Apelin/APJ axis plays a critical role in
cancer progression, thus its targeting inhibits
tumor growth. However, blocking of
Apelin/APJ axis in combination with immunotherapeutic approaches may be more effective. This study aimed to investigate the effects of APJ antagonist
ML221 in combination with a DC
vaccine on angiogenic, metastatic and apoptotic-related factors in a
breast cancer (BC) model. Four groups of female BALB/c mice with 4T1-induced BC were treated with PBS, APJ antagonist
ML221, DC
vaccine, and "ML221 + DC
vaccine". After completion of the treatment, the mice were sacrificed and the serum levels of
IL-9 and IL-35 as well as the
mRNA expression of angiogenesis (including
VEGF,
FGF-2, and TGF-β),
metastasis (including
MMP-2,
MMP-9, CXCR4) and apoptosis-related markers (Bcl-2, Bax, Caspase-3) in
tumor tissues were determined using ELISA and real-time PCR, respectively. Angiogenesis was also evaluated by co-immunostaining of
tumor tissues with CD31 and
DAPI. Primary
tumor metastasis to the liver was analyzed using
hematoxylin-
eosin staining. The efficiency of combination
therapy with "ML221 + DC
vaccine" was remarkably higher than single
therapies in preventing liver
metastasis compared to the control group. In comparison with the control group, combination
therapy could significantly reduce the expression of MMP-2, MMP-9, CXCR4,
VEGF,
FGF-2, and TGF-β in
tumor tissues (P < 0.05). It also decreased the serum level of
IL-9 and IL-35 compared with the control group (P < 0.0001). Moreover, vascular density and vessel diameter were significantly reduced in the combination therapy group compared with the control group (P < 0.0001). Overall, our findings demonstrate that combination
therapy using a blocker of the
apelin/APJ axis and DC
vaccine can be considered a promising therapeutic program in
cancers.