Evidence map›Paper›PMID 23828240›Full record

ArticleNeuro-oncology2013

Increase in tumor-associated macrophages after antiangiogenic therapy is associated with poor survival among patients with recurrent glioblastoma.

Christine Lu-Emerson, Matija Snuderl, Nathaniel D Kirkpatrick, Jermaine Goveia, Christian Davidson, Yuhui Huang, Lars Riedemann, Jennie Taylor, Percy Ivy, Dan G Duda and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 151 papers.

0numbers the graph read from it
0cells of the map it votes in
151citing papers in PubMed
7.1field-weighted citation impact, top 2% 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

151 citing papers in PubMed, 222 citations in OpenAlex.

  1. Randomized Phase II and Biomarker Study of Pembrolizumab plus Bevacizumab versus Pembrolizumab Alone for Patients with Recurrent Glioblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Trial
  2. Trial
  3. Trial
  4. Oncoimmunology · 2026
    Article
  5. Review
  6. Article
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  8. Review
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  10. Article
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  14. Breaking Down Glioma-Microenvironment Crosstalk.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2025
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Review

91 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

19 authors at 4 institutions in 1 country.

Christine Lu-EmersonDepartment of Neurology, Radiation Oncology, Massachusetts General Hospital Cancer Center and Harvard Medical School, Boston, MA, USA.
Matija Snuderl
Nathaniel D Kirkpatrick
Jermaine Goveia
Christian Davidson
Yuhui Huang
Lars Riedemann
Jennie Taylor
Percy Ivy
Dan G Duda
Marek Ancukiewicz
Scott R Plotkin
Andrew S Chi
Elizabeth R Gerstner
April F Eichler
Jorg Dietrich
Anat O Stemmer-Rachamimov
Tracy T Batchelor
Rakesh K Jain
Harvard University · USNational Cancer Institute · USMassachusetts General Hospital · USCenter for Cancer Research · US

Funding

Vascular Normalization: Rolse of Perivascular CellsP01CA080124 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI JAIN, RAKESH K. · 2000 to 2016
$35.0M
Harvard Clinical and Translational Science Center (UL1)UL1TR000170 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2012 to 2013
$31.4M
Training Program in Nervous System TumorsK12CA090354 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI PLOTKIN, SCOTT R · 2001 to 2025
$16.3M
PHASE I TRIALS OF NEW ANTICANCER AGENTSU01CA062490 · NCI · DANA-FARBER CANCER INSTITUTE · PI KUFE, DONALD W. · 1994 to 2013
$10.2M
AZD2171 and chemoradiation for newly diagnosed glioblastomaR01CA129371 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BATCHELOR, TRACY T · 2007 to 2017
$6.2M
Quantitative MRI of Glioblastoma ResponseU01CA154601 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI KALPATHY-CRAMER, JAYASHREE · 2011 to 2016
$3.4M
Clinical and Molecular Studies of Novel Therapeutics in Malignant Brain TumorsK24CA125440 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BATCHELOR, TRACY T · 2007 to 2016
$1.9M
Role of SDF1a pathway in prostate cancer relapse and metastasis post-radiotherapyR01CA159258 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI DUDA, DAN GABRIEL · 2011 to 2015
$1.6M
Role of PLGF in Medulloblastoma Progression and TreatmentR01CA163815 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI JAIN, RAKESH K. · 2012 to 2015
$1.3M
NCATS NIH HHS 8UL1TR000170-05NCATS NIH HHS UL1 TR000170NCI NIH HHS K12 CA090354NCI NIH HHS K24 CA125440NCI NIH HHS P01 CA080124NCI NIH HHS P01CA080124NCI NIH HHS R01CA129371NCI NIH HHS R01CA159258NCI NIH HHS R01CA163815NCI NIH HHS U01CA062490NCI NIH HHS U01 CA154601
6 · The paper itself

Abstract

Antiangiogenic therapy is associated with increased radiographic responses in glioblastomas, but tumors invariably recur. Because tumor-associated macrophages have been shown to mediate escape from antiangiogenic therapy in preclinical models, we examined the role of macrophages in patients with recurrent glioblastoma. We compared autopsy brain specimens from 20 patients with recurrent glioblastoma who received antiangiogenic treatment and chemoradiation with 8 patients who received chemotherapy and/or radiotherapy without antiangiogenic therapy or no treatment. Tumor-associated macrophages were morphologically and phenotypically analyzed using flow cytometry and immunohistochemistry for CD68, CD14, CD163, and CD11b expression. Flow cytometry showed an increase in macrophages in the antiangiogenic-treated patients. Immunohistochemical analysis demonstrated an increase in CD68+ macrophages in the tumor bulk (P < .01) and infiltrative areas (P = .02) in antiangiogenic-treated patients. We also observed an increase in CD11b+ cells in the tumor bulk (P < .01) and an increase in CD163+ macrophages in infiltrative tumor (P = .02). Of note, an increased number of CD11b+ cells in bulk and infiltrative tumors (P = .05 and P = .05, respectively) correlated with poor overall survival among patients who first received antiangiogenic therapy at recurrence. In summary, recurrent glioblastomas showed an increased infiltration in myeloid populations in the tumor bulk and in the infiltrative regions after antiangiogenic therapy. Higher numbers of CD11b+ cells correlated with poor survival among these patients. These data suggest that tumor-associated macrophages may participate in escape from antiangiogenic therapy and may represent a potential biomarker of resistance and a potential therapeutic target in recurrent glioblastoma.

Indexed as

AdolescentAdultAgedAged, 80 and overAngiogenesis InhibitorsAntigens, CDAutopsyBiomarkers, TumorBrain NeoplasmsFemaleFlow CytometryFollow-Up StudiesGlioblastomaHumansImmunoenzyme TechniquesMacrophagesAngiogenesis InhibitorsAntigens, CDBiomarkers, Tumorantiangiogenic therapyglioblastomamyeloid cellsrelapse

Identifiers

PMID23828240
PMCPMC3714160
OpenAlexW2025770283

What OpenQuestion holds

Textmetadata
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.