Evidence map›Paper›PMID 28141797›Full record

ArticleBritish journal of cancer2017

A combination of low-dose bevacizumab and imatinib enhances vascular normalisation without inducing extracellular matrix deposition.

L M Schiffmann, M Brunold, M Liwschitz, V Goede, S Loges, M Wroblewski, A Quaas, H Alakus, D Stippel, C J Bruns and 4 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.1field-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

23 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
  2. Overcoming tumour resistance in cancer immunotherapy through predictive and pharmacodynamic biomarkers.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  16. The Emerging Roles of Pericytes in Modulating Tumor Microenvironment.Frontiers in cell and developmental biology · 2021
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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

14 authors at 6 institutions in 1 country.

L M SchiffmannCologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Centre for Molecular Medicine Cologne (CMMC) and Institute for Medical Microbiology, Immunology and Hygiene, University of Cologne, CECAD Research Centre, Joseph-Stelzmann-Street 26, 50931 Cologne, Germany.
M BrunoldDepartment of Internal Medicine III, St Vinzenz Hospital, Merheimer Street 221-223, 50733 Cologne, Germany.
M LiwschitzDepartment of Psychiatry, Psychotherapy and Psychosomatic Medicine, Evangelisches Krankenhaus Bergisch Gladbach, Ferrenbergstr 24, 51465 Bergisch Gladbach, Germany.
V GoedeDepartment for Geriatric Medicine, St Marien Hospital, Kunibertskloster 11-13, 50668 Cologne, Germany.
S LogesDepartment of Tumor Biology, Center of Experimental Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
M WroblewskiDepartment of Tumor Biology, Center of Experimental Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
A QuaasCenter for Integrated Oncology (CIO) Cologne-Bonn, Kerpener Street 62, Cologne 50924, Germany.
H AlakusDepartment of General, Visceral and Cancer Surgery, University of Cologne, Kerpener Street 62, 50937 Cologne, Germany.
D StippelDepartment of General, Visceral and Cancer Surgery, University of Cologne, Kerpener Street 62, 50937 Cologne, Germany.
C J BrunsDepartment of General, Visceral and Cancer Surgery, University of Cologne, Kerpener Street 62, 50937 Cologne, Germany.
M HallekCenter for Integrated Oncology (CIO) Cologne-Bonn, Kerpener Street 62, Cologne 50924, Germany.
H KashkarCologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Centre for Molecular Medicine Cologne (CMMC) and Institute for Medical Microbiology, Immunology and Hygiene, University of Cologne, CECAD Research Centre, Joseph-Stelzmann-Street 26, 50931 Cologne, Germany.
U T HackerUniversity Medicine Leipzig, University Cancer Center Leipzig (UCCL), Liebigstr 20, 04103 Leipzig, Germany.
O CoutelleCologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Centre for Molecular Medicine Cologne (CMMC) and Institute for Medical Microbiology, Immunology and Hygiene, University of Cologne, CECAD Research Centre, Joseph-Stelzmann-Street 26, 50931 Cologne, Germany.
University Hospital Cologne · DEUniversity of Cologne · DELeipzig University · DESt. Marien Hospital · DEUniversität Hamburg · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVascular endothelial growth factor (VEGF)-targeting drugs normalise the tumour vasculature and improve access for chemotherapy. However, excessive VEGF inhibition fails to improve clinical outcome, and successive treatment cycles lead to incremental extracellular matrix (ECM) deposition, which limits perfusion and drug delivery. We show here, that low-dose VEGF inhibition augmented with PDGF-R inhibition leads to superior vascular normalisation without incremental ECM deposition thus maintaining access for therapy.

methodsCollagen IV expression was analysed in response to VEGF inhibition in liver metastasis of colorectal cancer (CRC) patients, in syngeneic (Panc02) and xenograft tumours of human colorectal cancer cells (LS174T). The xenograft tumours were treated with low (0.5 mg kg

resultsECM deposition was increased after standard VEGF inhibition in patients and tumour models. In contrast, treatment with low-dose bevacizumab and imatinib produced similar growth inhibition without inducing detrimental collagen IV deposition, leading to superior vascular normalisation, reduced leakiness, improved oxygenation, more open vessels that permit perfusion and access for therapy.

conclusionsLow-dose bevacizumab augmented by imatinib selects a mature, highly normalised and well perfused tumour vasculature without inducing incremental ECM deposition that normally limits the effectiveness of VEGF targeting drugs.

Indexed as

AnimalsAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCell Line, TumorCollagen Type IVColorectal NeoplasmsExtracellular MatrixHumansImatinib MesylateLiver NeoplasmsMiceTreatment OutcomeXenograft Model Antitumor AssaysBevacizumabCollagen Type IVImatinib Mesylate

Identifiers

PMID28141797
PMCPMC5344294
OpenAlexW2584956475

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.