Skip to main content
Cancer Science logoLink to Cancer Science
. 2005 Aug 19;95(7):614–618. doi: 10.1111/j.1349-7006.2004.tb02496.x

Direct inhibition of EGF receptor activation in vascular endothelial cells by gefitinib (‘Iressa’, ZD1839)

Akira Hirata 1,2, Hisanori Uehara 3, Keisuke Izumi 3, Seiji Naito 2, Michihiko Kuwano 4, Mayumi Ono 1,
PMCID: PMC11159076  PMID: 15245600

Abstract

The development of gefitinib (‘Iressa’, ZD1839) by targeting the EGFR tyrosine kinase is a recent therapeutic highlight. We have reported that gefitinib is antiangiogenic in vitro, as well as in vivo. In this study, we asked if the anti‐angiogenic action of gefitinib is due to a direct effect on activation of vascular endothelial cells by EGF. EGF, as well as VEGF, caused pronounced angiogene‐sis in an avascular area of the mouse cornea, and i.p. administration of gefitinib almost completely blocked the response to EGF, but not to VEGF. Immunohistochemical analysis demonstrated phosphorylation of EGFR by EGF in the neovasculature, and gefitinib markedly reduced this effect. Gefitinib also inhibited downstream activation of ERK 1/2 via EGFR in cultured microvascular endothelial (HMVE) cells. These findings suggest that the anti‐angiogenic effect of gefitinib in the vascular endothelial cells of neo‐vasculature is partly attributable to direct inhibition of EGFR activation, and that endothelial cells in malignant tumors play a critical role in the cancer therapeutic efficacy of gefitinib.


Abbreviations:

Akt

protein kinase B/Akt

bFGF

basic fibroblast growth factor

EGF

epidermal growth factor

EGFR

epidermal growth factor receptor

ERK

extracellular signal‐regulated kinase

HMVE cells

human microvascular endothelial cells

IL‐8

interleukin‐8

TGFa

transforming growth factor α

VEGF

vascular endothelial growth factor

‘Iressa’ is a trademark of the AstraZeneca group of companies.

