The
vascular endothelial growth factor-A (
VEGF-A) signaling pathway, a key stimulant of solid
tumor vascularization, is primarily dependent on the activation of the endothelial cell surface receptor
VEGF receptor-2 (VEGFR-2).
AZD2171 is an oral, highly potent small-molecule inhibitor of VEGFR
tyrosine kinase activity that inhibits angiogenesis and the growth of human
tumor xenografts in vivo. Here, we show pharmacodynamic changes in
VEGFR-2 phosphorylation induced by
AZD2171. In mouse lung tissue, a single dose of
AZD2171 at 6 mg/kg inhibited
VEGF-A-stimulated
VEGFR-2 phosphorylation by 87% at 2 h with significant inhibition (>or=60%) maintained to 24 h. To examine inhibition of
VEGFR-2 phosphorylation in
tumor vasculature by immunohistochemistry, a comprehensive assessment of
antibodies to various phosphorylation sites on the receptor was undertaken.
Antibodies to the
phosphotyrosine epitopes pY1175/1173 and pY1214/1212 were found suitable for this application. Calu-6 human lung
tumor xenografts, from mice receiving
AZD2171 or vehicle treatment (p.o., once daily), were examined by immunohistochemistry. A significant reduction in
tumor vessel staining of phosphorylated
VEGFR-2 (pVEGFR-2) was evident within 28 h of
AZD2171 treatment (6 mg/kg). This effect preceded a significant reduction in
tumor microvessel density, which was detectable following 52 h of
AZD2171 treatment. These data show that
AZD2171 is a potent inhibitor of
VEGFR-2 activation in vivo and suggest that
AZD2171 delivers therapeutic benefit in Calu-6
tumors by targeting vessels dependent on
VEGFR-2 signaling for survival. In addition, this work highlights the utility of measuring either pY1175/1173 or pY1214/1212 on
VEGFR-2 as a pharmacodynamic marker of
VEGFR-2 activation.