|
By Bruce Lieberman
UNION-TRIBUNE STAFF WRITER
November 5, 2002
San Diego researchers have shown that a new oral
vaccine administered to mice helps their immune systems kill blood
vessels that feed cancerous tumors.
Although years away from clinical trials in humans, the discovery
could lead to the development of a new weapon in the fight against
cancer.
The scientists, from The Scripps Research Institute in La Jolla, said
the vaccine leads only to a reduction in blood vessels leading into
tumors, and that it may prove most effective in stopping residual tumors
after treatment, or the recurrence of tumors after remission.
"That is certainly a window where immune therapy might be applied the
most effectively," said Dr. Andreas G. Niethammer, a research associate
at Scripps and a co-author of the study, published online yesterday in
the journal Nature Medicine. It will
appear in print next month.
Tumors cannot grow without their own blood supply, and in recent
years scientists have tried to design drugs that inhibit the development
of blood vessels that feed tumors, a process called angiogenesis.
The scientists at Scripps are the first to develop a vaccine that
triggers an immune response against a tumor's blood supply.
Previous studies have shown that specific proteins, called
vascular-endothelial growth factor receptor-2, or VEGF receptor 2, are
found on the blood vessel cells that feed cancer tumors. The Scripps
vaccine triggers an immune response that attacks these proteins.
"What Dr. (Ralph) Reisfeld has done here is use a vaccine approach,
and he's asked a body to mount an immune response against that . . .
VEGF receptor," said Dr. Jeffrey Schlom, chief of the Laboratory of
Tumor Immunology at the National Cancer Institute in Bethesda, Md.
"This is what's new."
Since the 1990s, high hopes have been placed on a new class of drugs
called angiogenesis inhibitors, which are designed to attack a variety
of molecular targets that drive the development of blood vessels in
tumors.
But results have been mixed. Also, existing angiogenesis inhibitors
often must be administered repeatedly, and sometimes at very high doses,
to be effective at all, said Reisfeld, a Scripps immunology professor
who conducted the study with Niethammer.
The vaccine the Scripps team developed, by contrast, protected mice
from cancer 10 months after their last dose. The Scripps researchers
tested the animals' immune response to lung, colon and skin cancer.
The vaccine posed one side effect, however. Angiogenesis is a natural
process in wound repair, and the vaccine was found to delay the healing
of wounds in mice.
"One is going to have to do a series of animal studies to make sure
that this approach is safe," said Schlom.
The article was authored by Niethammer, Rong Xiang, Jurgen C. Becker,
Harald Wodrich, Ursula Pertl, Gabriele Karsten, Brian P. Eliceiri and
Reisfeld.
The study was supported by the National Institutes of Health, the
American Heart Association, the Tobacco-Related Disease Research Program
Grant, the Department of Defense, Lexigen Pharmaceuticals, Inc., and by
fellowships through Deutsche Krebshilfe and Deutsche
Forschungsgemeinschaft.
Bruce Lieberman: (619 )293-2836;
bruce.lieberman@uniontrib.com
|