Dopamine (DA), a monoamine
catecholamine neurotransmitter with antiangiogenic activity, stabilizes
tumor vessels in colon, prostate and
ovarian cancers, thus increases chemotherapeutic efficacy. Here, in the rat C6
glioma models, we investigated the vascular normalization effects of DA and its mechanisms of action. DA (25, 50mg/kg) inhibited
tumor growth, while a precursor of DA (
levodopa) prolonged the survival time of rats bearing orthotopic C6
glioma. DA improved
tumor perfusion, with significant effects from day 3, and a higher level at days 5 to 7. In addition, DA decreased microvessel density and
hypoxia-inducible factor-1α expression in
tumor tissues, while increasing the coverage of pericyte. Conversely, an antagonist of
dopamine receptor 2 (DR2) (
eticlopride) but not DR1 (
butaclamol) abrogated DA-induced
tumor regression and vascular normalization. Furthermore, DA improved the delivery and efficacy of
temozolomide therapy. Importantly, DA increased representative M1 markers (iNOS, CXCL9, etc.), while decreasing M2 markers (CD206,
arginase-1, etc.). Depletion of macrophages by
clodronate or
zoledronic acid attenuated the effects of DA. Notably, DA treatment induced M2-to-M1 polarization in RAW264.7 cells and mouse peritoneal macrophages, and enhanced the migration of pericyte-like cells (10T1/2), which was reversed by
eticlopride or DR2-siRNA. Such changes were accompanied by the downregulation of
VEGF/VEGFR2 signaling. In summary, DA induces growth inhibition and vascular normalization through reprogramming M2-polarized macrophages. Thus, targeting the
tumor microvasculature by DA represents a promising strategy for human
glioma therapy.