Abstract: |
Small cell lung cancer (SCLC) is difficult to treat due to its aggressiveness, early metastasis, and rapid development of resistance to chemotherapeutic agents. Here, we show that treatment with a dopamine D2 receptor (D2R) agonist reduces tumour angiogenesis in multiple in vivo xenograft models of human SCLC, thereby reducing SCLC progression. An FDA-approved D2R agonist, cabergoline, also sensitized chemotherapy-resistant SCLC tumours to cisplatin and etoposide in patient-derived xenograft models of acquired chemoresistance in mice. Ex vivo, D2R agonist treatment decreased tumour angiogenesis through increased apoptosis of tumour-associated endothelial cells, creating a less favourable tumour microenvironment that limited cancer cell proliferation. In paired SCLC patient-derived specimens, D2R was expressed by tumour-associated endothelial cells obtained before treatment, but D2R was downregulated in SCLC tumours that had acquired chemoresistance. D2R agonist treatment of chemotherapy-resistant specimens restored expression of D2R. Activation of dopamine signalling is thus a new strategy for inhibiting angiogenesis in SCLC and potentially for combatting chemotherapy-refractory SCLC progression. © The Author(s) 2025. |
Keywords: |
immunohistochemistry; controlled study; human tissue; protein expression; human cell; cisplatin; cancer growth; nonhuman; cancer staging; flow cytometry; cell proliferation; animal cell; mouse; animal; metabolism; animals; mice; animal tissue; apoptosis; tumor volume; etoposide; lung neoplasms; animal experiment; animal model; food and drug administration; drug effect; drug resistance; drug screening; pathology; drug resistance, neoplasm; xenograft model antitumor assays; cell line, tumor; angiogenesis; neovascularization, pathologic; vascularization; neuroendocrine tumor; endothelium cell; lung tumor; nude mouse; mice, nude; disease progression; cancer cell; tumor cell line; down regulation; tumor growth; drug therapy; ex vivo study; antiangiogenic activity; neovascularization (pathology); disease exacerbation; bioluminescence; dopamine; neuroendocrine tumors; small cell lung cancer; small cell lung carcinoma; tumor microenvironment; antiproliferative activity; dopamine 2 receptor; tumor weight; dopamine receptor stimulating agent; receptors, dopamine d2; humans; human; female; article; dopamine agonists; cabergoline; organoid; tunel assay; quinpirole
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