularization and inhibition of angiogenic and inflammatory disorders. J Thromb Haemost 2003; 1: 1356–1370.

    Article  CAS  Google Scholar 

  17. Hristov M, Weber C . Endothelial progenitor cells: characterization, pathophysiology, and possible clinical relevance. J Cell Mol Med 2004; 8: 498–508.

    Article  Google Scholar 

  18. Li X, Tjwa M, Moons L, Fons P, Noel A, Ny A et al. Revascularization of ischemic tissues by PDGF-CC via effects on endothelial cells and their progenitors. J Clin Invest 2005; 115: 118–127.

    Article  CAS  Google Scholar 

  19. Benjamin LE, Golijanin D, Itin A, Pode D, Keshet E . Selective ablation of immature blood vessels in established human tumors follows vascular endothelial growth factor withdrawal. J Clin Invest 1999; 103: 159–165.

    Article  CAS  Google Scholar 

  20. Wei J, Blum S, Unger M, Jarmy G, Lamparter M, Geishauser A et al. Embryonic endothelial progenitor cells armed with a suicide gene target hypoxic lung metastases after intravenous delivery. Cancer Cell 2004; 5: 477–488.

    Article  CAS  Google Scholar 

  21. Milbauer LC, Enenstein JA, Roney M, Solovey A, Bodempudi V, Nichols TC et al. Blood outgrowth endothelial cell migration and trapping in vivo: a window into gene therapy. Transl Res 2009; 153: 179–189.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We thank The Susan G Komen Breast Cancer Foundation (Grant no. BCTR86006) (AZD) for supporting this research. This work was also supported by grants from the NIH; HL-55552 (RPH), CA109582 (KG), NS055738-01A2 (JRO) and the Dana Foundation (JRO). We thank Julia Nguyen from the Department of Medicine, University of Minnesota for culture and immunophenotyping of blood outgrowth endothelial cells, and Michael J Franklin from the University of Minnesota for editorial review.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A Z Dudek.

Ethics declarations

Competing interests

The University of Minnesota and RPH own a patent on the BOEC culture technology used in this research, but there is no current financial interest.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bodempudi, V., Ohlfest, J., Terai, K. et al. Blood outgrowth endothelial cell-based systemic delivery of antiangiogenic gene therapy for solid tumors. Cancer Gene Ther 17, 855–863 (2010). https://doi.org/10.1038/cgt.2010.42

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/cgt.2010.42

Keywords

This article is cited by

Search

Quick links