References

  • 1. Ullrich A, Schlessinger J. Signal transduction by receptors with tyrosine ki‐nase activity. Cell 1990; 61: 203–12. [DOI] [PubMed] [Google Scholar]
  • 2. Yarden Y, Ullrich A. Growth factor receptor tyrosine kinases. Annu Rev Bio-chem 1988; 57: 443–78. [DOI] [PubMed] [Google Scholar]
  • 3. Olayioye MA, Neve RM, Lane HA, Hynes NE. The ErbB signaling network: receptor heterodimerization in development and cancer. EMBO J 2000; 19: 3159–67. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4. Prenzel N, Fischer OM, Streit S, Hart S, Ullrich A. The epidermal growth factor receptor family as a central element for cellular signal transduction and diversification. Endocr Relat Cancer 2001; 8: 11–31. [DOI] [PubMed] [Google Scholar]
  • 5. Baselga J. Why the epidermal growth factor receptor? The rationale for cancer therapy. Oncologist 2002; 7 Suppl 4: 2–8. [DOI] [PubMed] [Google Scholar]
  • 6. Mendelsohn J, Baselga J. The EGF receptor family as targets for cancer therapy. Oncogene 2000; 19: 6550–65. [DOI] [PubMed] [Google Scholar]
  • 7. Baselga J, Averbuch SD. ZD1839 (‘Iressa’) as an anticancer agent. Drugs 2000; 60 Suppl 1: 33–40; discussion 41–32. [DOI] [PubMed] [Google Scholar]
  • 8. Barker AJ, Gibson KH, Grundy W, Godfrey AA, Barlow JJ, Healy MP, Woodburn JR, Ashton SE, Curry BJ, Scarlett L, Henthorn L, Richards L. Studies leading to the identification of ZD1839 (IRESSA): an orally active, selective epidermal growth factor receptor tyrosine kinase inhibitor targeted to the treatment of cancer. Bioorg Med Chem. Lett 2001; 11: 1911–4. [DOI] [PubMed] [Google Scholar]
  • 9. Arteaga CL, Johnson DH. Tyrosine kinase inhibitors‐ZD1839 (Iressa). Curr Opin Oncol 2001; 13: 491–8. [DOI] [PubMed] [Google Scholar]
  • 10. Woodburn JR. The epidermal growth factor receptor and its inhibition in cancer therapy. Pharmacol Ther 1999; 82: 241–50. [DOI] [PubMed] [Google Scholar]
  • 11. Ciardiello F, Caputo R, Bianco R, Damiano V, Pomatico G, de Placido S, Bianco AR, Tortora G. Antitumor effect and potentiation of cytotoxic drugs activity in human cancer cells by ZD‐1839 (Iressa), an epidermal growth factor receptor‐selective tyrosine kinase inhibitor. Clin Cancer Res 2000; 6: 2053–63. [PubMed] [Google Scholar]
  • 12. Sirotnak FM, Zakowski MF, Miller VA, Scher HI, Kris MG. Efficacy of cytotoxic agents against human tumor xenografts is markedly enhanced by coadministration of ZD1839 (Iressa), an inhibitor of EGFR tyrosine kinase. Clin Cancer Res 2000; 6: 4885–92. [PubMed] [Google Scholar]
  • 13. Ono M, Hirata A, Kometani T, Miyagawa M, Ueda S, Kinoshita H, Fujii T, Kuwano M. Sensitivity to gefitinib (Iressa, ZD1839) in non‐small cell lung cancer cell lines correlates with dependence on the EGF receptor/ERKl/2 and EGF receptor/Akt pathway for proliferation. Mol Cancer Ther 2004; 3: 465–72. [PubMed] [Google Scholar]
  • 14. Hirata A, Ogawa S, Kometani T, Kuwano T, Naito S, Kuwano M, Ono M. ZD1839 (Iressa) induces antiangiogenic effects through inhibition of epidermal growth factor receptor tyrosine kinase. Cancer Res 2002; 62: 2554–60. [PubMed] [Google Scholar]
  • 15. Klagsbrun M, D'Amore PA. Regulators of angiogenesis. Annu Rev Physiol 1991; 53: 217–39. [DOI] [PubMed] [Google Scholar]
  • 16. 1 Patterns and emerging mechanisms of the angio‐genic switch during tumorigenesis. Cell 1996; 86: 353–64. [DOI] [PubMed] [Google Scholar]
  • 17. Kuwano M, Fukushi J, Okamoto M, Nishie A, Goto H, Ishibashi T, Ono M. Angiogenesis factors. Intern. Med 2001; 40: 565–72. [DOI] [PubMed] [Google Scholar]
  • 18. Ono M, Okamura K, Nakayama Y, Tomita M, Sato Y, Komatsu Y, Kuwano M. Induction of human microvascular endothelial tubular morphogenesis by human keratinocytes: involvement of transforming growth factor‐alpha. Bio-chem. Biophys Res Commun 1992; 189: 601–9. [DOI] [PubMed] [Google Scholar]
  • 19. 1 Indispensable role of tissue‐type plasminogen activator in growth factor‐dependent tube formation of human microvascular endothelial cells in vitro . Exp Cell Res 1993; 204: 223–9. [DOI] [PubMed] [Google Scholar]
  • 20. Mawatari M, Okamura K, Matsuda T, Hamanaka R, Mizoguchi H, Higashio K, Kohno K, Kuwano M. Tumor necrosis factor and epidermal growth factor modulate migration of human microvascular endothelial cells and production of tissue‐type plasminogen activator and its inhibitor. Exp Cell Res 1991; 192: 574–80. [DOI] [PubMed] [Google Scholar]
  • 21. Schreiber AB, Winkler ME, Derynck R. Transforming growth factor‐alpha: a more potent angiogenic mediator than epidermal growth factor. Science 1986; 232: 1250–3. [DOI] [PubMed] [Google Scholar]
