Lecture 15: Tumour Angiogenesis Flashcards
What diseases is too much angiogenesis related too?
Cancer
Diabetic blindness
Age related macular degeneration
Arthiritis
Psoriasis
What diseases is not enough angiogenesis related too?
Coronary artery disease
Stroke
Chronic wounds
Ageing
What s vasculogenesis?
Process which creates the primary network of vascular endothelial cells that go on to become major blood vessels.
Where does angiogenesis occur naturally in adults?
Uterine lining
Wound healing
What is meant by the angiogenic switch?
Activators:
VEGF-A, VEGF-B / -C, FGF1, FGF2
Inhibitors:
Thrombospondin-1, -2, Interferon alpha/beta, angiostatin, endostatin, collagen 4 fragments, etc
What is tumour angiogenesis?
When bloodvessels penetrate a small localised tumour allowing it to spread
What is the Rip-Tag model of inslet tumour cell progression
Transgene: “V40 large an small T transcription driven by insulin promoter transcription in b-cells of islets of Lagerhans
What is the relevance of angiogenesis in ‘Intratumoural microvessel density’ (IMD)
IMD correlates with metastasis and survival
Correlations between IMD and VEGF, tumour growth, and metastasis
IMD - a good prognostic indicator in tumours that are particularly angiogenic (breast and prostate carcinoma)
What is the Chalkley Method?
Angiogenesis as a prognostic factor.
Grid containing 25 random dots is rotated so the max no. of points are on vessels of selected hot spot, overlying dots counted. Chalkley count = avrg no. of hits from 3 hot spots in the tumour
What is the process of angiogenesis
- Angiogenic factor release
- EC receptor binding
- EC activation
- EC proliferation
- Directional migration
- ECM remodelling
- Tube formation
- Loop formation
- Vascular stabilization
What prompts the release of angiogenesis factors?
High O2 = low HIF
Low O2 = high HIF = VEGF secretion
What is oxygen-dependent regulation of the HIF transcription factor?
Normoxia:
Degradation of HIF-1alpha via hydroxylation of proline residues in HIF1a subunits by prolyl hydroxyalse (PHD). VHL ind to elonginB and elonginC to form unbiquitin ligase complex.
Hypoxia:
Stabilization of HIF-1alpha = transcription of HIF inducible genes. proline hydroxylation does not occur, HIF1a & HIF1b forms heterodimer. HIFab binds to hypoxia response elements at promoter regions. Leads to VEGF expression.
What is Vib Hippel Lindau disease?
Caused by an inherited defect in VHL gene, HIG-1 constitutively activated = high lifetime risk of renal carcinoma.
VHL binds to HIF-1, targetting it for destruction
What is the structure of blood vessels?
Tunica intima = endothelial cells and basement membrane
Tunica media = supporting cells (smooth muscle/pericytes)
Tunica adventitia = supporting connective tissue
What are different receptors relevant to angiogenesis
VEGFR-1, -2, -3
TIE-1, -2
EphB-2, -3, -4
EphA-2