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10.1073/pnas.1703431114

http://scihub22266oqcxt.onion/10.1073/pnas.1703431114
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suck abstract from ncbi


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pmid29078273
      Proc+Natl+Acad+Sci+U+S+A 2017 ; 114 (45 ): E9635-E9644
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  • Off-tumor targets compromise antiangiogenic drug sensitivity by inducing kidney erythropoietin production #MMPMID29078273
  • Nakamura M ; Zhang Y ; Yang Y ; Sonmez C ; Zheng W ; Huang G ; Seki T ; Iwamoto H ; Ding B ; Yin L ; Foukakis T ; Hatschek T ; Li X ; Hosaka K ; Li J ; Yu G ; Wang X ; Liu Y ; Cao Y
  • Proc Natl Acad Sci U S A 2017[Nov]; 114 (45 ): E9635-E9644 PMID29078273 show ga
  • Anti-VEGF drugs are commonly used for treatment of a variety of cancers in human patients, and they often develop resistance. The mechanisms underlying anti-VEGF resistance in human cancer patients are largely unknown. Here, we show that in mouse tumor models and in human cancer patients, the anti-VEGF drug-induced kidney hypoxia augments circulating levels of erythropoietin (EPO). Gain-of-function studies show that EPO protects tumor vessels from anti-VEGF treatment and compromises its antitumor effects. Loss of function by blocking EPO function using a pharmacological approach markedly increases antitumor activity of anti-VEGF drugs through inhibition of tumor angiogenesis. Similarly, genetic loss-of-function data shows that deletion of EpoR in nonerythroid cells significantly increases antiangiogenic and antitumor effects of anti-VEGF therapy. Finally, in a relatively large cohort study, we show that treatment of human colorectal cancer patients with bevacizumab augments circulating EPO levels. These findings uncover a mechanism of desensitizing antiangiogenic and anticancer effects by kidney-produced EPO. Our work presents conceptual advances of our understanding of mechanisms underlying antiangiogenic drug resistance.
  • |Angiogenesis Inhibitors/*pharmacology [MESH]
  • |Animals [MESH]
  • |Antineoplastic Agents/*pharmacology [MESH]
  • |Bevacizumab/pharmacology [MESH]
  • |Cohort Studies [MESH]
  • |Colorectal Neoplasms/*drug therapy/metabolism [MESH]
  • |Erythropoietin/*metabolism [MESH]
  • |Humans [MESH]
  • |Kidney/*drug effects/metabolism [MESH]
  • |Mice [MESH]
  • |Neovascularization, Pathologic/*drug therapy/metabolism [MESH]


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