Secreted
frizzled-related protein 2 (SFRP2) is overexpressed in human
angiosarcoma and
breast cancer and stimulates angiogenesis via activation of the
calcineurin/
NFATc3 pathway. There are conflicting reports in the literature as to whether SFRP2 is an antagonist or agonist of β-
catenin. The aims of these studies were to assess the effects of SFRP2 antagonism on
tumor growth and Wnt-signaling and to evaluate whether SFRP2 is a viable therapeutic target. The antiangiogenic and antitumor properties of SFRP2
monoclonal antibody (mAb) were assessed using in vitro proliferation, migration, tube formation assays, and in vivo
angiosarcoma and
triple-negative breast cancer models. Wnt-signaling was assessed in endothelial and
tumor cells treated with SFRP2 mAb using Western blotting. Pharmacokinetic and biodistribution data were generated in
tumor-bearing and nontumor-bearing mice. SFRP2 mAb was shown to induce antitumor and antiangiogenic effects in vitro and inhibit activation of β-
catenin and nuclear factor of activated T-cells c3 (
NFATc3) in endothelial and
tumor cells. Treatment of SVR
angiosarcoma allografts in nude mice with the SFRP2 mAb decreased
tumor volume by 58% compared with control (P = 0.004). Treatment of MDA-MB-231
breast carcinoma xenografts with SFRP2 mAb decreased
tumor volume by 52% (P = 0.03) compared with control, whereas
bevacizumab did not significantly reduce
tumor volume. Pharmacokinetic studies show the antibody is long circulating in the blood and preferentially accumulates in SFRP2-positive
tumors. In conclusion, antagonizing SFRP2 inhibits activation of β-
catenin and
NFATc3 in endothelial and
tumor cells and is a novel therapeutic approach for inhibiting
angiosarcoma and
triple-negative breast cancer.