WO2005098448A2 - Method and biomarkers for detecting tumor endothelial cell proliferation - Google Patents
Method and biomarkers for detecting tumor endothelial cell proliferation Download PDFInfo
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Classifications
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- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/53—Immunoassay; Biospecific binding assay; Materials therefor
- G01N33/574—Immunoassay; Biospecific binding assay; Materials therefor for cancer
- G01N33/57484—Immunoassay; Biospecific binding assay; Materials therefor for cancer involving compounds serving as markers for tumor, cancer, neoplasia, e.g. cellular determinants, receptors, heat shock/stress proteins, A-protein, oligosaccharides, metabolites
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
Definitions
- the field of this invention relates to methods, biomarkers, and expression signatures for assessing the proliferative rate of vascular endothelial cells within tumors. More specifically, the invention provides a set of genes which can be used as biomarkers for evaluating the pharmacodynamic effects of cancer therapies designed to regulate the proliferation of endothelial cells in tumor vasculature. In one aspect the invention provides a method of evaluating the efficacy of a compounds designed to inhibit kinase receptor activity, such as a mammalian KDR receptor activity.
- Vascular endothelial cells form a luminal non-thrombogenic monolayer throughout the vascular system. Solid tumors require a vascular system to expand beyond small nodules limited by the diffusion of nutrients and metabolic by products. Although tumor cells can initially colonize existing host capillaries, their growth leads to the collapse of these preexisting normal vessels resulting in hypoxia. Therefore, angiogenesis is critical to the progression of numerous cancers.
- tumor angiogenesis neovascularization that is achieved by the ingrowth of new host blood vessels.
- Tumors induce proliferation, migration and differentiation resulting in neovascularization by secreting growth factors for vascular endothelial cells.
- Angiogenesis is critical to the progression of numerous cancers. Tumors induce endothelial cell migration, proliferation and differentiation resulting in neovascularization arising from existing blood vessels. Tumor cells induce angiogenesis primarily through the production and secretion of vascular endothelial growth factor (VEGF), a secreted protein that is a potent endothelial cell mitogen and ligand for the kinase insert domain receptor (KDR, FLK-1, or VEGF receptor).
- VEGF vascular endothelial growth factor
- Tyrosine kinases are a class of enzymes that catalyze the transfer of the terminal phosphate of adenosine triphosphate to tyrosine residues in protein substrates. Tyrosine kinases are believed, by way of substrate phosphorylation, to play critical roles in signal transduction for a number of cell functions and have been shown to be important contributing factors in cell proliferation, carcinogenesis and cell differentiation. Tyrosine kinases can be categorized as receptor type or non receptor type.
- Receptor type tyrosine kinases typically have an extracellular, a transmembrane, and an intracellular portion, while non- receptor type tyrosine kinases typically are wholly intracellular, while examples exist of membrane receptors that upon ligand binding recruit intracellular kinases to bind to the intracellular portion of the receptor which, by itself, does not have kinase activity. Both receptor-type and non-receptor type tyrosine kinases are implicated in cellular signaling pathways leading to numerous pathogenic conditions, including cancer, psoriasis and hyperimmune responses.
- the receptor-type tyrosine kinases are comprised of a large number of transmembrane receptors with diverse biological activity.
- KDR kinase insert domain receptor
- Tumor cells induce angiogenesis primarily through the production and secretion of vascular endothelial growth factor (VEGF) a potent endothelial cell mitogen and ligand for the kinase insert domain receptor (KDR, FLK-1, or VEGF receptor 2) (3-7).
- VEGF vascular endothelial growth factor
- KDR kinase insert domain receptor
- FLK-1 FLK-1
- VEGF receptor 2 kinase insert domain receptor 2
- VEGF binds with high affinity to two transmembrane tyrosine kinase-linked receptors, Flt-1 (VEGFR-1) and KDR (Flk-l/VEGFR-2), that are expressed by vascular endothelial cells.
- KDR initiates a signal transduction cascade, is internalized and ultimately degraded. Inhibition of the VEGF/KDR system has been shown to inhibit VEGF-dependent tumor angiogenesis and growth in several animal models. Because VEGF produced and secreted by tumor cells activates KDR and induces endothelial cell proliferation, it is acknowledged that inhibition of KDR kinase activity should lead to decreases in the proliferation of tumor endothelial cells. Accordingly, numerous proposed cancer therapeutics target vascular endothelial cell growth factor (VEGF) or the kinase insert domain receptor (KDR/VEGFR-2/FLK-l), the primary VEGF receptor on endothelial cells.
- VEGF vascular endothelial cell growth factor
- KDR/VEGFR-2/FLK-l kinase insert domain receptor
- KDR is a particularly attractive target to antagonize VEGF-dependent tumor angiogenesis and growth. Inhibition of KDR catalytic activity blocks tumor neoangiogenesis, reduces vascular permeability, and in animal moldes, inhibits tumor growth and metastasis.
- KDR protein is not expressed at high levels in readily accessible biological material, such as peripheral blood or bone marrow aspirates, clinical assessment of the in vivo pharmacodynamic efficacy of KDR kinase inhibitors is challenging.
- One described method for the in vivo assessment of EC proliferation involves dual immunohistochemical (MC) staining of tumor sections for the endothelial cell marker CD-31 and a nuclear marker of cellular proliferation, Ki-67(11). While an immunohistochemical method such as this can determine the fraction of ECs that are proliferating, the experimental protocol is technically complex and difficult and the analysis required for each stained tumor section is extremely time-consuming. Each of these factors makes clinical use of an MC-based assay unlikely.
- the methods disclosed and claimed herein are based on the discovery and characterization of biomarkers and gene expression signatures that are specific for proliferating endothelial cells.
- Gene expression profiling data from cultured primary endothelial cells, cultured tumor cells, and tissue from animal tumor models treated with KDR inhbitors was used to identify a set of genes that are selectively overexpressed in tumor endothelial cells relative to tumor cells, and whose pattern of expression correlates with the rate of tumor endothelial cell proliferation. It is contemplated that the biomarkers and endothelial cell-specific expression signatures which are disclosed and claimed herein will find utility in the context of providing a pharmacodynamic readout for any cancer therapy that aims to inhibit proliferation of endothelial cells in tumor vasculature.
- the expression levels of these genes serve as the basis of a simple pharmacodynamic assay for the activity of small molecule inhibitors of the KDR receptor tyrosine kinase.
- the methods disclosed and claimed herein can be used as the basis for a pharmacodynamic assay capable of supporting the clinical development of small molecule inhibitors of the KDR receptor tyrosine kinase.
- the invention provides a method for assessing the in vivo effects of a KDR kinase inhibitor on the proliferative rate of vascular endothelial cells within tumors. In one aspect the invention provides a method for determining the proliferative status (or rate) of endothelial cells.
