M. Presta et al., Purine analogue 6-methylmercaptopurine riboside inhibits early and late phases of the angiogenesis process, CANCER RES, 59(10), 1999, pp. 2417-2424
Angiogenesis has been identified as an important target for antineoplastic
therapy. The use of purine analogue antimetabolites in combination chemothe
rapy of solid tumors has been proposed. To assess the possibility that sele
cted purine analogues may affect tumor neovascularization, 6-methylmercapto
purine riboside (6-MMPR), 6-methylmercaptopurine, 2-aminopurine, and adenos
ine were evaluated for the capacity to inhibit angiogenesis in vitro and in
vivo, 6-MMPR inhibited fibroblast growth factor-2 (FGF2)-induced prolifera
tion and delayed the repair of mechanically wounded monolayer in endothelia
l GM 7373 cell cultures. 6-MMPR also inhibited the formation of solid sprou
ts within fibrin gel by FGF2-treated murine brain microvascular endothelial
cells and the formation of capillary-like structures on Matrigel by murine
aortic endothelial cells transfected with FGF2 cDNA, 6-MMPR affected FGF2-
induced intracellular signaling in murine aortic endothelial cells by inhib
iting the phosphorylation of extracellular signal-regulated kinase-2, The o
ther molecules were ineffective in all of the assays. In vivo, 6-MMPR inhib
ited vascularization in the chick embryo chorioallantoic membrane and preve
nted blood vessel formation induced by human endometrial adenocarcinoma spe
cimens grafted onto the chorioallantoic membrane. Also, topical administrat
ion of 6-MMPR caused the regression of newly formed blood vessels in the ra
bbit cornea, Thus, 6-MMPR specifically inhibits both the early and the late
phases of the angiogenesis process ill vitro and exerts a potent anti-angi
ogenic activity in vivo. These results provide a new rationale for the use
of selected purine analogues in combination therapy of solid cancer.