S. Wylie et al., The matrix metalloproteinase inhibitor batimastat inhibits angiogenesis inliver metastases of B16F1 melanoma cells, CLIN EXP M, 17(2), 1999, pp. 111-117
Matrix metalloproteinases (MMPs) have been shown to contribute functionally
to tumor metastasis. MMP inhibitors are thus being assessed for clinical u
tility as anti-metastatic therapeutics. Batimastat (BB-94) is a synthetic M
MP inhibitor that has been shown to inhibit tumor growth and metastasis in
mice. Here we assessed the ability of batimastat to inhibit liver metastase
s of murine B16F1 cells, after injection of cells in mice via mesenteric ve
in to target the liver. We then determined which of the sequential steps in
metastasis were affected by batimastat, in order to identify its mechanism
of action in vivo. Intravital videomicroscopy was used to assess the effec
t on extravasation, and a 'cell accounting' procedure was used to determine
the effect on initial survival of cells. Stereological quantification of f
unctional blood vessels was used to determine the effect on tumor vasculari
ty, thereby avoiding problems associated with immunohistochemical detection
of liver sinusoidal endothelial cells. We found that batimastat (50 mg/kg
i.p. 5 h prior to and after cell injection, daily thereafter) resulted in a
23% reduction in mean diameter of liver metastases (equivalent to a 54% re
duction in tumor volume), while not reducing the number of metastases. Extr
avasation of cells from the liver circulation was not affected: at 8, 24 an
d 48 h after injection of cells, the same proportion of cells had extravasa
ted from treated vs. control mice. Batimastat also did not inhibit early su
rvival of cells. However, batimastat-treated mice had a significantly reduc
ed percentage vascular volume within liver metastases, indicating inhibitio
n of angiogenesis. This study demonstrates in vivo that the mechanism by wh
ich batimastat limits growth of B16F1 metastases in liver is not by affecti
ng extravasation, but by inhibiting angiogenesis within metastases. This fi
nding suggests that MMP inhibitors may be appropriate for use in patients w
ith metastatic cells that have already extravasated in secondary sites.