system
Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: Angiogenesis Inhibitors, Animals, Antineoplastic Agents, Apoptosis, Cell Line, Cell Line, Tumor, Coculture Techniques, Drug Synergism, Endothelial Cells, Enzyme-Linked Immunosorbent Assay, Epidermal Growth Factor, ErbB Receptors, Fluorescent Antibody Technique, Gefitinib, Humans, Immunoblotting, In Situ Nick-End Labeling, Mice, Mice, Inbred BALB C, Mice, Nude, Neoplasm Transplantation, Neoplasms, Experimental, Phthalazines, Platelet Endothelial Cell Adhesion Molecule-1, Protein Kinase Inhibitors, Pyridines, Quinazolines, Transplantation, Heterologous, Vascular Endothelial Growth Factor A.
user
Is the antitumor and antiangiogenic activity of vascular endothelial growth factor receptor inhibition potentiated by ErbB1 blockade? Context: Receptor tyrosine kinases of the ErbB family play important roles in the control of tumor growth. Vascular endothelial growth factor (VEGF) stimulates endothelial cell proliferation, enhances vascular permeability, and plays an important role in tumor vascularization. We evaluated the effects of selective VEGF receptor (VEGFR; PTK787/ZK222584) and ErbB (PKI166 and ZD1839) inhibitors on tumor growth and angiogenesis and asked whether additional therapeutic benefit was conferred by combination treatment. The antitumor activity of each inhibitor alone or in combination was assessed in human cancer models in immunocompromised mice. ErbB receptor expression and activation of downstream signaling pathway was evaluated in both tumor and endothelial cells. Both ErbB inhibitors significantly enhanced the antitumor activity of PTK787/ZK222584. In vitro, ErbB1 inhibition blocked VEGF release by tumor cells and proliferation of both tumor and endothelial cells. In an in vitro angiogenesis assay, epidermal growth factor (EGF) stimulated the release of VEGF by smooth muscle cells resulting in increased angiogenesis, a response blocked by administration of PTK787/ZK222584. Under basal condition, both ZD1839 and PTK787/ZK222584 blocked sprouting, likely via inhibition of an autocrine ErbB1 loop and VEGFR signaling, respectively, in endothelial cells. In conditions of limiting VEGF, EGF plays an important role in endothelial cell proliferation, survival, and sprouting.
assistant
We have shown that activation of ErbB1 triggers a plethora of effects, including direct effects on tumor and endothelial cells and indirect effects mediated via induction of VEGF release. Simultaneous blockade of ErbB1 and VEGFR pathways results in a cooperative antitumor effect, indicating that this combination may represent a valid therapeutic strategy. Final Decision: yes