Combination of Ad-SGE-REIC and bevacizumab modulates glioma progression by suppressing tumor invasion and angiogenesis

PLoS One. 2022 Aug 25;17(8):e0273242. doi: 10.1371/journal.pone.0273242. eCollection 2022.

Abstract

Reduced expression in immortalized cells/Dickkopf-3 (REIC/Dkk-3) is a tumor suppressor and its overexpression has been shown to exert anti-tumor effects as a therapeutic target gene in many human cancers. Recently, we demonstrated the anti-glioma effects of an adenoviral vector carrying REIC/Dkk-3 with the super gene expression system (Ad-SGE-REIC). Anti-vascular endothelial growth factor treatments such as bevacizumab have demonstrated convincing therapeutic advantage in patients with glioblastoma. However, bevacizumab did not improve overall survival in patients with newly diagnosed glioblastoma. In this study, we examined the effects of Ad-SGE-REIC on glioma treated with bevacizumab. Ad-SGE-REIC treatment resulted in a significant reduction in the number of invasion cells treated with bevacizumab. Western blot analyses revealed the increased expression of several endoplasmic reticulum stress markers in cells treated with both bevacizumab and Ad-SGE-REIC, as well as decreased β-catenin protein levels. In malignant glioma mouse models, overall survival was extended in the combination therapy group. These results suggest that the combination therapy of Ad-SGE-REIC and bevacizumab exerts anti-glioma effects by suppressing the angiogenesis and invasion of tumors. Combined Ad-SGE-REIC and bevacizumab might be a promising strategy for the treatment of malignant glioma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenoviridae / genetics
  • Animals
  • Apoptosis / genetics
  • Bevacizumab / pharmacology
  • Bevacizumab / therapeutic use
  • Cell Line, Tumor
  • Chemokines / genetics
  • Genetic Therapy / methods
  • Glioblastoma* / drug therapy
  • Glioma* / pathology
  • Humans
  • Intercellular Signaling Peptides and Proteins / genetics
  • Mice
  • Neoplastic Processes

Substances

  • Chemokines
  • Intercellular Signaling Peptides and Proteins
  • Bevacizumab

Grants and funding

This study was supported by Japan Society for the Promotion of Science(JSPS) KAKENHI Grant Numbers 26462182 and 17K10865 (K. Kurozumi).