- the disclosed method can be used to evaluate the proliferative status of endothelial cells in either an in vitro or in vivo format.
- the disclosed gene expression-based pharmacodynamic assays which can be established based on the disclosure provided herein can be used to support screening assays established to evaluate the efficacy of therapeutic agents intended to regulate the proliferative status of endothelial cells.
- the invention provides a method for evaluating the proliferative rate of vascular endothelial cells within tumors.
- the invention provides a gene expression-based pharmacodynamic assay that is suitable for use to support clinical development of cancer therapies designed to regulate the proliferation of endothelial cells in tumor vasculature.
- the disclosed methods can be used to establish pharmacodynamic assays that can distinguish tumors containing proliferating endothelial cells from tumors containing mostly quiescent endothelial cells.
- the method may include detecting the expression level of one or more genes selected from a group consisting of Angpt-2, Clu (ApoJ), Cyr ⁇ l (CCN1), Endrb (Etb), Ifit-3 (Garg49), Fut-4, Plau (uPA).
- the invention provides a method for evaluating the activity of anti-angiogenesis therapeutics intended to regulate the proliferative rate of vascular endothelial cells within tumors.
- the invention provides a method for evaluating the efficacy of small molecule inhibitors of receptor-type kinase inhibitors, such as KDR.
- this aspect of the invention provides a method which is suitable for use to support clinical development of KDR kinase inhibitors, such as Compound A. Using the information provided herein, particularly the Compound A-and B- induced endothelial cell-specific expression signatures provided in Tables 5.
- Table 6 provides the summary information describing the changed (suppressed) expression of endothelial cell specific biomarkers (collectively referred to as the proliferation sequence) observed in response to the in vivo administration of KDR Kinase inhibitors (Compounds A and B), provided in Table 6. It is well within the abilities of a skilled artisan to design and validate a gene expression-based assay that is suitable for evaluating the efficacy of anti-angiogenesis agents. It is contemplated that using the disclosure provided herein a skilled artisan can utilize the information provided in the tables summarizing the proliferation signatures disclosed herein to identify compound-specific expression signatures that will facilitate evaluating the efficacy of alternative therapeutic agents intended to regulate endothelial cell proliferation.
- this aspect of the invention provides a method which is suitable for use to support clinical development of KDR kinase inhibitors, such as Compound A.
- KDR kinase inhibitors such as Compound A.
- the efficacy of Compound A could be evaluated in vivo by establishing an assay which detects changes in the expression of a gene signature comprising the Angpt-2, Clu (ApoJ), Cyr ⁇ l (CCN1), Endrb (Etb), Ifit-3 (Garg49), Fut-4, Plau (uPA) genes.
- the invention provides a composition of genes or biomarkers which are selectively overexpressed in tumor endothelial cells relative to tumor cells, and whose pattern of expression correlates with the rate of tumor endothelial cell proliferation.
- compositions comprising at least two oligonucleotides, wherein each of the oligonucleotides comprises a sequence that specifically hybridizes to a gene disclosed in Tables 3 or 4 as well as solid supports comprising at least two probes, wherein each of the probes comprises a sequence that specifically hybridizes to a gene in Tables 3, 4, 5 or 6.
- the composition will comprise oligonucleotides and/or probes which hybridize with the following genes: Angpt-2, Clu (ApoJ), Cyr ⁇ l (CCN1), Endrb (Etb), Ifit-3 (Garg49), Fut-4, Plau (uPA), in combination with other oligonucleotides or probes specific for other genes identified in Tables 3-6.
- the invention provides gene expression signatures, which can be used to establish expression-based pharmacodynamic assays for evaluating the efficacy of therapeutic agents designed to regulate the proliferation of endothelial cells.
- the gene expression signature disclosed and claimed herein can be used distinguish tumors containing mostly proliferating ECs from tumors containing mostly quiescent ECs. It is contemplated that the disclosed assay will have the ability to detect inhibition of angiogenesis relatively quickly after initiating therapy, eliminating the longer period of time required to visualize morphological changes in tumor microvasculature. In addition, it is envisioned that the disclosed methods will be particularly useful in circumstances where immunohistochemistry is inappropriate or impractical, such as with small tissue samples from biopsies (i.e. fine needle aspirates) or from tissue samples with poor morphology.
- the disclosed assay In a real time quantitative reverse transcription- polymerase chain reaction (PCR) format, the disclosed assay is predicted to represent an extremely sensitive assay that is readily compatible with existing clinical laboratory instrumentation. Expression profiling-based monitoring of the pharmacodynamic effects of cancer therapy potentially has many benefits. Used in the clinical setting, this technology provides for rapid, quantitative, reproducible, and inexpensive assays that are compatible with current clinical laboratory instrumentation. Carefully designed, gene expression-based asssays, such as the assays disclosed herein, have the potential to make dosing of anti-neoplastic agents more efficient, to identify patient populations most likely to benefit from specific therapies, and to reduce clinical development time of novel therapeutics. Each of these aspects will lead to increased tumor response rates and improved human health.
- PCR reverse transcription- polymerase chain reaction
- VEC Vascular Endothelial Cell
- HDMVECs or RHMVECs were trypsinization following the third passage in culture and seeded in fibronectin-coated, six-well tissue culture plates at a density of 10,000 cells/well. Cell growth was arrested for 24h by mitogen withdrawal and then stimulated by the addition of 100 ng/ml VEGF, 100 ng/ml bFGF or 200 ⁇ g/ml ENDOGRO. Wells with unstimulated cells and wells containing un-arrested cells were included as controls.
- FIG. 2A and 2B Identification of a gene expression profile in proliferating vascular endothelial cells in vitro.
- HDMVECs and RHMVECs were grown in culture and mitogen deprived for 24 hr as described in Figure 1 and Methods.
- culture media was aspirated quickly and the cells lysed in an RNA stabilizing buffer. Matched control plates that received no supplemental stimulatory growth factor were present for each stimulation condition and RNAs isolated from them served as the reference to which the RNAs from the stimulated cells was compared.
- FIG. 3A-3D Bars corresponding to genes which are regulated (e.g., upregulated or downregulated) are indicated by various shades of gray. Color intensity represents the degree of regulation, not mRNA copy number.
- Figures 3A-3D Specific suppression of VEGF-induced gene expression in cultured vascular endothelial cells. EC monolayers were maintained in complete MCDB-131 media until reaching -75% confluence, then induced into a quiescent state by mitogen starvation for 24 hr. Cells were then stimulated to proliferate with 100 ng/ml VEGF for 24 hr in the presence or absence of Compound B.
- RNA populations isolated from cells exposed to VEGF or VEGF + Compound B were compared to matched control RNAs isolated from quiescent cells exposed to neither VEGF nor Compound B.
