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Published ahead of print on September 8, 2005, doi:10.1165/rcmb.2005-0092OC

Am. J. Respir. Cell Mol. Biol., Volume 33, Number 6, December 2005, 629-635

A more recent version of this article appeared on December 1, 2005
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Submitted on March 3, 2005
Revised on September 6, 2005

Gene Transfer of the VEGF Receptor flt-1 Suppresses Pulmonary Metastasis Associated with Lung Growth

Masahiro Mae1, Timothy P O'Connor2, and Ronald G Crystal3*

1 Division of Pulmonary and Critical Care Medicine, Cornell University, New York, NY, USA, 2 Department of Genetic Medicine, Cornell University, New York, NY, USA, 3 Division of Pulmonary and Critical Care Medicine, Cornell University, New York, NY, USA; Department of Genetic Medicine, Cornell University, New York, NY, USA

* To whom correspondence should be addressed. E-mail: geneticmedicine{at}med.cornell.edu.

Growth of solid tumor metastases is critically dependent on angiogenesis. We hypothesized that an "angiogenic-rich" milieu, as in pneumonectomy-induced lung growth, would be conducive to growth of pulmonary metastases, and that transfer of an anti-angiogenic gene would suppress tumor growth. Two weeks following left pneumonectomy in BALB/c mice, right lung mass increased 1.5-fold compared to controls (p<0.0001). Our pulmonary metastases model, intravenous administration of {beta}-galactosidase ({beta}gal)-marked CT26.CL25 colon carcinoma cells, resulted in diffuse metastases at 12 days post-administration. However, if left pneumonectomy was carried out 1 day before tumor cell administration, right lung mass was increased 1.7-fold after 12 days (p<0.001 compared to the right + left lung of controls), and {beta}gal activity was greater (2.8- fold, p<0.05). To assess anti-angiogenesis therapy, tumor cells were administered 1 day after pneumonectomy and 1 day later, 5x108 pfu of Adsflt [an Ad vector expressing the extracellular portion of the flt-1 vascular endothelial growth factor (VEGF) receptor] was administered. Compared to controls, mice receiving Adsflt via intranasal or intravenous routes showed suppression of pneumonectomy-induced tumor growth (p<0.01, both routes compared to controls). Post-pneumonectomy lung growth enhances growth of lung metastases, but this can be suppressed with Adsflt anti-angiogenesis therapy.







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