Evidence map›Paper›PMID 12189241›Full record

ArticleThe Journal of clinical investigation2002

Improving chemotherapeutic drug penetration in tumors by vascular targeting and barrier alteration.

Flavio Curnis, Angelina Sacchi, Angelo Corti

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 88 papers.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00405678 phase1 / phase2completednot on this mapstarted 2006, after this paper: background citation

The Effects of Exercise Training on Tumor Vascularity and Response to Neoadjuvant Therapy in Operable Breast Cancer: A Phase I-II Study

TypeinterventionalSponsorDuke UniversityRan2006 to 2010Enrolled23ConditionsBreast CancerArmsExercise Training, Chemo only
NCT03536039 phase2completednot on this mapstarted 2016, after this paper: background citation

Monoinstitutional Phase II Trial Addressing Tolerability and Activity of RCHOP Chemoimmunotherapy Preceded by BBB Permeabilization by t-NGR Necrosis Factor in Patients With Relapsed/Refractory Primary Central Nervous System Lymphoma

TypeinterventionalSponsorAndres J. M. FerreriRan2016 to 2020Enrolled28ConditionsLymphoma, Large B-Cell, DiffuseArmsNGR-hTNF, RITUXIMAB, Doxorubicin, Cyclophosphamide, Vincristine
3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 238 citations in OpenAlex.

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  7. TNF-alpha: Roles in pathogenesis and therapeutics in cancer.The Journal of biological chemistry · 2026
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28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Flavio CurnisDepartment of Biological and Technological Research, San Raffaele Hospital Scientific Institute, Milan, Italy.
Angelina Sacchi
Angelo Corti
IRCCS Ospedale San Raffaele · ITSan Raffaele University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug delivery and penetration into neoplastic cells distant from tumor vessels are critical for the effectiveness of solid-tumor chemotherapy. We have found that targeted delivery to tumor vessels of picogram doses of TNF-alpha (TNF), a cytokine able to alter endothelial barrier function and tumor interstitial pressure, enhances the penetration of doxorubicin in tumors in murine models. Vascular targeting was achieved by coupling TNF with CNGRC, a peptide that targets the tumor neovasculature. This treatment enhanced eight- to tenfold the therapeutic efficacy of doxorubicin, with no evidence of increased toxicity. Similarly, vascular targeting enhanced the efficacy of melphalan, a different chemotherapeutic drug. Synergy with chemotherapy was observed with 3-5 ng/kg of targeted TNF (intraperitoneally), about 10(6)-fold lower than the LD(50) and 10(5)-fold lower than the dose required for nontargeted TNF. In addition, we have also found that targeted delivery of low doses of TNF to tumor vessels does not induce the release of soluble TNF receptors into the circulation. The delivery of minute amounts of TNF to tumor vessels represents a new approach for avoiding negative feedback mechanisms and preserving its ability to alter drug-penetration barriers. Vascular targeting could be a novel strategy for increasing the therapeutic index of chemotherapeutic drugs.

Indexed as

AnimalsAntineoplastic AgentsBlood VesselsCapillary PermeabilityDose-Response Relationship, DrugDoxorubicinDrug Delivery SystemsDrug SynergismDrug Therapy, CombinationLymphomaMelanoma, ExperimentalMelphalanMiceMice, Inbred C57BLModels, BiologicalNeoplasms, ExperimentalAntineoplastic AgentsDoxorubicinMelphalanReceptors, Tumor Necrosis FactorRecombinant Fusion ProteinsTumor Necrosis Factor-alphatumor necrosis factor-alpha, CNGRC fusion protein, humantumor Necrosis Factor-alpha, CNGRC fusion protein, mouse

Identifiers

PMID12189241
PMCPMC150417
OpenAlexW2162324757

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.