- Each point in the plots represents a gene sequence present on the DNA oligonucleotide microarray and is plotted according to the ratio of the two mRNA levels (experimental sample intensity: control sample intensity, vertical-axis) and the total mRNA quantity (experimental sample intensity + control sample intensity, horizontal-axis) for that gene. Dark-colored points indicate upregulated genes. Light Gray colored points indicate downregulated genes.
- Figures 4A and 4B Growth kinetics of established rat tumors following exposure to a KDR kinase inhibitor. Tumor studies were performed as described in Materials and Methods.
- FIGS 4A and 4B illustrate tumor volumes from animals in the C6 profiling study (Fig. 4A) and the Mattlll profiling study (Fig. 4B) as determined by caliper measurements. Tumors were calipered in two dimensions (length and width) and tumor volume was calculated according to the formula (length) x (width) x (V2 width).
- Figures 5 A-5C Identification of gene expression changes induced in rat tumors by KDR kinase inhibitors in vivo.Each row represents a distinct tumor from an individual animal. Each column represents a gene. Gray colored points/bars indicate genes that are regulated (e.g., upregulated or downregulated) by KDR kinase.
- Figure 5A illustrates changes in the expression of genes from rat C6 flank tumors that are regulated following 24, 48, or 72 hrs of systemic exposure to the KDR kinase inhibitor Compound B.
- Figure 5B illustrates changes in the expression of genes from rat C6 flank tumors regulated following 24, 48, or 72 hrs of systemic exposure to the KDR kinase inhibitor Compound A.
- Figure 5C illustrates changes in the expression of genes from rat MatBHI mammary tumors regulated following 100 hrs of systemic exposure to the KDR kinase inhibitor Compound A.
- Figures 6A-6B illustrates changes in the expression of genes from rat C6 flank tumors that are regulated following 24, 48, or 72 hrs of systemic exposure to the KDR kinase inhibitor Compound B.
- Figure 5B illustrates changes in the expression of genes from rat C6 flank tumors regulated following 24, 48, or 72 hrs of systemic exposure to the KDR kinase inhibitor Compound A.
- Figure 5C
- TheVenn diagram illustrated in figure 6A illustrates the degree of overlap between the tumor gene expression responses to KDR kinase inhibitors in C6 flank tumors and MatBIJI mammary tumors.
- the Venn diagram provided in Panel B illustrates the degree of overlap between the sets of endothelial cell-specific genes regulated both in vitro by mitogens and in tumor tissue by KDR kinase inhibitors. All of the genes (biomakers) depicted in figure 6B are regulated in vivo by KDR kinase inhibitors in a manner opposite that observed in vitro following exposure to mitogens.
- Figures 7A-7B Confirmation of microarray data by real time quantitative real time PCR.
- FIG. 7A illustrates fold changes in gene expression in tumors from KDR kinase-treated animals relative tumors from vehicle-treated animals were calculated using the ⁇ CT method (see Materials and Methods).
- Figure 7B illustrates mRNA levels for each gene in the rat tumors relative the calibrator RNA pool.
- Figure 8. Biomarker protein expression in rat mammary tumors is localized to vasculature.
- the present invention provides compositions and methods to detect the level of expression of genes that may be differentially expressed dependent upon the state of the cell, i.e., proliferating versus quiescent cells.
- detecting the level expression includes methods that quantify expression levels as well as methods that determine whether a gene of interest is expressed at all.
- an assay which provides a yes or no result without necessarily providing quantification of an amount of expression is an assay that requires "detecting the level of expression" as that phrase is used herein.
- genes identified as being differentially expressed in proliferating endothelial cells may be used in a variety of nucleic acid detection assays to detect or quantify the expression level of a gene or multiple genes in a given sample. For example, traditional Northern blotting, nuclease protection, RT- PCR and differential display methods may be used for detecting gene expression levels.
- oligonucleotide sequences that are complementary to one or more of the genes described herein refers to oligonucleotides that are capable of hybridizing under stringent conditions to at least part of the nucleotide sequence of said genes.
- hybridizable oligonucleotides will typically exhibit at least about 75% sequence identity at the nucleotide level to said genes, preferably about 80% or 85% sequence identity or more preferably about 90% or 95% or more sequence identity to said genes.
- “Bind(s) substantially” refers to complementary hybridization between a probe nucleic acid and a target nucleic acid and embraces minor mismatches that can be accommodated by reducing the stringency of the hybridization media to achieve the desired detection of the target polynucleotide sequence.
- hybridizing specifically to refers to the binding, duplexing or hybridizing of a molecule substantially to or only to a particular nucleotide sequence or sequences under stringent conditions when that sequence is present in a complex mixture (e.g., total cellular) DNA or RNA.
- Assays and methods of the invention may utilize available formats to simultaneously screen at least about 100, preferably about 1000, more preferably about 10,000 and most preferably about 1,000,000 or more different nucleic acid hybridizations. Directly assessing the pharmacodynamics of anti-angiogenesis therapeutics targeted to the VEGF signaling pathway is difficult.
- Inhibition of the KDR tyrosine protein kinase suppresses endothelial cell proliferation, but it is difficult to assess the rate of proliferation of these cells in vivo.
- One method that has been used is double immunohistochemical staining of tumor sections for CD31 and Ki67 in order to quantitate proliferating endothelial cells.
- a second method in use is to assess changes in vascular permeability by magnetic resonance imaging (MRI). Both methods have disadvantages.
- Immunohistochemistry (MC) is limited to studies where relatively large, intact tumor samples are available. Even then, it is rare to have paired tumor samples taken obtained before and after treatment with a drug candidate for comparison.
- Fine needle aspiration (FNA) biopsy samples from a clinical setting are not analyzable by this method.
- Changes in the expression profile from a baseline profile can be used as an indication of such effects.
- Those skilled in the art can use any of a variety of known techniques to evaluate the expression of one or more of the genes and/or ESTs identified in the instant application in order to observe changes in the expression profile. Beginning with a large set of genes shown to be regulated in vitro by mitogen-induced proliferation of primary endothelial cells, we identified a subset that was relatively specific to endothelial cells. We then identified the subset of genes from the in vitro proliferation signature that were endothelial cell-specific.
- Two distinct syngeneic tumor models are used to demonstrate that in vivo exposure to KDR kinase inhibitors mediated robust gene expression changes in a manner consistent with suppression of the proliferative rate of vascular endothelial cells within tumors.
- Gene expression changes consistent with inhibition of VEGF-signaling and inhibition of endothelial cell proliferation were detected in tumors from each animal model.
- the endothelial cell specificity of the putative biomarkers was confirmed by immunofluorescence microscopy.
