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  • 1
    In: Journal of Experimental & Clinical Cancer Research, Springer Science and Business Media LLC, Vol. 40, No. 1 ( 2021-12)
    Abstract: Improvement of radiotherapy efficacy requires better insight in the dynamic responses that occur during irradiation. Here, we aimed to identify the molecular responses that are triggered during clinically applied fractionated irradiation. Methods Gene expression analysis was performed by RNAseq or microarray analysis of cancer cells or xenograft tumors, respectively, subjected to 3–5 weeks of 5 × 2 Gy/week. Validation of altered gene expression was performed by qPCR and/or ELISA in multiple cancer cell lines as well as in pre- and on-treatment biopsies from esophageal cancer patients ( NCT02072720 ). Targeted protein inhibition and CRISPR/Cas-induced gene knockout was used to analyze the role of type I interferons and cGAS/STING signaling pathway in the molecular and cellular response to fractionated irradiation. Results Gene expression analysis identified type I interferon signaling as the most significantly enriched biological process induced during fractionated irradiation. The commonality of this response was confirmed in all irradiated cell lines, the xenograft tumors and in biopsies from esophageal cancer patients. Time-course analyses demonstrated a peak in interferon-stimulated gene (ISG) expression within 2–3 weeks of treatment. The response was accompanied by a variable induction of predominantly interferon-beta and/or -lambda, but blocking these interferons did not affect ISG expression induction. The same was true for targeted inhibition of the upstream regulatory STING protein while knockout of STING expression only delayed the ISG expression induction. Conclusions Collectively, the presented data show that clinically applied fractionated low-dose irradiation can induce a delayed type I interferon response that occurs independently of interferon expression or STING signaling. These findings have implications for current efforts that aim to target the type I interferon response for cancer treatment.
    Type of Medium: Online Resource
    ISSN: 1756-9966
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
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  • 2
    In: Oncotarget, Impact Journals, LLC, Vol. 7, No. 47 ( 2016-11-22), p. 76613-76627
    Type of Medium: Online Resource
    ISSN: 1949-2553
    URL: Issue
    Language: English
    Publisher: Impact Journals, LLC
    Publication Date: 2016
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  • 3
    In: Cancer Medicine, Wiley, Vol. 4, No. 7 ( 2015-07), p. 1003-1015
    Abstract: The combination of radiotherapy with sunitinib is clinically hampered by rare but severe side effects and varying results with respect to clinical benefit. We studied different scheduling regimes and dose reduction in sunitinib and radiotherapy in preclinical tumor models to improve potential outcome of this combination treatment strategy. The chicken chorioallantoic membrane ( CAM ) was used as an angiogenesis in vivo model and as a xenograft model with human tumor cells ( HT 29 colorectal adenocarcinoma, OE 19 esophageal adenocarcinoma). Treatment consisted of ionizing radiation ( IR ) and sunitinib as single therapy or in combination, using different dose‐scheduling regimes. Sunitinib potentiated the inhibitory effect of IR (4 Gy) on angiogenesis. In addition, IR (4 Gy) and sunitinib (4 days of 32.5 mg/kg per day) inhibited tumor growth. Ionizing radiation induced tumor cell apoptosis and reduced proliferation, whereas sunitinib decreased tumor angiogenesis and reduced tumor cell proliferation. When IR was applied before sunitinib, this almost completely inhibited tumor growth, whereas concurrent IR was less effective and IR after sunitinib had no additional effect on tumor growth. Moreover, optimal scheduling allowed a 50% dose reduction in sunitinib while maintaining comparable antitumor effects. This study shows that the therapeutic efficacy of combination therapy improves when proper dose‐scheduling is applied. More importantly, optimal treatment regimes permit dose reductions in the angiogenesis inhibitor, which will likely reduce the side effects of combination therapy in the clinical setting. Our study provides important leads to optimize combination treatment in the clinical setting.
    Type of Medium: Online Resource
    ISSN: 2045-7634 , 2045-7634
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2015
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  • 4
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2013
    In:  Cancer Research Vol. 73, No. 8_Supplement ( 2013-04-15), p. 1586-1586
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 73, No. 8_Supplement ( 2013-04-15), p. 1586-1586
    Abstract: Introduction: Over 50% of all cancer patients receive radiotherapy during their treatment. Recent studies demonstrate that combining radiotherapy with angiostatic drugs may have a beneficial effect on tumor growth inhibition in vivo. However, efficacy depends on the type of drug, the dose and the scheduling. We adapted the chick chorioallantoic membrane (CAM) assay to allow rapid analysis of the effects of radiotherapy in combination with angiostatic drugs on in vivo angiogenesis. Using this model, we studied the effects of different treatment schedules with sunitinib on tumors grafted onto the CAM. Methods: The CAMs of fertilized chicken eggs were treated daily with sunitinib (50 μL of 10 μM) starting at embryonic day of development (EDD) 6. Irradiation was given using a cobalt-60 source. On EDD10 the CAM vasculature was imaged and analyzed using specific software (HetCAM, DCI labs). For the in vivo tumor model, 5x106 HT29 or D384 cells were grafted on the CAM on EDD6. From EDD10 onwards, combination therapy was applied to the tumors using different treatment schedules. Tumor growth was measured daily until EDD17 after which tumor were dissected for further analysis. Results: Single dose (SD) radiotherapy (4 Gy) on EDD6 induces an almost 50% reduction in the vessel length and the number of branchpoints. Within 3 days these vascular parameters