Nsnrurs @ TunScnppsRnsnnncu 10666 North Toney PinesRoad LaJolk, CA 92037 Tehphone619.455.9100 EMBARGOED BY SCIENCE Wire servicesand broadcastnews, April 2I, t994,3 p.m. PacificTime Print media, April 22, 1994 For information: Robin B. Goldsmirh (619) 5s4-8t34 #042294 Method of Inhibiting Growth of Malignant Tumors is Determined by Scientists at The Scripps ResearchInstitute La Jolla, CA. April 22, 1.994- A novel and potentiallypowerful methodof inhibiting the growth and metastases of virnrally all typesof malignanttumorshasbeendevelopedby investigatorsat The ScrippsResearchInstitute(TSRI) in La Jolla, California. The strategy involvesliterally starvingtumorsby cutting off their blood supply. Moreover, they suggest it may be possibleto do this with nothing more than an antibody that targetsblood vessels enteringtumors. A paper describingthe experimentalobservationsthat led to this conceptwas publishedin the April 22 issueof Sciencemagazineby Drs. David A. Cheresh,and PeterC. Brooks, in the Deparfinentof Immunologyat TSRI, and their collaborator,RichardClark, Jr., M.D., in the Departmentof Dermatologyat the StateUniversity of New York at Stony Brook. In order to grow, thrive, and, ultimately, metastasize, malignanttumorsmust attractand becomepervadedwith a rich supplyof blood to provide nourishmentand removewastes. This is achieved,in pa.t, by the secretionof factorsthat promotenew blood vesselgrowth in the directionof and into the tumor, a processknown as angiogenesis. MORE Page 2 - METHOD OF II\HIBITING GROWTH OF MALIGNANT TT]MORS DETERMINED BY TSRI SCIENTISTS Unfornrnately, extensiveefforts over the past three decadesto deviseways to block the production or activity of tumor-producedangiogenicfactors have beendisappointing. Becausemany different molecules,from both normal and tumor cells, are capableof inducingnew blood vesselgrowth, it hasbeendifficult to block angiogenesis, althougha number of compoundscurrently are being examinedfor their effects on the process. Now, however,Chereshand Brookssuggestthat blocking angiogenesis may after all be a highly effective meansof combatingcancer.Ratherthan blocking or inhibiting the angiogenicsignalsfrom the tumor, they proposeto block the receptionor "reading"of thosesignalsby blood vesselcells, therebypreventingangiogenesis from occurringat all. According to Cheresh,"By inhibiting the processof angiogenesis,we can choke the tumor from its neededblood supply. When this happens,you can expectthe total annihilationof the tumor. While work in this area is ongoing, preliminary studiesseemto bear this out. " The idea arosefrom their studiesof a family of receptormoleculescalled the integrins. Found on all tissues,integrins receive and respondto molecular signalsof many different kinds, and in ftrrn control a wide rangeof cellular functions.In blood vessels,Chereshand Brooks found that one particular integrin, known as VNR, is expressedprimarily on newly growing blood vesselsproutsbut not at all on adjacent,establishedvessels.This integrin presumablystimulatesvesselgrowth by promoting adhesionand motility of the cells in the vesselsto their surroundingsand to tumor tissue. 'We had found somethingdistinct and unique on thesenew vessels,and this gave us the idea to attemptto block the function of this integrin receptor," Chereshsaid. In earlier studies, Chereshand his colleagueshad developeda monoclonalantibody that specifically MORE Page3 - METHOD OF IIIHIBITING GROWTH OF MALIGNANT TIJMORS DETERMINEDBY TSRI SCIENTISTS blocks the function of the VNR intesrin. When this antibodywas appliedto a chickenembryoexperimentalmodel sontaining fragmentsof humantumor they observedthat it virtually preventedblood vesselgrowth toward the tumor without any effect on the normal vesselsfeeding the embryo. Cheresh and Brooks believe that this model of angiogenesismight predict what would occur in a cancerpatientwhen a tumor beginsto grow. According to Cheresh,uTheconceptis that a monoclonalantibody or other inhibitor of the VNR integrin might prove to be a novel form of cancertherapy, since it is not directed at the ever-changingtumor cells as is the casewith current dnrgs, but rather at normal tissues feeding the tumor. " Since the Sciencepaperwas written, Chereshand Brooks, togetherwith their TSRI colleague,Mauricio Rosenfeld,haveshownthat this monoclonalantibodyand other inhibitors of VNR can block blood vesselgrowth toward tumorsof the lung, colon, and pancreas.Also, they have begunto test their strategyin other preclinical modelscontaining human tumors. ###