- the biomakers were further validated by correlating their in vivo gene expression changes to an independent, immunohistochemical measure of endothelial cell proliferation.
- Genes regulated by systemic exposure to KDR kinase inhibitors in at least two of the three tumor models were selected as endothelial cell proliferation biomarkers. Gene expression changes of these biomarkers (as determined by microarray hybridization) were confirmed by quantitative real time PCR, both in the tumors that were profiled as well as in tumors from an additional, independent animal tumor study. The disclosed set of biomarkers was validated by correlating the compound-induced gene expression changes to compound-induced differences in proliferating tumor endothelial cell number as determined by immunohistochemical staining (again in the same rat tumors that were profiled).
- the endothelial cell specificity (in the context of our rat tumor models) of the biomarker expression (gene signature) disclosed and claimed herein expression is established by showing that the protein products of the identified genes are restricted to CD31 -expressing cells. Based on the disclosure provided herein it is contemplated that it may be possible to identify a gene expression signature that reflects the proliferation rate of vascular endothelial cells within tumors, thereby allowing a clinician to predict tumor responsiveness to therapy.
- the instant invention provides a set of genes or biomarkers, collectively referred to herein as a gene signature, that are regulated both in vitro during mitogen-induced proliferation of primary microvascular endothelial cells and in vivo in response to systemic exposure to KDR kinase inhibitors. Changes in expression levels of these biomarkers in response to inhibition of KDR are indicators of change in tumor endothelial cell proliferation rate. It is contemplated that identification of the gene expression signature (or biomarkers) disclosed and claimed herein, the regulation of which indicative of changes in the proliferation rate of tumor vascular endothelial cells provides a non-invasive and inexpensive assay following exposure to anti-angiogenesis therapeutics.
- the angiopoietin-2 protein (ANGPT2/ANG2) is a well characterized ligand for the Tie-2 receptor tyrosine kinase that functions in concert with VEGF and angiopoietin-1 to regulate vascular remodeling (25).
- Angiopoietin-2 gene expression has been previously reported to be directly upregulated by VEGF, both in vivo and in vitro, consistent with our results (26).
- the type B endothelin receptor (EDNRB/ET(B)) is a seven transmembrane G-protein coupled receptor that is mutated in Waardenburg-Hirschsprung disease, a congenital malformation of neuronal ganglia in the hindgut (27).
- EDNRB is an alphal, 3-fucosyltransferase involved in the synthesis of myeloglycan, the major physiological binder of E-selectin (31).
- Clusterin is a secreted glycoprotein that appears to be overexpressed in apoptotic cells (33-35) but whose function is still largely unknown (33). Clusterin expression has been shown to be anti- proliferative (36) and down-regulated in advanced prostate cancer (37-39). Reduction in serum clusterin levels also correlates with esophageal squamous cell carcinoma tumorigenesis (40). Cysteine rich protein 61 (CYR61) is an extracellular matrix-associated heparin-binding protein with pro-angiogenic properties (41).
- the urokinase type-plasminogen activator (PLAU or uPA) is a proteolytic enzyme that plays a critical role in angiogenesis, tumor invasion, and metastasis by contributing to remodeling of the extracellular matrix (49, 50). It has been characterized as a pro-tumor invasion and pro-metastatic factor.
- the effect of PLAU activity is the conversion of plasminogen to plasmin.
- Cyr ⁇ l it is unclear why we observe an increase in Plau gene expression in tumors exposed to KDR kinase inhibitors rather than the decrease we would have expected to accompany a decrease in neovascularization.
- Plau expression is a compensatory mechanism elicited by inhibition of the VEGF signaling pathway, but clearly, more investigation is required to determine the mechanism underlying our observations.
- Ifit3 interferon-induced protein with tetratricopeptide repeats 3, also known as Garg-49 (glucocorticoid-attenuated response genes) and ERG2 (interferon responsive gene 2) is a gene that as yet has no known function. Cloned from the mouse as part of studies to identify glucocorticoid attenuated response genes induced by lipopolysaccharide or interferon, the highly conserved tetratricopeptide repeat domains of IFIT3 are believed to mediate protein-protein interactions (51-54).
- Ift4 is 60% identical and 78% similar by protein sequence (BLASTP, (55))
- BLASTP protein sequence
- RNA for real time PCR can be isolated from low milligram quantities of sample tissue. Quantitative thermal cyclers may now be used with microfluidics cards preloaded with reagents making routine clinical use of multigene expression-based assays a realistic goal.
- alternative assay formats may be used to monitor the ability of putative cancer therapeutic agent to modulate the expression of a gene identified in Tables 3-6.
- mRNA expression may be monitored directly by hybridization of probes to the nucleic acids of the invention.
- methods and assays of the invention are most efficiently designed with array or chip hybridization-based methods for detecting the expression of a large number of genes.
- Any hybridization assay format may be used, including solution-based and solid support-based assay formats.
- a preferred solid support is a high density array also known as a DNA chip or a gene chip.
- gene chips containing probes to at least two genes from Tables 5-6 may be used to directly monitor or detect changes in gene expression in biological samples containing endothelial cells prepared from subjects exposed to putative cancer therapeutics designed to regulate the proliferation of endothelial cells in tumor vasculature.
- Solid supports containing oligonucleotide probes for differentially expressed genes can be any solid or semisolid support material known to those skilled in the art. Suitable examples include, but are not limited to, membranes, filters, tissue culture dishes, polyvinyl chloride dishes, beads, test strips, silicon or glass based chips and the like. Suitable glass wafers and hybridization methods are widely available, for example, those disclosed by Beattie (WO 95/11755).
- a preferred solid support is a high density array or DNA chip. These contain a particular oligonucleotide probe in a predetermined location on the array. Each predetermined location may contain more than one molecule of the probe, but each molecule within the predetermined location has an identical sequence. Such predetermined locations are termed features. There may be, for example, from 2, 10, 100, 1000 to 10,000, 100,000 or 400,000 of such features on a single solid support.
- Oligonucleotide probe arrays for expression monitoring can be made and used according to any techniques known in the art (see for example, Lockhart et al., Nat. Biotechnol. (1996) 14, 1675-1680; McGall et al., Proc. Nat. Acad. Sci. USA (1996) 93, 13555-13460).
- Such probe arrays may contain at least two or more oligonucleotides that are complementary to or hybridize to two or more of the genes described herein.
- Such arrays my also contain oligonucleotides that are complementary or hybridize to at least 3, 4, 5, 6, 7, 8, 9, 10, 20, 30, 50, 70 or more the genes described herein.
- Any hybridization assay format may be used, including solution-based and solid support-based assay formats.