  • 22. Goldman CK, Kim J, Wong WL, King V, Brock T, Gillespie GY Epidermal growth factor stimulates vascular endothelial growth factor production by human malignant glioma cells: a model of glioblastoma multiforme patho‐physiology. Mol Biol Cell 1993; 4: 121–33. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 23. Rockwell P, O'Connor WJ, King K, Goldstein NI, Zhang LM, Stein CA. Cell‐surface perturbations of the epidermal growth factor and vascular endothelial growth factor receptors by phosphorothioate oligodeoxynucleotides. Proc Natl Acad Sci USA 1997; 94: 6523–8. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24. Baker CH, Solorzano CC, Fidler IJ. Blockade of vascular endothelial growth factor receptor and epidermal growth factor receptor signaling for therapy of metastatic human pancreatic cancer. Cancer Res 2002; 62: 1996–2003. [PubMed] [Google Scholar]
  • 25. Baker CH, Kedar D, McCarty MF, Tsan R, Weber KL, Bucana CD, Fidler IJ. Blockade of epidermal growth factor receptor signaling on tumor cells and tumor‐associated endothelial cells for therapy of human carcinomas. Am J Pathol 2002; 161: 929–38. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26. Kim SJ, Uehara H, Karashima T, Shepherd DL, Killion JJ, Fidler IJ. Blockade of epidermal growth factor receptor signaling in tumor cells and tumor‐associated endothelial cells for therapy of androgen‐independent human prostate cancer growing in the bone of nude mice. Clin Cancer Res 2003; 9: 1200–10. [PubMed] [Google Scholar]
  • 27. Kerbel RS, Viloria‐Petit A, Okada F, Rak J. Establishing a link between on‐cogenes and tumor angiogenesis. Mol Med 1998; 4: 286–95. [PMC free article] [PubMed] [Google Scholar]
  • 28. de Jong JS, van Diest PJ, van der Valk P, Baak JP. Expression of growth factors, growth‐inhibiting factors, and their receptors in invasive breast cancer. II: Correlations with proliferation and angiogenesis. J Pathol 1998; 184: 53–7. [DOI] [PubMed] [Google Scholar]
  • 29. Nakao S, Kuwano T, Ishibashi T, Kuwano M, Ono M. Synergistic effect of TNF‐alpha in soluble VCAM‐1‐induced angiogenesis through alpha(4) inte‐grins. J Immunol 2003; 170: 5704–11. [DOI] [PubMed] [Google Scholar]
  • 30. Gimbrone MA Jr, Gullino PM. Neovascularization induced by intraocular xenografts of normal, preneoplastic, and neoplastic mouse mammary tissues. J Natl Cancer Inst 1976; 56: 305–18. [DOI] [PubMed] [Google Scholar]
  • 31. Benjamin LE, Keshet E. Conditional switching of vascular endothelial growth factor (VEGF) expression in tumors: induction of endothelial cell shedding and regression of hemangioblastoma‐like vessels by VEGF withdrawal. Proc Natl Acad Sci USA 1997; 94: 8761–6. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 32. Kitadai Y, Haruma K, Sumii K, Yamamoto S, Ue T, Yokozaki H, Yasui W, Ohmoto Y, Kajiyama G, Fidler IJ, Tahara E. Expression of interleukin‐8 correlates with vascularity in human gastric carcinomas. Am J Pathol 1998; 152: 93–100. [PMC free article] [PubMed] [Google Scholar]
  • 33. Bancroft CC, Chen Z, Yeh J, Sunwoo JB, Yeh NT, Jackson S, Jackson C, van Waes C. Effects of pharmacologic antagonists of epidermal growth factor receptor, PI3K and MEK signal kinases on NF‐kappaB and AP‐1 activation and IL‐8 and VEGF expression in human head and neck squamous cell carcinoma lines. Int J Cancer 2002; 99: 538–48. [DOI] [PubMed] [Google Scholar]
  • 34. Bohling T, Hatva E, Kujala M, Claesson‐Welsh L, Alitalo K, Haltia M. Expression of growth factors and growth factor receptors in capillary heman‐gioblastoma. J Neuropathol Exp Neurol 1996; 55: 522–7. [DOI] [PubMed] [Google Scholar]
  • 35. Brans CJ, Solorzano CC, Harbison MT, Ozawa S, Tsan R, Fan D, Abbruzzese J, Traxler P, Buchdunger E, Radinsky R, Fidler IJ. Blockade of the epidermal growth factor receptor signaling by a novel tyrosine kinase inhibitor leads to apoptosis of endothelial cells and therapy of human pancreatic carcinoma. Cancer Res 2000; 60: 2926–35. [PubMed] [Google Scholar]
  • 36. Kim HS, Shin HS, Kwak HJ, Cho CH, Lee CO, Koh GY. Betacellulin induces angiogenesis through activation of mitogen‐activated protein kinase and phosphatidylinositol 3′‐kinase in endothelial cell. FASEB J 2003; 17: 318–20. [DOI] [PubMed] [Google Scholar]
  • 37. Wilson SE, Schultz GS, Chegini N, Weng J, He YG. Epidermal growth factor, transforming growth factor alpha, transforming growth factor beta, acidic fibroblast growth factor, basic fibroblast growth factor, and interleukin‐1 proteins in the cornea. Exp Eye Res 1994; 59: 63–71. [DOI] [PubMed] [Google Scholar]
  • 38. Nakamura Y, Sotozono C, Kinoshita S. The epidermal growth factor receptor (EGFR): role in corneal wound healing and homeostasis. Exp Eye Res 2001; 72: 511–7. [DOI] [PubMed] [Google Scholar]
  • 39. Wilson SE, Chen L, Mohan RR, Liang Q, Liu J. Expression of HGF, KGF, EGF and receptor messenger RNAs following corneal epithelial wounding. Exp Eye Res 1999; 68: 377–97. [DOI] [PubMed] [Google Scholar]

Articles from Cancer Science are provided here courtesy of Wiley

RESOURCES