Human neuroblastoma (NB) tumors elaborate angiogenic peptides, and enhanced angiogenesis correlates with their aggressive behavior, metastatic spread and poor clinical outcome. Hence, inhibition of angiogenic factor production may represent a potential therapeutic target for NB treatment. There is currently little information regarding the stimuli that control NB production of angiogenic mediators. In this study, we analyzed the effects of hypoxia, a common feature of solid tumors and a major drive to tumor angiogenesis, and of PA, a tryptophan catabolite produced under inflammatory conditions and endowed with several biologic properties, on the production of the angiogenic activator VEGF by advanced-stage human NB cell lines. We demonstrate that both stimuli are potent inducers of VEGF expression and secretion. VEGF upregulation by PA involved iron chelation because iron sulfate prevented this effect whereas the ironchelating agent DFX induced VEGF production. Conversely, the CDK inhibitor Flp completely blocked VEGF induction by hypoxia. This effect occurred as early as 3 hr after stimulation and did not require de novo protein synthesis. Moreover, Flp exerted similar inhibitory activity on VEGF induction by PA or DFX, suggesting that this compound targets an essential step in the signaling pathway that leads to VEGF expression. Our findings demonstrate that PA can modulate angiogenic factor production by tumor cells and establish the importance of Flp as an inhibitor of VEGF production by human NB. © 2002 Wiley-Liss, Inc.
Key words: neuroblastoma; flavopiridol; picolinic acid; vascular endothelial growth factor; hypoxiaNeuroblastoma (NB) is the most common pediatric solid tumor that arises from the sympathetic nervous system. 1 Low-stage, localized NB tumors often spontaneously regress or mature to benign forms, whereas high-stage, disseminated tumors are rapidly progressive and associated with poor outcome. 2 NB tumors are characterized by genetic changes that correlate with patients' prognosis, e.g., MYCN amplification, 1p LOH deletion and 17q trisomy. 3,4 Despite aggressive therapeutic protocols, children who develop advanced-stage NB over the age of 1 year often have a poor prognosis associated with local growth and metastatic spread. 2,5 Malignant solid tumors depend on neoangiogenesis for their progressive growth and metastatization. 6 Proliferating tumor cells acquire the ability of triggering an angiogenic response through the production of diffusible angiogenic factors that promote tumor growth and spreading. 7 Human NB elaborate angiogenic peptides, 8 stimulate endothelial cell proliferation in vitro and in vivo 9 and induce angiogenesis in nude mice during tumorigenesis. 10 Moreover, Meitar et al. 11 found that NB angiogenesis correlates with metastatic disease, MYCN amplification and poor clinical outcome, suggesting the importance of angiogenesis in NB progression. Hence, pharmacologic intervention to target angiogenic factor production by NB is an attractive possibility with potential therapeut...