- Solid supports containing oligonucleotide probes for differentially expressed genes of the invention can be filters, polyvinyl chloride dishes, silicon or glass based chips, etc. Such wafers and hybridization methods are widely available, for example, those disclosed by Beattie (WO 95/11755). Any solid surface to which oligonucleotides can be bound, either directly or indirectly, either covalently or non-covalently, can be used.
- a preferred solid support is a high density array or DNA chip.
- Each predetermined location may contain more than one molecule of the probe, but each molecule within the predetermined location has an identical sequence.
- Such predetermined locations are termed features. There may be, for example, about 2, 10, 100, 1000 to 10,000; 100,000 or 400,000 of such features on a single solid support. The solid support, or the area within which the probes are attached may be on the order of a square centimeter.
- RT- PCR which can be used to compare mRNA levels in different sample populations, in normal and tumor tissues, with or without drug treatment, to characterize patterns of gene expression, to discriminate between closely related mRNAs, and to analyze RNA structure.
- the first step is the isolation of mRNA from a target sample.
- the starting material is typically total RNA isolated from human tumors or tumor cell lines, and corresponding normal tissues or cell lines, respectively.
- RNA can be isolated from a variety of primary tumors, including breast, lung, colon, prostate, brain, liver, kidney, pancreas, spleen, thymus, testis, ovary, uterus, etc., tumor, or tumor cell lines, with pooled DNA from healthy donors.
- mRNA can be extracted, for example, from frozen or archived paraffin-embedded and fixed (e.g. formalin-fixed) tissue samples.
- the first step in gene expression profiling by RT- PCR is the reverse transcription of the RNA template into cDNA, followed by its exponential amplification in a PCR reaction.
- the two most commonly used reverse transcriptases are avilo myeloblastosis virus reverse transcriptase (AMV-RT) and Moloney murine leukemia virus reverse transcriptase (MMLV-RT).
- AMV-RT avilo myeloblastosis virus reverse transcriptase
- MMLV-RT Moloney murine leukemia virus reverse transcriptase
- the reverse transcription step is typically primed using specific primers, random hexamers, or oligo-dT primers, depending on the circumstances and the goal of expression profiling.
- extracted RNA can be reverse-transcribed using a GeneAmp RNA PCR kit
- RNAs most frequently used to normalize patterns of gene expression are mRNAs for the housekeeping gene glyceraldehyde-3-phosphate-dehydrogenase (GAPDH), as used herein, or the ⁇ -actin gene.
- GPDH housekeeping gene
- the PCR step can use a variety of thermostable DNA-dependent DNA polymerases, it typically employs the Taq DNA polymerase, which has a 5'-3' nuclease activity but lacks a 3'-5' proofreading endonuclease activity.
- TaqMan.RTM PCR typically utilizes the 5'-nuclease activity of Taq or Tth polymerase to hydrolyze a hybridization probe bound to its target amplicon, but any enzyme with equivalent 5' nuclease activity can be used.
- Two oligonucleotide primers are used to generate an amplicon typical of a PCR reaction.
- a third oligonucleotide, or probe is designed to detect nucleotide sequence located between the two PCR primers.
- the probe is non-extendible by Taq DNA polymerase enzyme, and is labeled with a reporter fluorescent dye and a quencher fluorescent dye. Any laser-induced emission from the reporter dye is quenched by the quenching dye when the two dyes are located close together as they are on the probe.
- the Taq DNA polymerase enzyme cleaves the probe in a template-dependent manner. The resultant probe fragments disassociate in solution, and signal from the released reporter dye is free from the quenching effect of the second fluorophore.
- RT-PCR can be performed using commercially available equipment, such as, for example, ABI PRISM 7700.TM. Sequence Detection System. TM. (Perkin-Elmer-Applied Biosystems, Foster City, Calif, USA), or Lightcycler (Roche Molecular Biochemicals, Mannheim, Germany).
- ABI PRISM 7700.TM. Sequence Detection System. TM. Perkin-Elmer-Applied Biosystems, Foster City, Calif, USA
- Lightcycler Roche Molecular Biochemicals, Mannheim, Germany.
- the 5' nuclease procedure is run on a real-time quantitative PCR device such as the ABI PRISM 7700.TM. Sequence Detection System.TM..
- the system consists of a thermocycler, laser, charge-coupled device (CCD), camera and computer.
- the system amplifies samples in a 96-well format on a thermocycler.
- laser-induced fluorescent signal is collected in real-time through fiber optics cables for all 96 wells, and detected at the CCD.
- the system includes software for running the instrument and for analyzing the data.
- a more recent variation of the RT-PCR technique is the real time quantitative PCR, which measures PCR product accumulation through a dual-labeled fluorigenic probe (i.e., TaqMan.RTM. probe).
- Real time PCR is compatible both with quantitative competitive PCR, where internal competitor for each target sequence is used for normalization, and with quantitative comparative PCR using a normalization gene contained within the sample, or a housekeeping gene for RT-PCR.
- the genes which are assayed according to the present invention are typically in the form of mRNA or reverse transcribed mRNA.
- the genes may be cloned or not and the genes may be amplified or not. The cloning itself does not appear to bias the representation of genes within a population. However, it may be preferable to use polyA+RNA as a source, as it can be used with less processing steps.
- RNA isolation can be performed using purification kit, buffer set and protease from commercial manufacturers, such as Qiagen, according to the manufacturer's instructions.
- Other commercially available RNA isolation kits include MasterPure.TM.
- RNA from tissue samples can be isolated using RNA Stat-60 (Tel-Test).
- RNA prepared from tumor can be isolated, for example, by cesium chloride density gradient centrifugation.
- nucleic acid samples used in the methods and assays of the invention may be prepared by any available method or process. Methods of isolating total mRNA are also well known to those of skill in the art. For example, methods of isolation and purification of nucleic acids are described in detail in Chapter 3 of Laboratory Techniques in Biochemistry and Molecular Biology: Hybridization With Nucleic Acid Probes, Part I Theory and Nucleic Acid
- RNA samples include RNA samples, but also include cDNA synthesized from a mRNA sample isolated from a cell or tissue of interest. Such samples also include DNA amplified from the cDNA, and an RNA transcribed from the amplified DNA.
- RNA samples may be of any biological tissue or fluid or cells from any organism as well as cells raised in vitro, such as cell lines and tissue culture cells. Frequently the sample will be a "clinical sample” which is a sample derived from a patient.
- Typical clinical samples include, but are not limited to, sputum, blood, blood-cells (e.g., white cells), tissue or fine needle biopsy samples, urine, peritoneal fluid, and pleural fluid, or cells therefrom.
- Biological samples may also include sections of tissues, such as frozen sections or formalin fixed sections taken for histological purposes. The following non-limiting examples are presented to better illustrate the invention. Methods and Materials The practice of the present invention will employ, unless otherwise indicated, conventional techniques of molecular biology (including recombinant techniques), microbiology, cell biology, and biochemistry, which are within the skill of the art.
