
[Cancer Research 60, 4362-4365, August 15, 2000]
© 2000 American Association for Cancer Research
Effect of Endostatin on Spontaneous Tumorigenesis of Mammary Adenocarcinomas in a Transgenic Mouse Model1
Yumi Yokoyama,
Jeffrey E. Green,
Vikas P. Sukhatme and
S. Ramakrishnan2
Departments of Pharmacology [Y. Y., S. R.] and Obstetrics and Gynecology [S. R.] and Comprehensive Cancer Center [S. R.], University of Minnesota, Minneapolis, Minnesota 55455; Laboratory of Cell Regulation and Carcinogenesis, Division of Basic Science, National Cancer Institute, Bethesda, Maryland 20892 [J. E. G.]; and Renal Division, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215 [V. P. S.]
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ABSTRACT
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A transgenic mouse model was used to evaluate the effect of endostatin
treatment on spontaneous tumorigenesis. In this model system, female
mice develop multiple mammary adenocarcinomas and male mice develop
prostate cancer. Female mice treated with mouse endostatin during a
1215-week period showed delayed tumor development by 46 weeks and
significantly decreased tumor burden. Furthermore, endostatin treatment
reduced the number of malignant lesions per mouse. In a separate set of
experiments, male mice treated with endostatin showed a survival
advantage, and their life spans were prolonged by 10.5 weeks over
control animals. These data demonstrate that mouse endostatin is
effective in delaying spontaneous tumor development and growth.
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Introduction
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Neovascularization is one of the important steps involved in tumor
growth and metastasis. At least three different mechanisms are
recognized in the angiogenesis of tumors. These include: (a)
vascular sprouting; (b) recruitment of circulating
endothelial progenitors; and (c) cooption (1)
.
Cancer cells actively participate in creating an angiogenic
microenvironment, which provides a survival advantage. Extensive
angiogenesis is, therefore, linked to aggressive tumor growth and poor
prognosis. Consequently, methods to inhibit the angiogenic process
provide a unique opportunity to arrest tumor growth, either alone or in
combination with chemotherapy and radiation. A number of endogenous
antiangiogenic molecules have been identified recently. These include
angiostatin, endostatin, antithrombin fragment, and canstatin
(2, 3, 4)
. In addition to proteolytic fragments,
thrombospondin, retinal epithelium-derived factor, interleukin 4, and
interleukin 12 are also shown to be potent antiangiogenic molecules
(5
, 6)
. Treatment with angiostatic molecules such as
endostatin leads to regression of established tumors in certain model
systems (3)
. Studies on the effect of antiangiogenic
therapy on spontaneously arising tumors are, however, sparse. Bergers
et al. showed recently that endostatin and
angiostatin treatment of RIP-Tag mice could delay pancreatic
tumorigenesis and inhibit tumor growth (7)
. In the present
study, we investigated the effect of murine endostatin on spontaneous
growth of mammary adenocarcinomas in a transgenic model system
developed by Maroulakou et al. (8)
. In this
model system, the SV40 early-region transforming sequence was cloned
under the regulatory control of a rat prostatic steroid binding protein
[C3(1)
] promoter. SV40 Tag functionally inactivates p53 and Rb
through the direct binding to these proteins (9)
and
appears to interfere with cell cycle regulation, as often occurs in
human cancer. Female transgenic animals develop mammary adenocarcinomas
over a predictable time course, whereas male transgenic mice develop
prostate adenocarcinomas. Although
TAG3
is not an etiological agent for human mammary and prostate carcinomas,
the genetically engineered mouse model is very useful in evaluating
potential therapeutic reagents in preventive and interventional
settings. Using the C3(1)
/TAG transgenic model,
we investigated the effect of endostatin on tumor incidence, growth,
and survival. Endostatin treatment initiated before the development of
gross tumor lesions delayed the onset of mammary adenocarcinoma
formation. Mice treated with endostatin showed reduced tumor burden and
number of lesions. In male mice, endostatin treatment prolonged
survival time.
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Materials and Methods
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C3(1)
/SV40 TAG Transgenic Mice.
Phenotypes of male and female C3(1)
/TAG
transgenic mice have been described previously (8
, 10, 11, 12)
. Heterozygous TAG transgenic mice
were maintained by breeding with FVB/N mice. All manipulations of mice
were performed in accordance with the University of Minnesota
Institutional Animal Care and Use Committee. Animal care was provided
in accordance with the procedures outlines in the Guide for the Care
and Use of Laboratory Animals (NIH Publication No. 86-23, 1985).
Purification of Recombinant Mouse Endostatin.
