Evidence map›Paper›PMID 17016557›Full record

ArticleThe Journal of clinical investigation2006

Rapid vascular regrowth in tumors after reversal of VEGF inhibition.

Michael R Mancuso, Rachel Davis, Scott M Norberg, Shaun O'Brien, Barbara Sennino, Tsutomu Nakahara, Virginia J Yao, Tetsuichiro Inai, Peter Brooks, Bruce Freimark and 3 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02175446 (A Phase II Single Arm Trial Evaluating the Efficacy and Safety of Eribulin in Combination With Bevacizumab for 2-Line Treatment of HER 2-Negative Metastatic Breast Cancer Progressing After 1-Line Therapy With Bevacizumab and Paclitaxel), which is not on this map. Cited by 380 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
380citing papers in PubMed, 2 pooled it
18.7field-weighted citation impact, top 1% 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.

NCT02175446 phase2unknown statusnot on this mapstarted 2014, after this paper: background citation

A Phase II Single Arm Trial Evaluating the Efficacy and Safety of Eribulin in Combination With Bevacizumab for 2-Line Treatment of HER 2-Negative Metastatic Breast Cancer Progressing After 1-Line Therapy With Bevacizumab and Paclitaxel

TypeinterventionalSponsorConsorzio OncotechRan2014 to 2017Enrolled61ConditionsMetastatic Breast Cancer, Human Epidermal Growth Factor 2 Negative Carcinoma of BreastArmsBevacizumab and eribulin
3 · Its place in the literature

Who cites it

380 citing papers in PubMed, 2 syntheses or guidelines pooled it, 797 citations in OpenAlex.

  1. Pooled it
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  12. Cardiac adverse events associated with axitinib: A real-world pharmacovigilance study based on the Japanese adverse drug event report database.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. The discovery of Bevacizumab. An historical reappraisal.Clinical and experimental medicine · 2025
    Review
  18. Article
  19. CD93 blockade overcomes sunitinib resistance in pancreatic neuroendocrine tumors.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  20. Article

320 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Michael R MancusoCardiovascular Research Institute, Comprehensive Cancer Center, and Department of Anatomy, UCSF, San Francisco, California 94143-0452, USA.
Rachel Davis
Scott M Norberg
Shaun O'Brien
Barbara Sennino
Tsutomu Nakahara
Virginia J Yao
Tetsuichiro Inai
Peter Brooks
Bruce Freimark
David R Shalinsky
Dana D Hu-Lowe
Donald M McDonald
Matrix Research (United States) · US

Funding

Tools for Analysis of Airway InflammationP01HL024136 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KRUMMEL, MATTHEW F · 1985 to 2014
$23.3M
University of Texas SPORE in Prostate CancerP50CA090270 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI LOGOTHETIS, CHRISTOPHER J. · 2001 to 2007
$13.6M
ENDOTHELIAL PERMEABILITY IN AIRWAY ANGIOGENESISR01HL059157 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MCDONALD, DONALD M · 1998 to 2015
$5.5M
MRI MONITORING OF ANGIOGENESIS INHIBITIONR01CA082923 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BRASCH, ROBERT CHARLES · 1999 to 2008
$2.9M
NCI NIH HHS CA082923NCI NIH HHS P50 CA090270NCI NIH HHS P50-CA90270NCI NIH HHS R01 CA082923NHLBI NIH HHS HL-24136NHLBI NIH HHS HL-59157NHLBI NIH HHS P01 HL024136NHLBI NIH HHS R01 HL059157
6 · The paper itself

Abstract

Inhibitors of VEGF signaling can block angiogenesis and reduce tumor vascularity, but little is known about the reversibility of these changes after treatment ends. In the present study, regrowth of blood vessels in spontaneous RIP-Tag2 tumors and implanted Lewis lung carcinomas in mice was assessed after inhibition of VEGF receptor signaling by AG-013736 or AG-028262 for 7 days. Both agents caused loss of 50%-60% of tumor vasculature. Empty sleeves of basement membrane were left behind. Pericytes also survived but had less alpha-SMA immunoreactivity. One day after drug withdrawal, endothelial sprouts grew into empty sleeves of basement membrane. Vessel patency and connection to the bloodstream followed close behind. By 7 days, tumors were fully revascularized, and the pericyte phenotype returned to baseline. Importantly, the regrown vasculature regressed as much during a second treatment as it did in the first. Inhibition of MMPs or targeting of type IV collagen cryptic sites by antibody HUIV26 did not eliminate the sleeves or slow revascularization. These results suggest that empty sleeves of basement membrane and accompanying pericytes provide a scaffold for rapid revascularization of tumors after removal of anti-VEGF therapy and highlight their importance as potential targets in cancer therapy.

Indexed as

ActinsAngiogenesis InhibitorsAnimalsAntibodies, MonoclonalAxitinibBasement MembraneBlood VesselsCarcinoma, Lewis LungCollagen Type IVEndothelium, VascularImidazolesIndazolesInsulinomaMatrix Metalloproteinase InhibitorsMiceMice, Inbred C57BLActinsAngiogenesis InhibitorsAntibodies, MonoclonalAxitinibCollagen Type IVImidazolesIndazolesMatrix Metalloproteinase InhibitorsOrganic ChemicalsPlatelet Endothelial Cell Adhesion Molecule-1prinomastatReceptor, Platelet-Derived Growth Factor betaReceptors, Vascular Endothelial Growth FactorVascular Endothelial Growth Factor Avascular endothelial growth factor A, mouseVascular Endothelial Growth Factor Receptor-2

Identifiers

PMID17016557
PMCPMC1578604
OpenAlexW2162352067

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.