normalize. Sunitinib treatment for 2 and 4 days results in significant reduction of the vascular parameters. Applying 4 Gy after sunitinib treatment has an additive effect on the vasculature. In the tumor grafts, SD radiotherapy (4 Gy) decreased tumor volume and weight significantly four days after irradiation which was mainly caused by impaired tumor cell growth rather than by vascular defects. Combining radiotherapy (SD of 4Gy) with sunitinib treatment (4x 50 uL of 0.8uM) only had a beneficial effect when irradiation was given within the first 3 days of sunitinib treatment. Furthermore, while SD irradiation with 2 Gy alone did not affect tumor growth, a beneficial effect was observed when 2 Gy irradiation was given at the start of sunitinib treatment. Conclusion: The effect of combining radiotherapy with sunitinib on in vivo angiogenesis and tumor growth depends on the treatment schedule. Optimal scheduling allows a reduction in radiation dose. Preclinical analysis of optimal dose/scheduling is essential for the design of clinical trials and for translation of combination therapy to the clinic. Citation Format: Esther A. Kleibeuker, Kitty C. Castricum, Jaap van den Berg, Richard Honeywell, Arjan W. Griffioen, Ben J. Slotman, Henk M. Verheul, Victor L. Thijssen. Improving the radio-sensitizing effect of sunitinib by drug-specific scheduling. [abstract]. In: Proceedings of the 104th Annual Meeting of the American Association for Cancer Research; 2013 Apr 6-10; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2013;73(8 Suppl):Abstract nr 1586. doi:10.1158/1538-7445.AM2013-1586
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2013
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  • 5
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 79, No. 13_Supplement ( 2019-07-01), p. 3738-3738
    Abstract: Introduction To improve radiotherapy efficacy, insight in the dynamic biological responses that occur during clinical radiation schedules is vital. In the current study we explored gene expression changes during the course of fractionated radiotherapy (FrRT) that might be targeted with combination treatment strategies. Methods Human cell lines HT29, SW480, HCT116, COLO320, RKO (colorectal carcinoma), D384 (glioblastoma) and OE19 (esophageal adenocarcinoma) as well as HT29 xenograft tumors in nude mice were irradiated up to 3 to 5 weeks with daily fractions of 2 Gy for 5 days per week. In vivo tumor growth was monitored daily and in vitro clonogenic survival was determined every other day. At the end of each treatment week tumors and cells were harvested for RNA isolation. Subsequently, gene expression analysis was performed by RNA sequencing and micro-array analysis. Altered gene expression levels were validated by qPCR. Protein expression was determined by ELISA and Western blot. Results Tumor growth of the HT29 xenografts declined after 2 weeks of FrRT compared to non-irradiated tumors. In irradiated cell lines, clonogenic survival analyses revealed a log-linear decline in survival in the first 2 weeks, after which a steady-state-like phase was reached up to 5 treatment weeks. Gene expression analysis of both xenograft tumors as well as irradiated cell lines at this 2 week time point identified a type-1 interferon (IFN) mediated signaling pathway as the most significantly enriched biological process. The induction of a selection of IFN-stimulated genes (ISGs) was confirmed by qPCR. Comparable responses were observed in both STING positive (HT29, SW480, HCT116, D384) and negative (COLO320, RKO, OE19) cell lines. To get more insight in the dynamics of the IFN response we analyzed ISGs expression at the end of each treatment week. This revealed a peak in ISGs expression after 10 to 15 fractions, both in vivo and in vitro. The ISGs expression levels decreased with continuation of treatment but always remained above the basal level of non-irradiated cells. Single dose irradiation up to 10 Gy also induced dose-dependent ISGs expression, albeit typically 5 to 10 fold lower as compared to FrRT. Subsequent protein and mRNA expression analyses consistently revealed induction of IFN beta expression, with peak levels measured after 10 to 15 fractions. In addition, occasional induction of IFN lambda 2/3 protein and mRNA expression was observed. Conclusion FrRT induces an intrinsic type-1 IFN response which occurs independent of STING. This response is associated with induction of IFN beta expression, which peaks after 2 to 3 weeks of treatment and coincides with a shift in in vivo tumor growth and in vitro clonogenic survival. Targeting this response during FrRT might be exploited as a novel combination treatment. Citation Format: Ruben S. Goedegebuure, Esther A. Kleibeuker, Kitty C. Castricum, Jaap van den Berg, Sarah Derks, Henk M. Verheul, Ben J. Slotman, Adrian Harris, Victor L. Thijssen. A STING independent type-1 interferon response induced by fractionated radiotherapy coincides with altered tumor growth and clonogenicity [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2019; 2019 Mar 29-Apr 3; Atlanta, GA. Philadelphia (PA): AACR; Cancer Res 2019;79(13 Suppl):Abstract nr 3738.
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2019
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    detail.hit.zdb_id: 410466-3
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  • 6
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2015
    In:  Angiogenesis Vol. 18, No. 4 ( 2015-10), p. 385-395
    In: Angiogenesis, Springer Science and Business Media LLC, Vol. 18, No. 4 ( 2015-10), p. 385-395
    Type of Medium: Online Resource
    ISSN: 0969-6970 , 1573-7209
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2015
    detail.hit.zdb_id: 2003393-X
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  • 7
    Online Resource
    Online Resource
    Elsevier BV ; 2012
    In:  Drug Resistance Updates Vol. 15, No. 3 ( 2012-6), p. 173-182
    In: Drug Resistance Updates, Elsevier BV, Vol. 15, No. 3 ( 2012-6), p. 173-182
    Type of Medium: Online Resource
    ISSN: 1368-7646
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2012
    detail.hit.zdb_id: 2002582-8
    SSG: 15,3
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