TY - JOUR
T1 - Overcoming adaptive resistance to anti-VEGF therapy by targeting CD5L
AU - LaFargue, Christopher J.
AU - Amero, Paola
AU - Noh, Kyunghee
AU - Mangala, Lingegowda S.
AU - Wen, Yunfei
AU - Bayraktar, Emine
AU - Umamaheswaran, Sujanitha
AU - Stur, Elaine
AU - Dasari, Santosh K.
AU - Ivan, Cristina
AU - Pradeep, Sunila
AU - Yoo, Wonbeak
AU - Lu, Chunhua
AU - Jennings, Nicholas B.
AU - Vathipadiekal, Vinod
AU - Hu, Wei
AU - Chelariu-Raicu, Anca
AU - Ku, Zhiqiang
AU - Deng, Hui
AU - Xiong, Wei
AU - Choi, Hyun Jin
AU - Hu, Min
AU - Kiyama, Takae
AU - Mao, Chai An
AU - Ali-Fehmi, Rouba
AU - Birrer, Michael J.
AU - Liu, Jinsong
AU - Zhang, Ningyan
AU - Lopez-Berestein, Gabriel
AU - de Franciscis, Vittorio
AU - An, Zhiqiang
AU - Sood, Anil K.
N1 - Publisher Copyright:
© 2023, The Author(s).
PY - 2023/12
Y1 - 2023/12
N2 - Antiangiogenic treatment targeting the vascular endothelial growth factor (VEGF) pathway is a powerful tool to combat tumor growth and progression; however, drug resistance frequently emerges. We identify CD5L (CD5 antigen-like precursor) as an important gene upregulated in response to antiangiogenic therapy leading to the emergence of adaptive resistance. By using both an RNA-aptamer and a monoclonal antibody targeting CD5L, we are able to abate the pro-angiogenic effects of CD5L overexpression in both in vitro and in vivo settings. In addition, we find that increased expression of vascular CD5L in cancer patients is associated with bevacizumab resistance and worse overall survival. These findings implicate CD5L as an important factor in adaptive resistance to antiangiogenic therapy and suggest that modalities to target CD5L have potentially important clinical utility.
AB - Antiangiogenic treatment targeting the vascular endothelial growth factor (VEGF) pathway is a powerful tool to combat tumor growth and progression; however, drug resistance frequently emerges. We identify CD5L (CD5 antigen-like precursor) as an important gene upregulated in response to antiangiogenic therapy leading to the emergence of adaptive resistance. By using both an RNA-aptamer and a monoclonal antibody targeting CD5L, we are able to abate the pro-angiogenic effects of CD5L overexpression in both in vitro and in vivo settings. In addition, we find that increased expression of vascular CD5L in cancer patients is associated with bevacizumab resistance and worse overall survival. These findings implicate CD5L as an important factor in adaptive resistance to antiangiogenic therapy and suggest that modalities to target CD5L have potentially important clinical utility.
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U2 - 10.1038/s41467-023-36910-5
DO - 10.1038/s41467-023-36910-5
M3 - Article
C2 - 37100807
AN - SCOPUS:85153918496
SN - 2041-1723
VL - 14
JO - Nature communications
JF - Nature communications
IS - 1
M1 - 2407
ER -