Evidence map›Paper›PMID 29939339›Full record

ArticleNeuro-oncology2018

VEGF-C sustains VEGFR2 activation under bevacizumab therapy and promotes glioblastoma maintenance.

Signe R Michaelsen, Mikkel Staberg, Henriette Pedersen, Kamilla E Jensen, Wiktor Majewski, Helle Broholm, Mette K Nedergaard, Christopher Meulengracht, Thomas Urup, Mette Villingshøj and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Neuro-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
3.5field-weighted citation impact, top 6% 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

52 citing papers in PubMed, 86 citations in OpenAlex.

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  17. Anti-angiogenic Potential of Trans-chalcone in anCardiovascular & hematological agents in medicinal chemistry · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 3 institutions in 1 country.

Signe R MichaelsenDepartment of Radiation Biology, Copenhagen University Hospital, Copenhagen, Denmark.
Mikkel StabergDepartment of Radiation Biology, Copenhagen University Hospital, Copenhagen, Denmark.
Henriette PedersenDanish Cancer Society Research Center, Copenhagen, Denmark.
Kamilla E JensenDanish Cancer Society Research Center, Copenhagen, Denmark.
Wiktor MajewskiCenter for Genomic Medicine, Copenhagen University Hospital, Copenhagen, Denmark.
Helle BroholmDepartment of Neuropathology, Center of Diagnostic Investigation, Copenhagen University Hospital, Copenhagen, Denmark.
Mette K NedergaardDepartment of Clinical Physiology, Nuclear Medicine & PET and Cluster for Molecular Imaging, Copenhagen University Hospital, Copenhagen, Denmark.
Christopher MeulengrachtDanish Cancer Society Research Center, Copenhagen, Denmark.
Thomas UrupDepartment of Radiation Biology, Copenhagen University Hospital, Copenhagen, Denmark.
Mette VillingshøjDepartment of Radiation Biology, Copenhagen University Hospital, Copenhagen, Denmark.
Slávka LukacovaDepartment of Oncology, Aarhus University Hospital, Aarhus, Denmark.
Jane Skjøth-RasmussenDepartment of Neurosurgery, Copenhagen University Hospital, Copenhagen, Denmark.
Jannick BrennumDepartment of Neurosurgery, Copenhagen University Hospital, Copenhagen, Denmark.
Andreas KjærDepartment of Clinical Physiology, Nuclear Medicine & PET and Cluster for Molecular Imaging, Copenhagen University Hospital, Copenhagen, Denmark.
Ulrik LassenDepartment of Radiation Biology, Copenhagen University Hospital, Copenhagen, Denmark.
Marie-Thérése StockhausenDepartment of Radiation Biology, Copenhagen University Hospital, Copenhagen, Denmark.
Hans S PoulsenDepartment of Radiation Biology, Copenhagen University Hospital, Copenhagen, Denmark.
Petra HamerlikDepartment of Radiation Biology, Copenhagen University Hospital, Copenhagen, Denmark.
Copenhagen University Hospital · DKDanish Cancer Society · DKAarhus University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Glioblastoma ranks among the most lethal cancers, with current therapies offering only palliation. Paracrine vascular endothelial growth factor (VEGF) signaling has been targeted using anti-angiogenic agents, whereas autocrine VEGF/VEGF receptor 2 (VEGFR2) signaling is poorly understood. Bevacizumab resistance of VEGFR2-expressing glioblastoma cells prompted interrogation of autocrine VEGF-C/VEGFR2 signaling in glioblastoma. Methods: Autocrine VEGF-C/VEGFR2 signaling was functionally investigated using RNA interference and exogenous ligands in patient-derived xenograft lines and primary glioblastoma cell cultures in vitro and in vivo. VEGF-C expression and interaction with VEGFR2 in a matched pre- and post-bevacizumab treatment cohort were analyzed by immunohistochemistry and proximity ligation assay. Results: VEGF-C was expressed by patient-derived xenograft glioblastoma lines, primary cells, and matched surgical specimens before and after bevacizumab treatment. VEGF-C activated autocrine VEGFR2 signaling to promote cell survival, whereas targeting VEGF-C expression reprogrammed cellular transcription to attenuate survival and cell cycle progression. Supporting potential translational significance, targeting VEGF-C impaired tumor growth in vivo, with superiority to bevacizumab treatment. Conclusions: Our results demonstrate VEGF-C serves as both a paracrine and an autocrine pro-survival cytokine in glioblastoma, promoting tumor cell survival and tumorigenesis. VEGF-C permits sustained VEGFR2 activation and tumor growth, where its inhibition appears superior to bevacizumab therapy in improving tumor control.

Indexed as

Angiogenesis InhibitorsAnimalsApoptosisAutocrine CommunicationBevacizumabBiomarkers, TumorCell CycleCell ProliferationFemaleGene Expression Regulation, NeoplasticGlioblastomaHumansMiceMice, NudeSignal TransductionTumor Cells, CulturedAngiogenesis InhibitorsBevacizumabBiomarkers, TumorKDR protein, humanVascular Endothelial Growth Factor CVascular Endothelial Growth Factor Receptor-2VEGFC protein, human

Identifiers

PMID29939339
PMCPMC6176801
OpenAlexW2810747280

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.