Mouse endostatin has been cloned and expressed in Pichia
pastoris by Dhanabal et al. (13)
. A
selected Pichia clone was cultured in a 10-liter fermentor (BioFlow
3000, New Brunswick, NJ) and induced to express endostatin by methanol
feed (14)
. Supernatants from fermentation runs were first
concentrated by ultrafiltration and then dialyzed against 10
mM Tris-HCl buffer (pH 7.6) and 0.5
mM PMSF. Further purification was carried out by
heparin affinity column. The heparin column was equilibrated with 10
mM Tris-HCl buffer (pH 7.6) and 0.5
mM PMSF. Samples were applied to the column at a
flow rate of 1.0 ml/min using a fast protein liquid chromatography
(Amersham Pharmacia Biotech, Piscataway, NJ). After thorough washing to
remove unbound proteins, bound proteins were eluted with a continuous
gradient of 01 M NaCl in 10
mM Tris-HCl (pH 7.6) and 0.5
mM PMSF. Endostatin eluted at
0.5
M NaCl. Purified endostatin was analyzed on an
SDS-PAGE (12% acrylamide gel) under nonreducing conditions. Routinely,
the samples were subjected to NH2 terminus
microsequencing (10 cycles) and mass spectral analysis. Purified
materials were dialyzed against PBS [137 mM
NaCl, 8.1 mM
Na2HPO4, 2.68
mM KCl, and 1.47 mM
KH2PO4 (pH 7.3)] and
stored in aliquots at -70°C.
Treatment of Female Transgenic Mice.
Female C3(1)
/TAG transgenic mice develop mammary
intraepithelial neoplasia originating in ducts and terminal ductal
lobular units by 3 months of age. Mammary intraepithelial neoplasia
lesions (15)
progress into invasive mammary carcinomas at
4 months of age. By 6 months of age, all of the female mice die
because of universal development of multifocal mammary adenocarcinomas
with occasional evidence of metastatic involvement to the lung
(8
, 16) . We tested the efficacy of mouse endostatin
beginning at 12 weeks of age by daily administration for a period of 3
weeks. Tumor growth was monitored by periodic caliper measurements, and
the number of tumor nodules was also counted. Tumor volume was
calculated by the following formula: tumor volume
(mm3
) = (a x b2)/2, where a is
length in mm and b is width in mm. Statistical significance
between control and treated groups was determined by Students
t test.
Treatment of Male Transgenic Mice.
In male C3(1)
/TAG transgenic mice, hyperplastic
changes in the epithelium of the dorsal/ventral regions of the prostate
usually occur as early as 3 months of age. Adenomas develop in about
one-third of animals between 6 and 8 months of age. About 40% of male
mice develop invasive prostate adenocarcinomas by 9 months of age
(8
, 10) . For male mice, treatment started at 22 weeks of
age,
7 weeks before the appearance of visible tumors. Mouse
endostatin expressed in yeast was s.c. injected at a dose of 20
mg/kg/day for 30 days. Injections were given s.c. at the neck, and the
survival of mice was monitored.
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Results and Discussion
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A number of antiangiogenic inhibitors are currently being studied
for their efficacy to inhibit tumor growth, either alone or in
combination with chemo/radiotherapy. Recombinant endostatin is
expressed in bacteria as an insoluble protein. When the insoluble form
was administered into C57/Bl6/J mice transplanted with Lewis lung
carcinomas, T241 fibrosarcomas, or B16F10 melanomas, tumor regression
was observed (3)
. Repeated cycles of endostatin treatment
led to tumor dormancy and a complete cure in mice (17)
.
Endostatin has been expressed in soluble form in yeast
(13)
. The soluble protein was found to inhibit tumor
growth in a number of transplanted tumor models (13
, 14
, 18)
. In the present study using a transgenic animal model
system, we investigated the effect of endostatin on spontaneous
formation of mammary adenocarcinomas in female mice and on survival of
male mice prone to develop prostate cancer.
Treatment of Female C3(1)
/TAG Transgenic Mice by Mouse
Endostatin.