- HDMVEC human dermal microvascular endothelial cells
- RVEC rat heart microvascular endothelial cells
- VEC Technologies Renneslaer, NY
- endothelial cell monolayers were maintained at 37°C in a 5% C02 humidified atmosphere in tissue culture flasks coated with human fibronectin (Sigma, St. Louis, MO) using complete MCDB-131 media (MCDB-131 supplemented with 10% fetal bovine serum (FBS, Invitrogen, Carlsbad, CA) and the growth factor cocktail ENDOGRO, VEC Technologies).
- FBS fetal bovine serum
- ENDOGRO fetal bovine serum
- cells were harvested by trypsinization between passage 3-6 following initiation of culture from frozen stocks, counted, and seeded in fibronectin-coated tissue culture plates at 75% confluence (1.5 x 106 cells/per plate, 100 mm diameter plates).
- Cell growth was arrested for 24h by mitogen withdrawal and then stimulated by the addition of 100 ng/ml VEGF, 100 ng/ml bFGF or 200 ⁇ g ml ENDOGRO.
- the culture media was changed to pre-warmed DMEM supplemented with 10% FBS.
- For stimulation of cell growth the growth arrest media was replaced with MDCB-131 supplemented with 10% FBS and the appropriate growth factor.
- Matched control plates that received no supplemental stimulatory growth factor were made for each stimulation condition.
- the culture media was removed quickly by aspiration, and the cells were lysed in 1.2 ml RLT buffer (guanidine thiocyanate lysis buffer for RNA stabilization and purification, QIAGEN, Valencia, CA).
- Cell lysates were homogenized in QIAshredders and total RNA was isolated with RNeasy MINI affinity columns (QIAGEN, Valencia, CA).
- Gene expression profiles from a total of 8 independent VEGF-stimulated cultures, 7 ENDOGRO- stimulated cultures, and 4 bFGF-stimulated cultures were determined for HDMVECs. Profiles from 4 independent VEGF-stimulated cultures, 4 ENDOGRO-stimulated cultures, and 4 bFGF-stimulated cultures were determined For RHMVECs.
- a rat glial cell line (C6, ATCC CCL-107) and a rat mammary adenocarcinoma (MatBni, ATCC CRL-1666) were used for our animal tumor models.
- C6 cells were maintained in culture at 37°C in a 5% C02 humidified atmosphere in Ham's F-12 medium supplemented with 2 mM L- glutamine, 1 mg/ml sodium bicarbonate, 15% horse serum, 2.5% fetal bovine serum, 10 U/ml penicillin, and 10 ⁇ g/ml streptomycin (all media components from Invitrogen).
- MatBffl cells were grown in McCoy's 5a medium supplemented with 1.5 mM glutamine, 10% FBS 10 U/ml penicillin, and 10 ⁇ g/ml streptomycin.
- McCoy's 5a medium supplemented with 1.5 mM glutamine, 10% FBS 10 U/ml penicillin, and 10 ⁇ g/ml streptomycin.
- RNA isolation from C6 or MatBIII cells 2x106 cells growing in a 100 mm diameter tissue culture plate were lysed directly in 1.2 ml RLT buffer. Following lysate homogenization with a QIAshredder, total RNA was isolated with RNeasy MINI affinity columns.
- C6 glial cells and MatBHI adenocarcinoma cells were chosen for animal models because they were obtained from Fischer 344 (F344) rats and therefore could be used to create syngeneic tumors in immunocompetent F344 animals.
- C6 glioma flank tumor model C6 cells were injected subcutaneously into the right flank of male F344 rats (150-175 g, 107 cells per animal). Following cell injection, animals were randomized according to body weight to receive either vehicle (0.5% methylcellulose) or drug (10 mpk/dose Compound B or 40 mpk/dose Compound A in 0.5% methylcellulose) (12-15).
- MatBi ⁇ Breast Cancer Metastasis Model MatBIII cells between passage 20-30 were injected on the mammary fat pad around the 4th left nipple (106 cells/animal) of female F344 rats (150-175 g). Prior to dosing, animals were randomized into groups according to tumor size and body weight. Once daily oral dosing of Compound A (40 mpk dose formulated in 0.5% methylcellulose) or vehicle (0.5% methylcellulose) began on day 7 post tumor cell implantation and continued for 4 additional days. Six vehicle-treated and six compound-treated animals were sacrificed on day 11, four hrs after final dosing. At the time of necropsy, tumors were weighed immediately upon removal.
- RNA samples from the compound-treated rats were combined to form a control RNA pool.
- RNAs isolated from each of the tumor samples from the compound-treated rats was compared to the control pool of RNA during microarray hybridization.
- RNAs from individual vehicle treated animals was compared to the vehicle treated pool in order to assess inter-animal variability.
- RNA isolated from cultured cells or tumor tissue samples was used to make fluorescently-labeled complementary RNA (cRNA) that was hybridized to DNA microarrays as previously described (16, 17). Briefly, 4 ⁇ g total RNA from an individual tumor sample or in vitro endothelial cell culture was used to synthesize double-stranded DNA through reverse transcription. cRNA was produced by in vitro transcription and labeled post-synthetically with Cy3 or Cy5. Two populations of labeled cRNA, a reference population and experimental population, were compared to each other by competitive hybridization to oligonucleotide arrays synthesized in situ with inkjet technology.
- cRNA fluorescently-labeled complementary RNA
- Quantitative real time PCR Quantitative real time polymerase chain reaction was performed with gene-specific PCR primer pairs and amplicon-specific fluorescent probes (TaqMan, Applied Biosystems Inc. (ABI), Foster City, CA) according to published protocols (ABI Assays-on-DemandTM Gene Expression Protocol, Rev A, http://docs.appliedbiosystems.com/pebiodocs/04333458.pdf).
- One-step quantitative reverse transcription PCR reactions were performed using ABI's TaqMan® One-Step RT-PCR Master Mix Reagents (ABI Product# 4309169) and 25 ng total RNA template on an ABI Prism 7900HT Sequence Detection System.
- Two-step reverse transcription PCR experiments were initiated by cDNA synthesis from 25 ng total RNA as template using ABI's High Capacity cDNA Archive Kit (ABI Product# 4322171). Second step quantitative real time PCR was performed with standard reagents (TaqMan® Universal PCR Master Mix, ABI Product# 4324018) on the ABI Prism 7900HT Sequence Detection System. Real time PCR reactions were performed in duplicate in a 25 ⁇ l reaction volume in 384-well plates. Primer and probe sequences used for each gene are listed below. For every RNA sample, transcript abundance of GAPDH was determined. In addition, transcript abundance of genes of interest and GAPDH were determined for calibrator RNA samples, either total human lung RNA or total rat lung RNA.
