Everolimus affects vasculogenic mimicry in renal carcinoma resistant to sunitinib.
Everolimus affects vasculogenic mimicry in renal carcinoma resistant to sunitinib.
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DOI:
10.18632/oncotarget.9542
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发表时间:
2016-06-21
期刊:
影响因子:
--
通讯作者:
de Gramont A
中科院分区:
文献类型:
--
作者:
Serova M;Tijeras-Raballand A;Dos Santos C;Martinet M;Neuzillet C;Lopez A;Mitchell DC;Bryan BA;Gapihan G;Janin A;Bousquet G;Riveiro ME;Bieche I;Faivre S;Raymond E;de Gramont A
Angiogenesis is hallmark of clear cell renal cell carcinogenesis. Anti-angiogenic therapies have been successful in improving disease outcome; however, most patients treated with anti-angiogenic agents will eventually progress. In this study we report that clear cell renal cell carcinoma was associated with vasculogenic mimicry in both mice and human with tumor cells expressing endothelial markers in the vicinity of tumor vessels. We show that vasculogenic mimicry was efficiently targeted by sunitinib but eventually associated with tumor resistance and a more aggressive phenotype both in vitro and in vivo. Re-challenging these resistant tumors in mice, we showed that second-line treatment with everolimus particularly affected vasculogenic mimicry and tumor cell differentiation compared to sorafenib and axitinib. Finally, our results highlighted the phenotypic and genotypic changes at the tumor cell and microenvironment levels during sunitinib response and progression and the subsequent improvement second-line therapies bring to the current renal cell carcinoma treatment paradigm.
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