Evidence map›Paper›PMID 21442180›Full record

ArticleAngiogenesis2011

Neutrophil granulocyte derived MMP-9 is a VEGF independent functional component of the angiogenic switch in pancreatic ductal adenocarcinoma.

Dirk Bausch, Thomas Pausch, Tobias Krauss, Ulrich Theodor Hopt, Carlos Fernandez-del-Castillo, Andrew L Warshaw, Sarah P Thayer, Tobias Keck

Open access · greenAbstract read
In one paragraph

Article in Angiogenesis, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 2 syntheses or guidelines pooled it, 151 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Neutrophils in cancer.Nature reviews. Cancer · 2026
    Review
  5. Article
  6. The Significance of CXCL1 in Cancer: An Overview of Molecular Mechanisms.International journal of molecular sciences · 2026
    Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
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  14. Article
  15. Interleukin-17A facilitates tumor progressionWorld journal of gastrointestinal oncology · 2025
    Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Dirk BauschDepartment of General and Visceral Surgery, University of Freiburg, Germany.
Thomas Pausch
Tobias Krauss
Ulrich Theodor Hopt
Carlos Fernandez-del-Castillo
Andrew L Warshaw
Sarah P Thayer
Tobias Keck
Massachusetts General Hospital · USUniversity of Freiburg · DEHeidelberg University · DEUniversity Medical Center Freiburg · DE

Funding

The RAS and P13K Pathways in Pancreatic AdenocarcinomaP01CA117969 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DEPINHO, RONALD ANTHONY · 2006 to 2025
$41.7M
Tissue and Pathology ResourcesP50CA127003 · NCI · DANA-FARBER CANCER INST · PI EL-BARDEESY, NABEEL, SELLERS, WILLIAM R · 2007 to 2023
$33.2M
The Hedgehog Pathway and Pancreatic NeoplasiaK08DK071329 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI THAYER, SARAH P · 2004 to 2008
$660k
NCI NIH HHS P01 CA117969NCI NIH HHS P50 CA127003NIDDK NIH HHS K08 DK071329
6 · The paper itself

Abstract

backgroundVascular endothelial growth factor (VEGF) that is secreted by tumor cells plays a key role in angiogenesis. Matrix metalloproteinase 9 (MMP-9) is produced by inflammatory cells, such as stromal granulocytes (PMN), remodels the extracellular matrix and is known to promote angiogenesis indirectly by interacting with VEGF. The aim of this study was to determine the role of PMN-derived MMP-9, its interaction with VEGF, and the efficacy of anti-angiogenic therapy targeting MMP-9 with oral Doxycycline and VEGF with Bevacizumab in pancreatic cancer (PDAC). METHODOLOGY/PRINCIPAL

findingsInhibitors to MMP-9 (Doxycycline) and VEGF (Bevacizumab) were used alone or in combination in an in vitro angiogenesis assay to test their effect on angiogenesis caused by MMP-9, VEGF, PMN and PDAC cells. In an in vivo model of xenografted PDAC, treatment effects after 14 days under monotherapy with oral Doxycycline or Bevacizumab and a combination of both were evaluated. In vitro, PMN-derived MMP-9 had a direct and strong proangiogenic effect that was independent and additive to PDAC-derived VEGF. Complete inhibition of angiogenesis required the inhibition of VEGF and MMP-9. In vivo, co-localization of MMP-9, PMN and vasculature was observed. MMP inhibition with oral Doxycycline alone resulted in a significant decrease in PDAC growth and mean vascular density comparable to VEGF inhibition alone. CONCLUSIONS/SIGNIFICANCE: PMN derived MMP-9 acts as a potent, direct and VEGF independent angiogenic factor in the context of PDAC. MMP-9 inhibition is as effective as VEGF inhibition. Targeting MMP-9 in addition to VEGF is therefore likely to be important for successful anti-angiogenic treatment in pancreatic cancer.

Indexed as

Matrix Metalloproteinase InhibitorsAngiogenesis InhibitorsAnimalsAnti-Bacterial AgentsAntibodies, Monoclonal, HumanizedBevacizumabCarcinoma, Pancreatic DuctalCell Line, TumorDoxycyclineFemaleHumansMatrix Metalloproteinase 9MiceMice, NudeNeovascularization, PathologicNeutrophilsAngiogenesis InhibitorsAnti-Bacterial AgentsAntibodies, Monoclonal, HumanizedBevacizumabDoxycyclineMatrix Metalloproteinase 9Matrix Metalloproteinase InhibitorsVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID21442180
PMCPMC3688040
OpenAlexW2034343829

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.