- the endothelial cell specific signatures defined in Tables 5 and 6 also provide the GenBank Accession Number and GeneSymbol for the biomarkers comprising the expression signature.
- the following list provides the name, Accession Number and primer and probes used to detect a subset of the biomarkers: Hs refers to Homo sapiens.
- Rn refers to Rattus norvegicus.
- Tumor sam pies were fixed immei by submersion in a Zn-Tris fixative solution for immunohistochemistry (MC Zinc Fixative, BD Biosciences-Pharmingen, San Diego, CA) for 24 hr at room temperature (RT, 22°C) followed by submersion in 70% ethanol at RT for an additional 24 hrs. All subsequent steps were performed at RT.
- Tumor samples were embedded in paraffin (Tissue-Tek VIP Processing/Embedding Medium, Sakura Finetek, Torrance, CA) and cut into 3 ⁇ m sections on a Sakura Accu-Cut SRM microtome (Sakura Finetek).
- Tissue sections were de-waxed in xylene and re-hydrated through graded ethanol washes. Following washes in deionized H20 (dH20) and tris-buffered saline (TBS), a hydrophobic barrier was placed around the tissue section with a hydrophobic pen (Super Pap Pen, EMS #71310).
- dH20 deionized H20
- TBS tris-buffered saline
- CD31 staining CD31 is a validated endothelial cell-specific protein (18-20). Sections were blocked with Protein Block (Biogenex, San Ramon, CA) for 30 min and incubated with anti-CD31 antibodies (mouse anti-rat, Serotec, Raleigh, NC) diluted 1: 1000 in DAKO Antibody Diluent with Blockers
- Ki67 Staining Ki67 is a validated nuclear protein expressed only in proliferating cells (21, 22). To facilitate antibody recognition of Ki67, we used a high temperature antigen retrieval strategy. Sections were submerged in Target Retrieval Solution (lx DakoCytomation S1699 diluted with dH20) in a Decloaking Chamber (Biocare Medical, DC2002) and heated to 195°C for 1 min.
- Sections were cooled with running dH20 into the retrieval solution and then rinsed in TBS. Residual peroxidase activity was blocked by incubating the sections with 3.0% H202 in TBS for 20 min. Sections were washed several times in TBS, then incubated with anti-Ki67 antibodies (rabbit anti-human, Novacastra, Newcastle upon Tyne, UK) diluted 1:2000 in antibody diluent for 2 hrs. Sections were washed with TBST, and then incubated with undiluted biotinylated anti-rabbit IgG (DakoCytomation, Link K-0609) for 10 min.
- Sections were washed in TBST, and then incubated with streptavidin coupled to horseradish peroxidase (DakoCytomation, K0609) for 10 min. Sections were washed again in TBST, and antibodies bound to Ki67 were visualized by incubation with diaminobenzidine plus substrate (DakoCytomation, DAB+) for 5 min (color development monitored microscopically). Sections were washed in dH20, incubated with DAB Enhance for 20 min RT, and washed again with dH20.
- Tumor sections were counterstained with filtered Mayer's Hematoxylin (Lillie's Formulation, DakoCytomation) for two min, and then washed with tap H20 until no color remained in the wash water. Sections were then rinsed in dH20, dehydrated with 100% ethanol, cleared with xylenes and mounted with Permount (Fisher Scientific, Hampton, NH).
- Endothelial cell proliferation percentages represent the combined analysis results from at least 100 images with CD31 staining per tumor section.
- Immunofluorescence Microscopy Tumor samples were fixed, embedded, sectioned, de-waxed, and re- hydrated as described for immunohistochemistry above. All subsequent steps were performed at room temperature. After a brief rinse in TBS, tissue sections were blocked by incubation with Sniper Blocking Reagent (Biocare Medical) for 5-10 min, rinsed in TBS and incubated with primary antibodies diluted 1: 1000 in DAKO Antibody Diluent for 2 hrs (Antibodies against ANGPT2, CLU, CYR61, and PLAU were from Santa Cruz Biotechnology, Santa Cruz, CA and were raised in goat or rabbit; antibodies against EDNRB were from Calbiochem, San Diego, CA and raised in sheep, antibodies against CD31 were from Serotec and raised in mouse).
- Sections were then washed with Tris-buffered saline containing 0.2% Tween-20 (TBST, Sigma) and incubated with appropriate secondary antibodies diluted 1:200 (lOug/ml) in DAKO Antibody Diluent with blocking serum for 45 min (Alexa Fluor 488 donkey anti- goat IgG, Alexa Fluor 488 goat anti-rabbit IgG, Alexa Fluor 488 donkey anti-sheep IgG, Molecular Probes, Eugene, OR; Normal donkey and normal goal blocking serum, Sigma). Following additional washes with TBST, sections were counterstained with DAPI (Molecular Probes, 1:2000 dilution of 1 mg/ml stock in MQH20) for 30 min.
- DAPI Molecular Probes, 1:2000 dilution of 1 mg/ml stock in MQH20
- Sections were then washed in TBST, dehydrated in 100% EtOH, cleared in xylene, and mounted under coverslips with Permount. Images were captured with a Zeiss Axiocam mHR CCD camera connected to a Zeiss Axiovert 135 inverted fluorescence microscope equipped with a 40x objective. For each fluorophore, all images were captured using equal camera integration times.
- HDMVECs Primary human dermal microvascular endothelial cells
- RHMVECs rat heart microvascular endothelial cells
- HDMVECs or RHMVECs were trypsinization following the third passage in culture and seeded in fibronectin-coated, six-well tissue culture plates at a density of 10,000 cells well.
- Cell growth was arrested for 24h by mitogen withdrawal and then stimulated by the addition of 100 ng/ml VEGF, 100 ng/ml bFGF or 200 ⁇ g/ml ENDOGRO.
- VEGF vascular endothelial growth factor
- bFGF a bFGF-rich bovine brain extract, VEC Technologies
- ENDOGRO a bFGF-rich bovine brain extract, VEC Technologies
- the data provided in Figure 1 demonstrates that exposure of HDMVEC (Figure 1A) and RHMVEC (Figure IB) to Compound A selectively inhibits in vitro microvascular endothelial cell proliferation induced by VEGF as determined by viable cell counting with a hemocytometer.
- the gene expression profile illustrated in Figure 2 graphically illustrates a gene expression signature that is characteristic of proliferating HDMVEC (panel A) and RHMVEC (panel B) cultures. Color intensity represents the degree of regulation, not mRNA copy number.
- Table 3 provides a list of genes comprising the HDMVEC Proliferative Signature identified in the expression profiles illustrated in Figure 2.
