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Projekt Druckansicht

Die Auswirkungen des Vascular Endothelial Growth Factors aus myeloischen Zellen und des Mikromilieus auf Tumorrezidive und Metastasierung nach Therapie

Fachliche Zuordnung Anatomie und Physiologie
Förderung Förderung von 2011 bis 2020
Projektkennung Deutsche Forschungsgemeinschaft (DFG) - Projektnummer 201178409
 
Erstellungsjahr 2018

Zusammenfassung der Projektergebnisse

Chemotherapy remains a mainstay of cancer treatment but its use is often limited by the development of adverse reactions. Severe loss of body weight (cachexia) is a frequent cause of death in cancer patients and is exacerbated by chemotherapy. Surprisingly, we found that genetic inactivation of vascular endothelial growth factor (VEGF)-A in myeloid cells prevents chemotherapy-induced cachexia by inhibiting skeletal muscle loss and the lipolysis of white adipose tissue. It also improves clearance of senescent tumour cells by natural killer cells and inhibits tumour regrowth after chemotherapy. The effects depend on the chemoattractant chemerin, which is released by the tumour endothelium in response to chemotherapy. The findings define chemerin as a critical mediator of the immune response, as well as an important inhibitor of cancer cachexia. Targeting myeloid cell-derived VEGF signalling should impede the lipolysis and weight loss that is frequently associated with chemotherapy, thereby substantially improving the therapeutic outcome. Our study reveals that chemotherapy with cisplatin simulates tumour endothelial cells to release chemerin. We show further that chemerin is a critical mediator of NK cell-mediated antitumour defenses as well as of cachexia. VEGF-A derived from myeloid cells suppresses the stimulation of endothelial chemerin release by chemotherapy. Hence, targeting VEGF signaling should impede the lipolysis and weight loss that is frequently associated with chemotherapy. Our study therefore offers novel therapeutic avenues to improve the overall outcome of chemotherapy.

Projektbezogene Publikationen (Auswahl)

 
 

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