Evidence map›Paper›PMID 42690567›Full record

ArticleJournal of neuro-oncology2026

Annexin A2 associated with bevacizumab resistance and infiltrative escape in glioblastoma.

Taketo Ezaki, Ryota Tamura, Yohei Yamamoto, Jun Takei, Akihiko Teshigawara, Kyoichi Tomoto, Yasuharu Akasaki, Yuichi Murayama, Masahiro Toda, Hikaru Sasaki and 2 more

Abstract read
In one paragraph

Article in Journal of neuro-oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Taketo EzakiDepartment of Neurosurgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Ryota TamuraDepartment of Neurosurgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Yohei YamamotoDepartment of Neurosurgery, The Jikei University West Medical Center, 4-11-1 Izumi-honmachi, Komae City, Tokyo, 201-8601, Japan.
Jun TakeiDepartment of Neurosurgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
Akihiko TeshigawaraDepartment of Neurosurgery, The Jikei University Kashiwa Hospital, 163-1 Kashiwashita, Kashiwa, Chiba, 277-8567, Japan.
Kyoichi TomotoDepartment of Neurosurgery, The Jikei University Kashiwa Hospital, 163-1 Kashiwashita, Kashiwa, Chiba, 277-8567, Japan.
Yasuharu AkasakiDepartment of Neurosurgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
Yuichi MurayamaDepartment of Neurosurgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
Masahiro TodaDepartment of Neurosurgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Hikaru SasakiDepartment of Neurosurgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Keisuke MiyakeDepartment of Neurosurgery, Kagawa University School of Medicine, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa, 761-0793, Japan.
Toshihide TanakaDepartment of Neurosurgery, The Jikei University West Medical Center, 4-11-1 Izumi-honmachi, Komae City, Tokyo, 201-8601, Japan. ttanaka123066@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical benefit of bevacizumab (Bev) in glioblastoma (GBM) is typically transient, as tumors develop adaptive resistance characterized by an infiltrative shift from angiogenesis dependent growth. This study investigated Annexin A2 (ANXA2), a regulator of both angiogenesis and invasion, as a potential biomarker of Bev resistance.

methodsWe analyzed 66 tissue-specimens from 33 GBM patients using quantitative real-time PCR and immunohistochemistry/immunofluorescence. The cohort included 15 Bev-naïve cases and 18 neoadjuvant Bev (neoBev) cases. 33 refractory specimens-including unique paired samples from the same patients at different treatment phases (initial resection vs. refractory stage) were evaluated to correlate ANXA2 expression levels with progression-free survival (PFS), overall survival (OS), and MRI recurrence patterns.

resultsMultivariate analysis identified high ANXA2 expression as a significant independent poor prognostic factor for both PFS and OS. In the neoBev group, patients with low ANXA2 mRNA expression levels demonstrated significantly superior survival outcome compared to those with high expression. While ANXA2 mRNA levels tended to increase at the refractory stage, a significant negative correlation was observed between the number of Bev cycles and ANXA2 expression levels. Histopathological analyses revealed intense ANXA2 expression in the tumor vasculature and stroma at the GBM leading edge, co-localization with the hypoxia marker hypoxia-inducible factor-1α.

conclusionsANXA2 may serve as a predictive biomarker of the adaptive transition from an angiogenic to infiltrative phenotype with Bev therapy. These findings suggest that ANXA2 serves as a predictive biomarker for Bev clinical benefit and may represent a candidate therapeutic target requiring further validation in GBM.

Indexed as

Annexin A2Antineoplastic Agents, ImmunologicalBevacizumabBrain NeoplasmsDrug Resistance, NeoplasmGlioblastomaAdultAgedBiomarkers, TumorFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisAnnexin A2Antineoplastic Agents, ImmunologicalANXA2 protein, humanBevacizumabBiomarkers, TumorAnnexin A2InvasionNeoadjuvant bevacizumab

Identifiers

PMID42690567
PMCPMC13541986

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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.