Evidence map›Paper›PMID 26432869›Full record

ArticleAmerican journal of physiology. Lung cellular and molecular physiology2015

Pharmacological targeting of VEGFR signaling with axitinib inhibits Tsc2-null lesion growth in the mouse model of lymphangioleiomyomatosis.

Elena N Atochina-Vasserman, Elena Abramova, Melane L James, Ryan Rue, Amy Y Liu, Nathan Tessema Ersumo, Chang-Jiang Guo, Andrew J Gow, Vera P Krymskaya

Open access · bronzeAbstract read
In one paragraph

Article in American journal of physiology. Lung cellular and molecular physiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

18 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Novel treatment strategies for lymphangioleiomyomatosis: a narrative review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
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  13. Case Report: Gastrointestinal PEComa WithFrontiers in oncology · 2020
    Article
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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

9 authors at 2 institutions in 1 country.

Elena N Atochina-VassermanAirway Biology Initiative, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Pulmonary, Allergy and Critical Care Division, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; and atochina@mail.med.upenn.edu.
Elena AbramovaDepartment of Pharmacology & Toxicology, Rutgers University, Piscataway, New Jersey.
Melane L JamesAirway Biology Initiative, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Pulmonary, Allergy and Critical Care Division, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; and.
Ryan RueAirway Biology Initiative, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania;
Amy Y LiuAirway Biology Initiative, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania;
Nathan Tessema ErsumoAirway Biology Initiative, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania;
Chang-Jiang GuoDepartment of Pharmacology & Toxicology, Rutgers University, Piscataway, New Jersey.
Andrew J GowDepartment of Pharmacology & Toxicology, Rutgers University, Piscataway, New Jersey.
Vera P KrymskayaAirway Biology Initiative, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Pulmonary, Allergy and Critical Care Division, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; and.
University of Pennsylvania · USRutgers, The State University of New Jersey · US

Funding

NO-Modified Biomolecules and Pulmonary SignalingR01HL086621 · NHLBI · RUTGERS, THE STATE UNIV OF N.J. · PI GOW, ANDREW J · 2008 to 2016
$2.8M
TSC signaling and pulmonary LAMR01HL114085 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KRYMSKAYA, VERA P · 2012 to 2015
$1.9M
Role of folliculin (FLCN) in lung cell survivalR01HL110551 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KRYMSKAYA, VERA P · 2012 to 2015
$1.8M
NHLBI NIH HHS HL-086621NHLBI NIH HHS R01 HL110551NHLBI NIH HHS R01 HL114085NHLBI NIH HHS R01-HL-114085
6 · The paper itself

Abstract

Pulmonary lymphangioleiomyomatosis (LAM), a rare progressive lung disease associated with mutations of the tuberous sclerosis complex 2 (Tsc2) tumor suppressor gene, manifests by neoplastic growth of LAM cells, induction of cystic lung destruction, and respiratory failure. LAM severity correlates with upregulation in serum of the prolymphangiogenic vascular endothelial growth factor D (VEGF-D) that distinguishes LAM from other cystic diseases. The goals of our study was to determine whether Tsc2 deficiency upregulates VEGF-D, and whether axitinib, the Food and Drug Administration-approved small-molecule inhibitor of VEGF receptor (VEGFR) signaling, will reduce Tsc2-null lung lesion growth in a mouse model of LAM. Our data demonstrate upregulation of VEGF-D in the serum and lung lining in mice with Tsc2-null lesions. Progressive growth of Tsc2-null lesions induces recruitment and activation of inflammatory cells and increased nitric oxide production. Recruited cells isolated from the lung lining of mice with Tsc2-null lesions demonstrate upregulated expression of provasculogenic Vegfa, prolymphangiogenic Figf, and proinflammatory Nos2, Il6, and Ccl2 genes. Importantly, axitinib is an effective inhibitor of Tsc2-null lesion growth and inflammatory cell recruitment, which correlates with reduced VEGF-D levels in serum and lung lining. Our data demonstrate that pharmacological inhibition of VEGFR signaling with axitinib inhibits Tsc2-null lesion growth, attenuates recruitment and activation of inflammatory cells, and reduces VEGF-D levels systemically and in the lung lining. Our study suggests a potential therapeutic benefit of inhibition of VEGFR signaling for treatment of LAM.

Indexed as

AnimalsAxitinibCell Line, TumorCell ProliferationChemokine CCL2Disease Models, AnimalFemaleImidazolesIndazolesLungLung DiseasesLung NeoplasmsLymphangioleiomyomatosisMiceMice, Inbred C57BLMice, NudeAxitinibCcl2 protein, mouseChemokine CCL2ImidazolesIndazolesNitric Oxide Synthase Type IINos2 protein, mouseReceptors, Vascular Endothelial Growth FactorTsc2 protein, mouseTuberous Sclerosis Complex 2 ProteinTumor Suppressor ProteinsVascular Endothelial Growth Factor Danimal modelsaxitiniblymphangiogenesisTCS2-nullVEGF-D

Identifiers

PMID26432869
PMCPMC4683311
OpenAlexW2344836833

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.