We previously demonstrated that Bcl-2 overexpression stimulates angiogenesis in PC-3 human
prostate cancer cells, thus giving these
tumors a growth advantage. To further elucidate the relationship between Bcl-2 and
vascular endothelial growth factor (
VEGF) in PC-3-Bcl-2 cells, tumorigenicity and angiogenesis were evaluated in our in vitro and in vivo model treated with antisense Bcl-2
oligodeoxynucleotide (ASO) and
bevacizumab. In vitro and in vivo angiogenesis assays, as well as a xenograft
tumor model of the human
prostate cancer cell line PC-3-Bcl-2, were subjected to ASO alone,
bevacizumab alone, or the combination of ASO and
bevacizumab.
Protein-based assays (e.g., immunohistochemical staining and
enzyme-linked
immunosorbent assay [ELISA]) were utilized to detect molecular changes. Interestingly, targeting Bcl-2 with ASO resulted in the inhibition of in vitro tube formation and inhibition of angiogenesis in
Matrigel plugs similar to treatment with
bevacizumab. In our PC-3-Bcl-2 xenograft model, ASO alone resulted in 41% reduction in
tumor size,
bevacizumab alone resulted in a 50% reduction in
tumor size, whereas the combination of ASO with
bevacizumab was associated with >95% reduction in
tumor volume. Reduction in
tumor size in all groups was associated with reduction in Bcl-2 and
VEGF expression, induction of apoptosis, and inhibition of angiogenesis and its associated
chemokine production. These findings confirm that Bcl-2 is a pivotal target for
cancer therapy and thus, further study of this novel combination of Bcl-2 reduction and angiogenic targeting in human
tumors is warranted.