Evidence map›Paper›PMID 34035882›Full record

ArticleJournal of extracellular vesicles2021

Perivascular cell-derived extracellular vesicles stimulate colorectal cancer revascularization after withdrawal of antiangiogenic drugs.

Maohua Huang, Minfeng Chen, Ming Qi, Geni Ye, Jinghua Pan, Changzheng Shi, Yunlong Yang, Luyu Zhao, Xukai Mo, Yiran Zhang and 13 more

Open access · goldAbstract read
In one paragraph

Article in Journal of extracellular vesicles, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

28 citing papers in PubMed, 39 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Clinical and molecular characterization ofJournal for immunotherapy of cancer · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
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

23 authors at 5 institutions in 2 countries.

Maohua HuangCollege of Pharmacy Jinan University Guangzhou China.
Minfeng ChenCollege of Pharmacy Jinan University Guangzhou China.
Ming QiCollege of Pharmacy Jinan University Guangzhou China.
Geni YeCollege of Pharmacy Jinan University Guangzhou China.
Jinghua PanDepartment of General Surgery the First Affiliated Hospital of Jinan University Guangzhou China.
Changzheng ShiGuangzhou Key Laboratory of Molecular and Functional Imaging for Clinical Translation the First Affiliated Hospital of Jinan University Guangzhou China.
Yunlong YangDepartment of Cellular and Genetic Medicine School of Basic Medical Sciences Fudan University Shanghai China.
Luyu ZhaoGuangzhou Key Laboratory of Molecular and Functional Imaging for Clinical Translation the First Affiliated Hospital of Jinan University Guangzhou China.
Xukai MoGuangzhou Key Laboratory of Molecular and Functional Imaging for Clinical Translation the First Affiliated Hospital of Jinan University Guangzhou China.
Yiran ZhangDepartment of General Surgery the First Affiliated Hospital of Jinan University Guangzhou China.
Yong LiCollege of Pharmacy Jinan University Guangzhou China.
Jincheng ZhongCollege of Pharmacy Jinan University Guangzhou China.
Weijin LuCollege of Pharmacy Jinan University Guangzhou China.
Xiaobo LiCollege of Pharmacy Jinan University Guangzhou China.
Jiayan ZhangCollege of Pharmacy Jinan University Guangzhou China.
Jinrong LinDepartment of Obstetrics the First Affiliated Hospital of Jinan University Guangzhou China.
Liangping LuoGuangzhou Key Laboratory of Molecular and Functional Imaging for Clinical Translation the First Affiliated Hospital of Jinan University Guangzhou China.
Tongzheng LiuCollege of Pharmacy Jinan University Guangzhou China.
Patrick Ming-Kuen TangDepartment of Anatomical and Cellular Pathology Prince of Wales Hospital The Chinese University of Hong Kong Sha Tin Hong Kong.
An HongDepartment of Cell Biology Jinan University Guangzhou China.
Yihai CaoDepartment of Microbiology Tumor and Cell Biology Karolinska Institute Stockholm Sweden.
Wencai YeCollege of Pharmacy Jinan University Guangzhou China.
Dongmei ZhangCollege of Pharmacy Jinan University Guangzhou China.
Jinan University · CNFirst Affiliated Hospital of Jinan University · CNChinese University of Hong Kong · CNFudan University · CNKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antiangiogenic tyrosine kinase inhibitors (AA-TKIs) have become a promising therapeutic strategy for colorectal cancer (CRC). In clinical practice, a significant proportion of cancer patients temporarily discontinue AA-TKI treatment due to recurrent toxicities, economic burden or acquired resistance. However, AA-TKI therapy withdrawal-induced tumour revascularization frequently occurs, hampering the clinical application of AA-TKIs. Here, this study demonstrates that tumour perivascular cells mediate tumour revascularization after withdrawal of AA-TKI therapy. Pharmacological inhibition and genetic ablation of perivascular cells largely attenuate the rebound effect of CRC vascularization in the AA-TKI cessation experimental settings. Mechanistically, tumour perivascular cell-derived extracellular vehicles (TPC-EVs) contain Gas6 that instigates the recruitment of endothelial progenitor cells (EPCs) for tumour revascularization via activating the Axl pathway. Gas6 silence and an Axl inhibitor markedly inhibit tumour revascularization by impairing EPC recruitment. Consequently, combination therapy of regorafenib with the Axl inhibitor improves overall survival in mice metastatic CRC model by inhibiting tumour growth. Together, these data shed new mechanistic insights into perivascular cells in off-AA-TKI-induced tumour revascularization and indicate that blocking the Axl signalling may provide an attractive anticancer approach for sustaining long-lasting angiostatic effects to improve the therapeutic outcomes of antiangiogenic drugs in CRC.

Indexed as

Angiogenesis InhibitorsAnimalsCarcinoma, Non-Small-Cell LungCell Line, TumorChinaColorectal NeoplasmsDrug Resistance, NeoplasmErbB ReceptorsExtracellular VesiclesFemaleHumansLung NeoplasmsMaleMiceMice, Inbred BALB CMice, NudeAngiogenesis InhibitorsErbB ReceptorsProtein Kinase InhibitorsProto-Oncogene ProteinsReceptor Protein-Tyrosine Kinasesantiangiogenic therapyendothelial progenitor cellextracellular vesicleperivascular celltyrosine kinase inhibitor

Identifiers

PMID34035882
PMCPMC8138700
OpenAlexW3164320506

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.