Evidence map›Paper›PMID 26198000›Full record

ArticleBMC cancer2015

Monitoring therapeutic efficacy of sunitinib using [(18)F]FDG and [(18)F]FMISO PET in an immunocompetent model of luminal B (HER2-positive)-type mammary carcinoma.

Benoît Thézé, Nicholas Bernards, Audrey Beynel, Stephan Bouet, Bertrand Kuhnast, Irène Buvat, Bertrand Tavitian, Raphaël Boisgard

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.0field-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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Sodium bicarbonate nanoparticles modulate the tumor pH and enhance the cellular uptake of doxorubicin.Journal of controlled release : official journal of the Controlled Release Society · 2019
    Article
  5. Review
  6. Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2017
    Article
  7. Article
  8. Quantitative [Molecular imaging and biology · 2017
    Article
  9. Review
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 3 institutions in 1 country.

Benoît ThézéLaboratoire Imagerie Moléculaire In Vivo (IMIV, UMR 1023 Inserm/CEA/Université Paris Sud - ERL 9218 CNRS, CEA/I²BM/SHFJ, 4 place du Général Leclerc, 91400, Orsay, France. benoit.theze@cea.fr.
Nicholas BernardsLaboratoire Imagerie Moléculaire In Vivo (IMIV, UMR 1023 Inserm/CEA/Université Paris Sud - ERL 9218 CNRS, CEA/I²BM/SHFJ, 4 place du Général Leclerc, 91400, Orsay, France. nicholas.bernards@googlemail.com.
Audrey BeynelLaboratoire Imagerie Moléculaire In Vivo (IMIV, UMR 1023 Inserm/CEA/Université Paris Sud - ERL 9218 CNRS, CEA/I²BM/SHFJ, 4 place du Général Leclerc, 91400, Orsay, France. audrey.beynel@gmail.com.
Stephan BouetAnimal Genetics and Integrative Biology, INRA-AgroParisTech, UMR 1313, Jouy-en-Josas, France. bouet.stephan@sfr.fr.
Bertrand KuhnastLaboratoire Imagerie Moléculaire In Vivo (IMIV, UMR 1023 Inserm/CEA/Université Paris Sud - ERL 9218 CNRS, CEA/I²BM/SHFJ, 4 place du Général Leclerc, 91400, Orsay, France. bertrand.kuhnast@cea.fr.
Irène BuvatLaboratoire Imagerie Moléculaire In Vivo (IMIV, UMR 1023 Inserm/CEA/Université Paris Sud - ERL 9218 CNRS, CEA/I²BM/SHFJ, 4 place du Général Leclerc, 91400, Orsay, France. irene.buvat@cea.fr.
Bertrand TavitianInserm U970, Université Paris Descartes, Paris, France. bertrand.tavitian@inserm.fr.
Raphaël BoisgardLaboratoire Imagerie Moléculaire In Vivo (IMIV, UMR 1023 Inserm/CEA/Université Paris Sud - ERL 9218 CNRS, CEA/I²BM/SHFJ, 4 place du Général Leclerc, 91400, Orsay, France. raphael.boisgard@cea.fr.
Commissariat à l'Énergie Atomique et aux Énergies Alternatives · FRAgroParisTech · FRParis Cardiovascular Research Center · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical studies implying the sunitinib multi-kinase inhibitor have led to disappointing results for breast cancer care but mostly focused on HER2-negative subtypes. Preclinical researches involving this drug mostly concern Triple Negative Breast Cancer (TNBC) murine models. Here, we explored the therapeutic efficacy of sunitinib on a PyMT-derived transplanted model classified as luminal B (HER2-positive) and monitored the response to treatment using both in vivo and ex vivo approaches.

methodsTumour-induced animals were treated for 9 (n = 7) or 14 (n = 8) days with sunitinib at 40 mg/kg or with vehicle only. Response to therapy was assessed in vivo by monitoring glucose tumour metabolism and hypoxia using 2-deoxy-2-[(18)F]fluoro-D-glucose ([(18)F]FDG) and [(18)F]fluoromisonidazole ([(18)F]FMISO) Positron Emission Tomography (PET). After primary tumour excision, ex vivo digital microscopy was performed on treated and control samples to estimate vascular density (CD31), apoptosis (Tunel), proliferation (Ki-67), Tumour-Associated Macrophage (TAM) infiltration (F4/80), metabolism (GLUT1) and cellular response to hypoxia (HIF1 alpha). The drug impact on the metastasis rate was evaluated by monitoring the PyMT gene expression in the lungs of the treated and control groups.

resultsConcomitant with sunitinib-induced tumour size regression, [(18)F]FDG PET imaging showed a stable glycolysis-related metabolism inside tumours undergoing treatment compared to an increased metabolism in untreated tumours, resulting at treatment end in 1.5 less [(18)F]FDG uptake in treated (n = 4) vs control (n = 3) tumours (p < 0.05). With this small sample, [(18)F]FMISO PET showed a non-significant decrease of hypoxia in treated vs control tumours. The drug triggered a 4.9 fold vascular volume regression (p < 0.05), as well as a 17.7 fold induction of tumour cell apoptosis (p < 0.001). The hypoxia induced factor 1 alpha (HIF1 alpha) expression was twice lower in the treated group than in the control group (p < 0.05). Moreover, the occurrence of lung metastases was not reduced by the drug.

conclusions[(18)F]FDG and [(18)F]FMISO PET were relevant approaches to study the response to sunitinib in this luminal B (HER2-positive) model. The sunitinib-induced vascular network shrinkage did not significantly increase tumour hypoxia, suggesting that tumour regression was mainly due to the pro-apoptotic properties of the drug. Sunitinib did not inhibit the metastatic process in this PyMT transplanted model.

Indexed as

AnimalsAntineoplastic AgentsApoptosisBreast NeoplasmsCell ProliferationDisease Models, AnimalFemaleFluorodeoxyglucose F18Gene Expression Regulation, NeoplasticGlucose Transporter Type 1HumansHypoxia-Inducible Factor 1, alpha SubunitIndolesMiceMisonidazolePositron-Emission TomographyAntineoplastic AgentsFluorodeoxyglucose F18fluoromisonidazoleGlucose Transporter Type 1Hif1a protein, mouseHypoxia-Inducible Factor 1, alpha SubunitIndolesMisonidazolePyrrolesSlc2a1 protein, mouseSunitinib

Identifiers

PMID26198000
PMCPMC4511439
OpenAlexW1752455908

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.