Female mice were treated at a dose of 20 mg/kg/day, started at 12 weeks
of age and continued up to 15 weeks of age. Palpable tumors begin to
arise at about 14 weeks of age in these mice. Daily endostatin
administration for 3 weeks significantly delayed the appearance of
tumors. For example, 50% of the control mice showed visible tumors by
16.7 ± 0.70 weeks of age. However, the
endostatin-treated group showed tumors in 50% of animals about
22.0 ± 2.58 weeks of age (P = 0.037). In the control group, 100% of mice developed mammary
adenocarcinomas by week 21.3. The endostatin-treated group showed
delayed appearance of tumors although 100% of the animals developed
malignant lesions by 28.6 weeks of age (Fig. 1
) well after the termination of endostatin treatment. Because female
transgenic mice develop multiple mammary tumor nodules, tumor burden
per mouse and number of tumor lesions were determined after endostatin
treatment. These data are summarized in Figs. 2
3
. At week 18,
3 weeks after the termination of treatment, tumor
burden (mean) of the control group was 387 mm2,
whereas tumors in the endostatin-treated group were barely detectable
(4.8 mm3
; Fig. 2
). At week 23,
8 weeks after the
termination of treatment, tumor burden of control mice reached a value
of 2794 mm3
. At this time point, the
endostatin-treated group showed a tumor burden of 278
mm3
, 10-fold reduction in tumor burden. In
addition to a decrease in tumor burden, endostatin treatment also
significantly altered the number of tumor nodules per mouse. Fig. 3
shows a representative group of female mice from control (A)
and endostatin-treated group (B) at
23 weeks of age.
Throughout the observation period, endostatin-treated mice showed a
lower number of tumor nodules. At the end of the experiment, the
control group of mice had an average of 7.8 lesions, but the endostatin
treatment group showed a mean of 3.3 nodules/mouse (Fig. 3C
). These data demonstrate that endostatin treatment during
the early phase of spontaneous tumorigenesis delayed tumor development
and significantly reduced tumor burden.

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Fig. 2. Inhibition of mammary adenocarcinoma growth by endostatin
treatment. Tumor volume of individual nodules of female
C3(1)/TAG transgenic mice was determined by caliper
measurements. , control; , endostatin. Tumor burden represents
cumulative value from all of the tumor nodules from individual mice.
Data are expressed as means of tumor burden; bars, SE.
Statistical significance was determined using Students
t test. *, P < 0.05.
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In an earlier study, Bergers et al. reported that
Fc-endostatin fusion protein was effective against pancreatic islet
cell carcinoma in RIP1-Tag2 transgenic mice (7)
.
Endostatin treatment inhibited angiogenesis and tumor growth more in
the prevention and the intervention stage than in the regression stage.
Fc fusion was used to improve the pharmacokinetics of endostatin.
Bioavailability and serum half-life was suggested to be critical in
determining the efficacy of endostatin treatment. For example,
bacterially expressed endostatin, when given as a suspension, was
highly effective against established tumors and induced regression
(3)
. A recent study using a rat endostatin preparation was
administered as a suspension, which inhibited carcinogen-induced
mammary carcinomas in rats (19)
. Using endostatin as a
precipitate is believed to result in slow release in vivo.
Furthermore, daily injections of insoluble preparation will result in a
progressive accumulation of endostatin during treatment. Another
strategy is to administer endostatin twice daily (split dose), which
can improve antitumor activity. In the case of angiostatin,
administration two times and three times per day showed better tumor
growth inhibition than a once-a-day schedule (20)
. In a
preliminary experiment, radioiodinated endostatin was used to determine
the clearance rate in mice. These studies showed that >50% of
injected endostatin is rapidly cleared from circulation with an
phase of about 5 min (data not shown). Consequently, a slow-release
formulation will improve the efficacy of endostatin therapy
significantly.
Treatment of Male C3(1)
/TAG Transgenic Mice by Mouse
Endostatin.
In a separate experiment, the efficacy of endostatin on the survival of
male C3(1)
/TAG mice was determined. The male mice
are prone to develop prostate cancer as well as proliferative lesions
in other genitourinary organs (12)
and glandular tissues
(21)
. Data in Fig. 4
show the survival of male mice. Mean survival of the control group of
mice treated with PBS from weeks 22 to 25 was 35 weeks. Endostatin
treatment (20 mg/kg) during the same period prolonged their survival
time for an additional 74 days (survival time, 45.6 weeks). Increased
survival by endostatin treatment is statistically significant
(P = 0.0045).
In the present study, endostatin was injected from 5 months of age,
and at this time point, high-grade prostatic intraepithelial
neoplasia is expected to occur in these mice. Additional studies will
determine the effect of endostatin treatment on the histopathological
progression of prostate lesions and other glandular lesions in male
mice.
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FOOTNOTES
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The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 This work was supported in part by Grant OC98
from the United States Army MRMC and grants from the
Gynecological Oncology Group and Minnesota Medical Foundation. 
2 To whom requests for reprints should be
addressed, at Department of Pharmacology, 6-120 Jackson Hall,
University of Minnesota, Church Street, S.E., University of Minnesota,
Minneapolis, MN 55455. Phone: (612) 624-1461; Fax: (612) 625-8408;
E-mail: sunda001{at}maroon.tc.umn.edu 
3 The abbreviations used are: TAG,
SV40 large T antigen; PMSF, phenylmethylsulfonyl fluoride. 
Received 4/26/00.
Accepted 6/28/00.
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