Abstract. Vascular endothelial growth factor receptor-2 or kinase insert domain-containing receptor (VEGFR2/KDR) is secreted by most solid tumors, including breast cancer, and is an important mediator of angiogenesis. To observe the effects of KDR gene expression on cell proliferation and the cell cycle in MCF-7 cells in vitro and in vivo, we used chemically modified siRNA directed against KDR. The results revealed that chemically modified siRNA transfection of the KDR gene effectively inhibited the proliferation of MCF-7 cells, arrested cells in the G1 phase and down-regulated the expression of KDR. In addition, in the progression of cell cycle arrest induced by siRNA, phosphorylated ERK and CDK1 expression was down-regulated (P<0.01). In vivo, the growth of tumors was visibly suppressed. RT-PCR and the results of immunohistochemistry indicated that KDR mRNA and protein expression was reduced in the excised tumors. In contrast, there were no obvious changes in the control groups. This implies that chemically modified KDR siRNA markedly decreases KDR gene expression and inhibits cellular proliferation in vitro, as well as suppressing tumor growth in a xenograft model. KDR may be a new target for breast cancer treatment.
IntroductionAngiogenesis is a complex process that is essential for tumor growth beyond 1 or 2 mm 3 . Kinase insert domain-containing receptor (KDR), commonly known as VEGFR2, is one of the best characterized pro-angiogenic factors, playing a critical role in physiological and pathological angiogenesis (1). Via its interaction with VEGF, KDR mediates many key components of angiogenesis, including endothelial cell proliferation, invasion, migration and survival, as well as vessel permeability.It also plays an important role in the regulation of tumor genesis and development (2-4). In addition to activating KDR on vessels in a paracrine manner, VEGF secreted by tumor cells also activates KDR on itself in an autocrine manner, and directly promotes the growth of tumor cells (5-10). Therefore, by inhibiting the expression of KDR, tumor growth can be suppressed on two levels.With one million new cases presenting each year, breast cancer is the most common cancer among women and the leading cause of death worldwide in those between the ages of 30 and 70 years (11,12). In human breast cancer, levels of KDR have been correlated with tumor progression and invasion (13). KDR and VEGF are co-expressed in primary breast carcinomas, and their expression is increased when tumors shift to an angiogenic phenotype (14,15). Many investigators are beginning to advocate silencing the gene expression of angiogenic factors as an anti-angiogenic strategy.RNA interference (RNAi ) is a novel gene therapy technology (16,17) in which 21-25 nucleotide small interfering RNA (siRNA) duplexes, homologous to the silenced gene, function as sequence-specific RNAi mediators, suppressing the expression of the target gene. siRNA synthesis in vitro is the latest development in RNAi; however, the poor stability and specificity of siRNA...