Evidence map›Paper›PMID 41664823›Full record

ArticleNeuro-oncology advances

The influence of VEGFR-2 blockade and focused ultrasound blood-brain barrier opening on the glioma-immune landscape.

Katherine M Nowak, Matthew R Hoch, Victoria R Breza, Catherine M Gorick, Ji Song, Anna C Debski, Joshua D Samuels, Matthew R DeWitt, Benjamin W Purow, Timothy N Bullock and 2 more

Abstract read
In one paragraph

Article in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

12 authors.

Katherine M NowakDepartment of Microbiology, Immunology, and Cancer Biology, University of Virginia, Charlottesville, VA.
Matthew R HochDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA.
Victoria R BrezaDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA.
Catherine M GorickDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA.
Ji SongDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA.
Anna C DebskiDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA.
Joshua D SamuelsDepartment of Neuroscience, University of Virginia, Charlottesville, VA.
Matthew R DeWittDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA.
Benjamin W PurowDepartment of Neurology, University of Virginia, Charlottesville, VA.
Timothy N BullockDepartment of Pathology, -University of Virginia, Charlottesville, VA.ORCID https://orcid.org/0000-0001-6141-3261
Tajie H HarrisDepartment of Neuroscience, University of Virginia, Charlottesville, VA.
Richard J PriceDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA.ORCID https://orcid.org/0000-0002-0237-2102

Funding

Focused ultrasound pre-conditioning for augmented nanoparticle penetration in infiltrative gliomasR01EB030409 · NIBIB · UNIVERSITY OF VIRGINIA · PI HANES, JUSTIN S., PRICE, RICHARD J. · 2021 to 2024
$2.3M
Small-Animal 9.4T MRI for Biomedical ResearchS10OD025024 · OD · UNIVERSITY OF VIRGINIA · PI BERR, STUART S. · 2019 to 2019
$2.0M
MR Image-Guided Drug Delivery to Cerebral Cavernous Malformations with Focused UltrasoundR01CA279134 · NCI · UNIVERSITY OF VIRGINIA · PI Richard J. Price · 2024 to 2026
$1.8M
Augmenting focused ultrasound-mediated drug delivery to brain tumors with vascular normalizationR21CA286367 · NCI · UNIVERSITY OF VIRGINIA · PI PRICE, RICHARD J. · 2024 to 2024
$399k
NCI NIH HHS R01 CA279134NCI NIH HHS R21 CA286367NIBIB NIH HHS R01 EB030409NIH HHS S10 OD025024
6 · The paper itself

Abstract

Background: Glioblastoma (GBM) is an aggressive brain cancer with limited treatment options and high recurrence rates. The blood-brain barrier (BBB) impedes therapeutic delivery for the brain, limiting systemic treatment efficacy. Focused ultrasound (FUS) combined with microbubbles (MBs) can transiently open the BBB (BBBO), enhancing drug delivery and modulating the tumor immune microenvironment (TME). However, the disorganized and leaky vasculature in GBM limits the effectiveness of FUS-mediated BBBO. Vascular normalization using antiangiogenic therapy may enhance both immune modulation and delivery. This study aimed to investigate whether vascular normalization via VEGFR-2 blockade with DC101, alone or in combination with FUS+MBs, improves TME remodeling in a murine GBM model. Methods: CT2A glioma-bearing mice were treated with DC101, a VEGFR2 inhibitor, either alone or in combination with FUS+MBs. Tumor growth, survival, vessel permeability, immune cell profiling, and adhesion molecule expression were evaluated using immunohistochemistry, flow cytometry, and confocal microscopy. Results: DC101 monotherapy significantly reduced tumor growth and prolonged survival. It reduced tumor vessel permeability and increased ICAM1 expression on CD31 Conclusion: DC101-mediated vascular normalization beneficially remodels the GBM TME and creates a quiescent platform for supporting future FUS-based therapeutic delivery. This combinatorial strategy offers a promising approach to overcoming BBB-related barriers in glioma treatment.

Indexed as

blood-brain barrierfocused ultrasoundglioblastomatumor microenvironmentVEGFR-2 inhibition

Identifiers

PMID41664823
PMCPMC12883212

What OpenQuestion holds

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LicenceCC BY-NC
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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.