Hjja. Bernsen et al., DELAYED VASCULAR CHANGES AFTER ANTIANGIOGENIC THERAPY WITH ANTIVASCULAR ENDOTHELIAL GROWTH-FACTOR ANTIBODIES IN HUMAN GLIOMA XENOGRAFTS IN NUDE-MICE, Neurosurgery, 43(3), 1998, pp. 570-575
OBJECTIVE: The purpose of this study was to examine the delayed effect
s of antivascular endothelial growth factor treatment on tumor growth
and vascularity in a subcutaneous mouse tumor model of human glioblast
oma. METHODS: Antivascular endothelial growth factor antibody treatmen
t was administered for a period of 6 weeks, to suppress tumor growth.
To detect late vascular effects, tumor vascular parameters for treated
tumors and control tumors were analyzed 4 weeks thereafter. By that t
ime, tumors had grown to adequate sizes (diameter, 8-10 mm) for compar
ison with untreated control tumors. Vascular parameters were quantifie
d by using an image-analysis system. RESULTS: Vascular density was sig
nificantly lower in antivascular endothelial growth factor antibody-tr
eated tumors, compared with control tumors of similar size. The vascul
ar architecture of treated tumors was also distinctly different, compa
red with control tumors, showing larger but sparser vessel structures.
CONCLUSION: These findings suggest that antiangiogenic therapy may ha
ve a prolonged effect on the vascular architecture of certain tumors,
resulting in enduring changes in the tumor vessels. Because tumor vasc
ulature plays an important role in the sensitivity to various treatmen
t modalities, these changes are likely to influence the responses of t
hese tumors to further therapy.