title: Therapeutic efficacy of a DNA vaccine targeting the endothelial tip cell antigen delta-like ligand 4 in mammary carcinoma.
abstract: The Notch ligand delta-like ligand 4 (DLL4) is an essential component expressed by endothelial tip cells during angiogenic sprouting. We have described a conceptually novel therapeutic strategy for targeting tumor angiogenesis and endothelial tip cells based on DNA vaccination against DLL4. Immunization with DLL4-encoding plasmid DNA by in vivo electroporation severely retarded the growth of orthotopically implanted mammary carcinomas in mice by induction of a nonproductive angiogenic response. Mechanistically, vaccination brought about a break in tolerance against the self-antigen, DLL4, as evidenced by the production of inhibitory and inherently therapeutic antibodies against mouse DLL4. Importantly, no evidence for a delayed wound healing response, or for toxicity associated with pharmacological blockade of DLL4 signaling, was noted in mice immunized with the DLL4 vaccine. We have thus developed a well-tolerated DNA vaccination strategy targeting the endothelial tip cells and the antigen DLL4 with proven therapeutic efficacy in mouse models of mammary carcinoma; a disease that has been reported to dramatically induce the expression of DLL4. Conceivably, induction of immunity toward principal mediators of pathological angiogenesis could provide protection against recurrent malignant disease in the adjuvant setting.
authors.affiliation: Department of Virology, Swedish Institute for Infectious Disease Control, Stockholm, Sweden.
authors.forename: B K
authors.initials: BK
authors.lastname: Haller
authors.forename: A
authors.initials: A
authors.lastname: Bråve
authors.forename: E
authors.initials: E
authors.lastname: Wallgard
authors.forename: P
authors.initials: P
authors.lastname: Roswall
authors.forename: V G
authors.initials: VG
authors.lastname: Sunkari
authors.forename: U
authors.initials: U
authors.lastname: Mattson
authors.forename: D
authors.initials: D
authors.lastname: Hallengärd
authors.forename: S-B
authors.initials: SB
authors.lastname: Catrina
authors.forename: M
authors.initials: M
authors.lastname: Hellström
authors.forename: K
authors.initials: K
authors.lastname: Pietras
mesh_terms: D000818:Animals; D053672:Electrochemotherapy; D005260:Female; D007114:Immunization; D007371:Interferon-gamma / Q000096:biosynthesis; D047908:Intracellular Signaling Peptides and Proteins; D008325:Mammary Neoplasms, Experimental / Q000276:immunology / Q000628:therapy*; D008565:Membrane Proteins / Q000276:immunology*; D051379:Mice; D008807:Mice, Inbred BALB C; D009389:Neovascularization, Pathologic / Q000517:prevention & control*; D019444:Vaccines, DNA / Q000276:immunology*; D014945:Wound Healing
chemical_list: D047908:Intracellular Signaling Peptides and Proteins; D008565:Membrane Proteins; D019444:Vaccines, DNA; C064045:delta protein; D007371:Interferon-gamma