Vascular endothelial growth factor (
VEGF) is an
angiogenic factor critically involved in
tumor progression.
Adenosine A2B receptor plays a pivotal role in promoting
tumor growth. The aim of this study was to investigate the role of myeloid-derived suppressor cells (MDSCs) in the pro-angiogenic effects of A2B and to determine whether A2B blockade could enhance the effectiveness of anti-
VEGF treatment. Mice treated with
Bay60-6583, a selective A2B receptor agonist, showed enhanced
tumor VEGF-A expression and vessel density. This effect was associated with accelerated
tumor growth, which could be reversed with anti-
VEGF treatment.
Bay60-6583 increased the accumulation of
tumor CD11b+Gr1+ cells. Depletion of MDSCs in mice significantly reduced A2B-induced
VEGF production. However, A2B receptor stimulation did not directly regulate
VEGF expression in isolated
tumor myeloid cells. Mechanistically, Bay60-6583-treated
melanoma tissues showed increased STAT3 activation. Inhibition of STAT3 significantly decreased the pro-
tumor activity of
Bay60-6583 and reduced
tumor VEGF expression. Pharmacological blockade of A2B receptor with
PSB1115 significantly reduced
tumor growth by inhibiting
tumor angiogenesis and increasing T cells numbers within the tumor microenvironment. These effects are, at least in part, dependent on impaired
tumor accumulation of Gr1+ cells upon A2B receptor blockade.
PSB1115 increased the effectiveness of anti-
VEGF treatment.