Evidence map›Paper›PMID 30196384›Full record

ArticleClinical & experimental metastasis2018

Heterogeneous distribution of trastuzumab in HER2-positive xenografts and metastases: role of the tumor microenvironment.

Jennifer Hazel Elizabeth Baker, Alastair Hugh Kyle, Stefan Alexander Reinsberg, Firas Moosvi, Haley Margaret Patrick, Jordan Cran, Katayoun Saatchi, Urs Häfeli, Andrew Ivor Minchinton

Open access · hybridAbstract read
In one paragraph

Article in Clinical & experimental metastasis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
3.0field-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

37 citing papers in PubMed, 51 citations in OpenAlex.

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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.

Jennifer Hazel Elizabeth BakerIntegrative Oncology - Radiation Biology Unit, BC Cancer Research Centre, 675 West 10th Ave, Vancouver, BC, V5Z 1L3, Canada. jbaker@bccrc.ca.ORCID 0000-0003-0838-7839
Alastair Hugh KyleIntegrative Oncology - Radiation Biology Unit, BC Cancer Research Centre, 675 West 10th Ave, Vancouver, BC, V5Z 1L3, Canada.
Stefan Alexander ReinsbergDepartment of Physics & Astronomy, University of British Columbia, Vancouver, Canada.
Firas MoosviDepartment of Physics & Astronomy, University of British Columbia, Vancouver, Canada.
Haley Margaret PatrickIntegrative Oncology - Radiation Biology Unit, BC Cancer Research Centre, 675 West 10th Ave, Vancouver, BC, V5Z 1L3, Canada.
Jordan CranIntegrative Oncology - Radiation Biology Unit, BC Cancer Research Centre, 675 West 10th Ave, Vancouver, BC, V5Z 1L3, Canada.
Katayoun SaatchiDepartment of Pharmaceutical Sciences, University of British Columbia, Vancouver, Canada.
Urs HäfeliDepartment of Pharmaceutical Sciences, University of British Columbia, Vancouver, Canada.
Andrew Ivor MinchintonIntegrative Oncology - Radiation Biology Unit, BC Cancer Research Centre, 675 West 10th Ave, Vancouver, BC, V5Z 1L3, Canada.
University of British Columbia · CABC Cancer Agency · CA

Funding

CIHR MOP-119382
6 · The paper itself

Abstract

Most HER2-positive metastatic breast cancer patients continue to relapse. Incomplete access to all target HER2-positive cells in metastases and tumor tissues is a potential mechanism of resistance to trastuzumab. The location of locally bound trastuzumab was evaluated in HER2-positive tissues in vivo and as in vivo xenografts or metastases models in mice. Microenvironmental elements of tumors were related to bound trastuzumab using immunohistochemical staining and include tight junctions, vasculature, vascular maturity, vessel patency, hypoxia and HER2 to look for correlations. Trastuzumab was evaluated alone and in combination with bevacizumab. Dynamic contrast-enhanced magnetic resonance imaging parameters of overall vascular function, perfusion and apparent permeability were compared with matched histological images of trastuzumab distribution and vascular patency. Trastuzumab distribution is highly heterogeneous in all models examined, including avascular micrometastases of the brain and lung. Trastuzumab distributes well through the extravascular compartment even in conditions of high HER2 expression and poor convective flow in vivo. Microregional patterns of trastuzumab distribution in vivo do not consistently correlate with vascular density, patency, function or maturity; areas of poor trastuzumab access are not necessarily those with poor vascular supply. The number of vessels with perivascular trastuzumab increases with time and higher doses and dramatically decreases when pre-treated with bevacizumab. Areas of HER2-positive tissue without bound trastuzumab persist in all conditions. These data directly demonstrate tissue- and vessel-level barriers to trastuzumab distribution in vivo that can effectively limit access of the drug to target cells in brain metastases and elsewhere.

Indexed as

AnimalsAntineoplastic Agents, ImmunologicalAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBrain NeoplasmsBreast NeoplasmsCell Line, TumorErb-b2 Receptor Tyrosine KinasesFemaleHumansMiceMice, Inbred NODMice, SCIDTrastuzumabTumor MicroenvironmentXenograft Model Antitumor AssaysAntineoplastic Agents, ImmunologicalBevacizumabERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesTrastuzumabBevacizumabBrain metastasesDCE-MRIDrug distributionHER2/neuHER2-positive metastasesHerceptinMonoclonal antibody therapeuticTumor microenvironmentTumor vessel permeability

Identifiers

PMID30196384
PMCPMC6209006
OpenAlexW2890098568

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.