Evidence map›Paper›PMID 41673720›Full record

ArticleBreast cancer research : BCR2026

Vascular abnormalization confers tumor resistance to antiangiogenic therapy via downregulating angiostatic factors.

Xunyuan Mao, Xiangyu Cao, Long Qian, Meng Gao, Naidong Zhang, Mengmeng Huang, Peng Fan, Ziwei Qi, Tingkun Liu, Hongjie Zhang and 1 more

Abstract read
In one paragraph

Article in Breast cancer research : BCR, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Xunyuan Mao *Faculty of Health Sciences, University of Macau, Taipa, 999078, Macau, China.
Xiangyu Cao *Department of Cardiovascular Surgery of the First Affiliated Hospital and Institute for Cardiovascular Science, Suzhou Medical College, Soochow University, Suzhou, 215006, China.
Long QianCyrus Tang Medical Institute, Collaborative Innovation Center of Hematology, Soochow University, Suzhou, 215123, China.
Meng GaoCyrus Tang Medical Institute, Collaborative Innovation Center of Hematology, Soochow University, Suzhou, 215123, China.
Naidong ZhangCyrus Tang Medical Institute, Collaborative Innovation Center of Hematology, Soochow University, Suzhou, 215123, China.
Mengmeng HuangFaculty of Health Sciences, University of Macau, Taipa, 999078, Macau, China.
Peng FanCyrus Tang Medical Institute, Collaborative Innovation Center of Hematology, Soochow University, Suzhou, 215123, China.
Ziwei QiCyrus Tang Medical Institute, Collaborative Innovation Center of Hematology, Soochow University, Suzhou, 215123, China.
Tingkun LiuCyrus Tang Medical Institute, Collaborative Innovation Center of Hematology, Soochow University, Suzhou, 215123, China.
Hongjie ZhangFaculty of Health Sciences, University of Macau, Taipa, 999078, Macau, China. hjzhang@um.edu.mo.
Yuhui HuangDepartment of Oncology, The Fourth Affiliated Hospital of Soochow University, Suzhou, 215123, China. huangyh@suda.edu.cn.

Funding

Key Program for Basic Research in Jiangsu Province BK20243008National Natural Science Foundation of China 82150106, 82473305Provincial-level Talent Program for National Center of Technology Innovation for Biopharmaceuticals NCTIB2024JS0101
6 · The paper itself

Abstract

backgroundAngiogenesis is a hallmark of cancer. However, the efficacy of antiangiogenic therapy is hindered by drug resistance. The underlying mechanisms are complex and multifactorial, and the practical strategies to overcome resistance remain limited.

methodsBy establishing single cell clones (SCCs) from EO771 breast tumor cell line, we classified SCCs as resistant and sensitive to Anlotinib, a new antiangiogenic agent. Resistant and sensitive SCCs were then mixed in different ways to uncover novel mechanisms of antiangiogenic resistance by integrating orthotopic tumor models, RNA sequencing (RNA-seq), immunohistochemistry, blocking antibodies, and recombinant proteins.

resultsIncreasing the diversity and quantity of sensitive SCCs overcame the influences of resistant SCCs and improved Anlotinib efficacy. Sensitive SCC tumors exhibited a more normalized vasculature and increased intratumoral CD8+ T cells compared to resistant SCC tumors. Moreover, elevated vessel perfusion was significantly correlated with better Anlotinib efficacy. RNA-seq data revealed upregulation of dual-function genes (e.g., Ifng, Cxcl9, and Vcam1) linking angiostasis and immune activation. Strikingly, the addition of an angiostatic factor (e.g., recombinant murine IFN-γ or Endostar) converted resistant breast tumors to sensitive to Anlotinib treatment and induced vascular normalization, whereas neutralizing IFNγ, a key angiostatic factor in sensitive SCC tumors, impeded their responses to Anlotinib.

conclusionsThe downregulation of angiostatic factors promotes breast tumor vascular abnormalization and resistance to antiangiogenic therapy. Therefore, integrating angiostatic factors with pro-angiogenic blockers may overcome resistance, offering a translatable approach to improve antiangiogenic outcomes in breast cancer.

Indexed as

Angiogenesis InhibitorsAngiostatic ProteinsBreast NeoplasmsDrug Resistance, NeoplasmNeovascularization, PathologicAnimalsCell Line, TumorFemaleGene Expression Regulation, NeoplasticHumansIndolesMiceQuinolinesXenograft Model Antitumor AssaysAngiogenesis InhibitorsAngiostatic ProteinsanlotinibIndolesQuinolinesAngiostatic factorsAntiangiogenic therapyResistanceTumor cell heterogeneityVascular normalization

Identifiers

PMID41673720
PMCPMC12998367

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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.