Olmesartan potentiates the anti-angiogenic effect of sorafenib in mice bearing Ehrlich's ascites carcinoma: role of angiotensin (1-7)

PLoS One. 2014 Jan 22;9(1):e85891. doi: 10.1371/journal.pone.0085891. eCollection 2014.

Abstract

Local renin-angiotensin systems exist in various malignant tumor tissues; this suggests that the main effector peptide, angiotensin II, could act as a key factor in tumor growth. The underlying mechanisms for the anti-angiogenic effect of angiotensin II type 1 receptor blockers need to be further evaluated. The present study was carried out to investigate the anti-angiogenic effect of olmesartan alone or in combination with sorafenib, an angiotensin (1-7) agonist or an angiotensin (1-7) antagonist in Ehrlich's ascites carcinoma-bearing mice. The tumor was induced by intradermal injection of Ehrlich's ascites carcinoma cells into mice. Tumor discs were used to evaluate the microvessel density; the serum levels of vascular endothelial growth factor (VEGF) and serum insulin-like growth factor I (IGF-I); and their intratumoral receptors, VEGF receptor-2 and IGF-I receptor, respectively. All parameters were determined following the treatment course, which lasted for 21 days post-inoculation. Monotherapy with olmesartan and its combination with sorafenib resulted in a significant reduction in microvessel density and serum levels of VEGF and IGF-I, as well as their intratumoral receptors. In addition, the combination of olmesartan (30 mg/kg) with an angiotensin (1-7) agonist reduced the microvessel density, IGF-I serum levels and the levels of its intratumoral receptor. In conclusion, olmesartan reduced the levels of the angiogenesis markers IGF-I and VEGF and down-regulated the intratumoral expression of their receptors in a dose-dependent manner, and these effects were dependent on the angiotensin (1-7) receptor. These results suggest that olmesartan is a promising adjuvant to sorafenib in the treatment of cancer.

MeSH terms

  • Angiotensin I / agonists
  • Angiotensin I / antagonists & inhibitors
  • Angiotensin I / physiology
  • Angiotensin II Type 1 Receptor Blockers / pharmacology
  • Animals
  • Antineoplastic Agents / pharmacology
  • Carcinoma, Ehrlich Tumor / drug therapy*
  • Carcinoma, Ehrlich Tumor / metabolism
  • Carcinoma, Ehrlich Tumor / physiopathology
  • Dose-Response Relationship, Drug
  • Down-Regulation / drug effects
  • Drug Synergism
  • Female
  • Imidazoles / pharmacology*
  • Immunohistochemistry
  • Insulin-Like Growth Factor I / metabolism
  • Mice
  • Neovascularization, Pathologic / metabolism
  • Neovascularization, Pathologic / physiopathology
  • Neovascularization, Pathologic / prevention & control
  • Niacinamide / analogs & derivatives*
  • Niacinamide / pharmacology
  • Peptide Fragments / agonists
  • Peptide Fragments / antagonists & inhibitors
  • Peptide Fragments / physiology
  • Phenylurea Compounds / pharmacology*
  • Receptor, IGF Type 1 / metabolism
  • Sorafenib
  • Tetrazoles / pharmacology*
  • Tumor Burden / drug effects
  • Vascular Endothelial Growth Factor A / blood
  • Vascular Endothelial Growth Factor Receptor-2 / metabolism

Substances

  • Angiotensin II Type 1 Receptor Blockers
  • Antineoplastic Agents
  • Imidazoles
  • Peptide Fragments
  • Phenylurea Compounds
  • Tetrazoles
  • Vascular Endothelial Growth Factor A
  • Niacinamide
  • Insulin-Like Growth Factor I
  • olmesartan
  • Angiotensin I
  • Sorafenib
  • Receptor, IGF Type 1
  • Vascular Endothelial Growth Factor Receptor-2
  • angiotensin I (1-7)

Grants and funding

The authors have no support or funding to report.