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ABSTRACT: Background
Vascular maturity and functionality are closely associated with tumor progression and chemosensitivity. The antidiabetic agent metformin has shown its ability to inhibit tumor angiogenesis in metastatic breast cancer models. However, it remains unclear if or how metformin remodels the abnormal vasculature of metastatic breast cancer, while inhibiting angiogenesis.Methods
Metastatic breast cancer models were constructed to compare microvessel density (MVD), vascular maturity and function, lung metastasis and chemosensitivity in metformin-treated or untreated mice. Protein array assay and transcriptome sequencing were performed for genetic screening. Lentiviral shRNA-PDGF-B transfection was used for observing the contribution of PDGF-B knockdown to metformin's vascular effects.Results
Metastatic breast cancers were characterized by an excessively angiogenic, immature and morphologically abnormal vasculature. Compared to control, metformin significantly reduced MVD, leakage and hypoxia, and increased vascular mural cells coverage and perfusion, namely, "vessel normalization". Metformin at human blood concentrations had no direct effect on the migration and proliferation of cancer cells. Based on that, reduced lung metastasis of the primary tumor and improved chemosensitization by metformin were assumed to be mediated via metformin's vascular effects. Further results of genetic screening and in vivo experiments showed that the downregulation of platelet-derived growth factor B (PDGF-B) greatly contributed to the metformin-induced vessel normalization.Conclusions
These findings provide pre-clinical evidences for the vascular mechanism of metformin-induced metastasis inhibition and the chemosensitization of metastatic breast cancers.
SUBMITTER: Wang JC
PROVIDER: S-EPMC6549289 | biostudies-literature | 2019 Jun
REPOSITORIES: biostudies-literature
Wang Ji-Chang JC Li Guang-Yue GY Wang Bo B Han Su-Xia SX Sun Xin X Jiang Yi-Na YN Shen Yan-Wei YW Zhou Can C Feng Jun J Lu Shao-Ying SY Liu Jian-Lin JL Wang Mao-De MD Liu Pei-Jun PJ
Journal of experimental & clinical cancer research : CR 20190604 1
<h4>Background</h4>Vascular maturity and functionality are closely associated with tumor progression and chemosensitivity. The antidiabetic agent metformin has shown its ability to inhibit tumor angiogenesis in metastatic breast cancer models. However, it remains unclear if or how metformin remodels the abnormal vasculature of metastatic breast cancer, while inhibiting angiogenesis.<h4>Methods</h4>Metastatic breast cancer models were constructed to compare microvessel density (MVD), vascular mat ...[more]