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  4. Antiangiogenic immunotherapy suppresses desmoplastic and chemoresistant intestinal tumors in mice
 
research article

Antiangiogenic immunotherapy suppresses desmoplastic and chemoresistant intestinal tumors in mice

Ragusa, Simone
•
Prat-Luri, Borja
•
González-Loyola, Alejandra
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February 4, 2020
Journal of Clinical Investigation

Mutations in APC promote colorectal cancer (CRC) progression through uncontrolled WNT signaling. Patients with desmoplastic CRC have a significantly worse prognosis and do not benefit from chemotherapy, but the mechanisms underlying the differential responses of APC-mutant CRCs to chemotherapy are not well understood. We report that expression of the transcription factor prospero homeobox 1 (PROX1) was reduced in desmoplastic APC-mutant human CRCs. In genetic Apc-mutant mouse models, loss of Prox1 promoted the growth of desmoplastic, angiogenic, and immunologically silent tumors through derepression of Mmp14. Although chemotherapy inhibited Prox1-proficient tumors, it promoted further stromal activation, angiogenesis, and invasion in Prox1-deficient tumors. Blockade of vascular endothelial growth factor A (VEGFA) and angiopoietin-2 (ANGPT2) combined with CD40 agonistic antibodies promoted antiangiogenic and immunostimulatory reprogramming of Prox1-deficient tumors, destroyed tumor fibrosis, and unleashed T cell–mediated killing of cancer cells. These results pinpoint the mechanistic basis of chemotherapy-induced hyperprogression and illustrate a therapeutic strategy for chemoresistant and desmoplastic CRCs.

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Type
research article
DOI
10.1172/JCI129558
Author(s)
Ragusa, Simone
•
Prat-Luri, Borja
•
González-Loyola, Alejandra
•
Nassiri, Sina  
•
Squadrito, Mario Leonardo  
•
Guichard, Alan  
•
Cavin, Sabrina
•
Gjorevski, Nikolce
•
Barras, David
•
Marra, Giancarlo
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Date Issued

2020-02-04

Published in
Journal of Clinical Investigation
Volume

130

Issue

3

Start page

1199

End page

1216

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
UPDEPALMA  
Available on Infoscience
February 14, 2020
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/165558
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