- Table 4 provides a list of genes comprising the RHMVEC Proliferative Signature identified in the expression profiles illustrated in Figure 2.
- VEGF binds to and activates the fms-like tyrosine kinase (FLT1) and KDR (23, 24). Both FLTl and KDR are inhibited by Compound B (Table 1). bFGF binds to FGFR1 and FGFR2, but not FLTl or KDR. Both FGFR1 and FGFR2 are relatively insensitive to Compound B (see Table 1). Briefly, EC monolayers were maintained in complete MCDB-131 media until reaching -75% confluence, then induced into a quiescent state by mitogen starvation for 24 hr. Cells were then stimulated to proliferate with 100 ng/ml VEGF for 24 hr in the presence or absence of Compound B.
- RNA populations isolated from cells exposed to VEGF or VEGF + Compound B were compared to matched control RNAs isolated from quiescent cells exposed to neither VEGF nor Compound B.
- Parallel experiments were performed with RHMVECs (data not shown). Each point in the plots represents a gene sequence present on the DNA oligonucleotide microarray and is plotted according to the ratio of the two mRNA levels (experimental sample intensity ontrol sample intensity, vertical-axis) and the total mRNA quantity (experimental sample intensity + control sample intensity, horizontal-axis) for that gene.
- EXAMPLE 3 IDENTIFICATION OF AN ENDOTHELIAL CELL-SPECIFIC PROLIFERATION SIGNATURE
- the experimental data provided above identifies gene expression profiles, or expression signatures specific for proliferating endothelial cells. However, the majority of genes regulated during endothelial cell proliferation will also be expressed in other types of proliferating cells (genes that regulate cell cycle and metabolic processes, for example). Tumors contain a complex mixture of cell types, where approximately 1 in 2000 cells (0.05%) are proliferating endothelial cells (Joanne Antanavage, Rosemary McFall, and Ken Thomas, personal communications).
- Candidate endothelial cell-specific genes were defined as genes characterized by regulated expression during an in vitro proliferative response to mitogens, but expressed at relatively low levels in non-endothelial cells.
- microarray intensity data which corresponds to the number of labeled cRNAs bound to each array feature and is proportional to mRNA copy number, from previous expression profiling studies and compared it with the microarray intensity data from our HDMVEC proliferation experiments.
- the tumor models use C6 glioma and MatBIII mammary carcinoma cell lines, both derived from Fischer 344 rats. These cell lines each secrete VEGF and form highly vascularized tumors that are sensitive to KDR kinase inhibitors.
- Glioma Flank Tumor Model C6 cells were injected subcutaneously into the right flank of rats and allowed to form tumors for seven days. At that time, once-daily oral dosing with Compound A,
- Figure 4 illustrates the growth kinetics of established rat tumors following exposure to a KDR kinase inhibitor. Tumor volumes were determined by caliper measurements. Tumors were calipered in two dimensions (length and width) and tumor volume was calculated according to the formula (length) x (width) x ( l ⁇ width). Genome-wide gene expression in tumors isolated from compound-treated animals was compared to gene expression from tumors isolated from vehicle-treated animals. In the data provided in Figure 5 each row represents a distinct tumor from an individual animal. Each column represents a gene.
- Points corresponding to genes which are regulated (upregulated or downregulated) are indicated by various shades of gray.
- the data presented in Panel A of Figure 5 identifies genes from rat C6 flank tumors that are regulated following 24, 48, or 72 hrs of systemic exposure to the KDR kinase inhibitor Compound B.
- the data presented in Panel B of Figure 5 identifies genes from rat C6 flank tumors regulated following 24, 48, or 72 hrs of systemic exposure to the KDR kinase inhibitor Compound A.
- MatBIII breast Cancer Metastasis Model MatBIII mammary adenocarcinoma cells were injected into a mammary fat pad of female rats. After allowing tumors to establish for seven days once-daily oral dosing of Compound A began and continued for a total of 5 days (Figure 4B).
- the data presented in Panel C of Figure 5 identifies genes from rat MatBIII mammary tumors regulated following 100 hrs of systemic exposure to the KDR kinase inhibitor Compound A.
- Figure 5 Panel C, p-value ⁇ 0.05 for individual sequences. While there was overlap in the gene expression changes induced by the KDR kinase inhibition between the three studies, the majority of gene expression changes were study-specific (data not shown).
- FIG. 6 provides Venn diagrams which summarize the degree of overlap between the set of genes identified in the various assays formats disclosed herein. More specifically, Figure 6A summarizes the degree of overlap between the tumor gene expression responses to KDR kinase inhibitors in C6 flank tumors and MatBIII mammary tumors.
- Figure 6B indicates the degree of overlap between the sets of endothelial cell-specific genes determined to be regulated both in vitro by mitogens and in tumor tissue by KDR kinase inhibitors. All genes/sequences represented in Panel B were observed to be regulated in vivo by KDR kinase inhibitors in a manner opposite that observed in vitro following exposure to mitogens. Most interestingly, we found in each study that some of those genes were regulated in a manner consistent with suppression of endothelial cell proliferation. In effect, these genes were oppositely regulated in our in vitro proliferation experiments as compared to our in vivo tumor studies.
- Tables 5 and 6 provide a list of genes which were observed to be regulated by Compound A.
- Table 5 utilizes the data obtained in the C6 Flank Tumor and MatBill Breast Cancer Metatesis Models to define a Compound induced endothelial cell-specific expression signatures.
- the table provides the GeneBank Accession number, the gene symbol and summarizes the compound-induced fold change in gene expression that was observed.
- Table 5 provides a summary of the changes (i.e., suppressed expression) observed for individual biomarkers comprising the EC- specific proliferation signatures disclosed herein in response to in vivo KDR inhibitor administration.
- NM_002421 MMP1 18.54 2.29 VEGF
- NM_003812 ADAM23 18.65 -1.34 VEGF
- NM_005460 SNCAIP 5.44 2.20 VEGF
- NM_014029 HSPC022 32.99 1.25 ENDOGRO NM_014059 RGC32 28.92 -1.65 ENDOGRO NM_014074 PRO0529 4.39 -1.42 VEGF NM_014143 B7-H1 9.24 -1.30 VEGF NM_014331 SLC7A11 16.15 -1.61 ENDOGRO NM_014344 FJX1 7.64 1.39 ENDOGRO NM_014349 APOL3 11.47 -1.43 bFGF NM_014363 SACS 13.77 -1.44 VEGFE NM_014391 CARP 46.40 -1.80 ENDOGRO NM_014397 NEK6 3.95 -1.28 ENDOGRO NM_014398 LAMP3 15.90 -1.35 ENDOGRO NM_014465 ST1 B2 39.94 -1.84 ENDOGRO NM_014476 ALP 15.82 -1.19 ENDOGRO NM_01
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