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Clinical Cancer Research Vol. 9, 1211-1217, March 2003
© 2003 American Association for Cancer Research


Experimental Therapeutics, Preclinical Pharmacology

Antiangiogenesis Treatment Combined with Chemotherapy Produces Chondrosarcoma Necrosis1

Hideo Morioka2, Lawrence Weissbach3, Tikva Vogel, G. Petur Nielsen, Glynn T. Faircloth, Li Shao and Francis J. Hornicek

Orthopedic Research Laboratories [H. M., L. W., L. S., F. J. H.] and Department of Pathology [G. P. N.], Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114; Bio-Technology General, Rehovot, Israel [T. V.]; and PharmaMar USA, Cambridge, Massachusetts 02149 [G. T. F.]

A combination therapy protocol using a marine chemotherapeutic and anantiangiogenic molecule was tested in a mouse tumor xenograftmodel for the ability to curtail the growth of a human chondrosarcoma (CHSA). Ecteinascidin-743 (ET-743), a marine-derived chemotherapeutic, was effective at slowing the growth of a primary CHSA. Plasminogen-related protein B, which antagonizes various endothelial cell activities, also elicited a significant inhibition of neoplastic growth, albeit with reduced effectiveness. The combination of the two agents resulted in only a modest further repression of tumor growth over that associated with ET-743 treatment alone, as measured by tumor volume (82% versus 76% inhibition, respectively). However, analysis of the extent of tumor necrosis and vascularization of the tumor revealed that the coadministration of the two compounds was clearly more effective, eliciting a 2.5-fold increase in tumor necrosis relative to single-agent treatment. The combination therapy also was most effective at antagonizing tumor-associated microvessel formation, as assessed by CD31 immunostaining, suggesting that combination therapy may hold promise for treating CHSA. Tumor necrosis produced by combination therapy of ET-743 and recombinant plasminogen-related protein B was also significantly greater than that produced by conventional doxorubicin treatment, further corroborating the efficacy of combination therapy.




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Copyright © 2003 by the American Association for Cancer Research.