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Development and Maintenance of a Preclinical Patient Derived Tumor Xenograft Model for the Investigation of Novel Anti-Cancer Therapies
Published on: September 30, 2016
Overview of fundamental study of pazopanib in cancer
Hong-Lin Zhao1, Fan Yang1, Xin Huang2
1Tianjin Key Laboratory of Lung Cancer Metastasis and Tumor Microenvironment, Tianjin Lung Cancer Institute, Tianjin Medical University General Hospital Tianjin, China.
Abstract:
Angiogenesis is an indispensible process for tumor growth and metastasis. Anti-angiogenesis based therapy is one of the most promising treatments for inhibiting cancer progression. Through the exploration of inhibitors of vascular endothelial growth factor receptor (VEGFR)-2, deemed as the major angiogenesis pathway, pazopanib was found as a small molecular pan-VEGFR and pan-platelet-derived growth factor receptor (PDGFR) inhibitor, with suitable pharmacodynamic and pharmacokinetic parameters to be an oral drug. In an vitro study, pazopanib exerted anti-tumor effect through mechanisms including the Raf-MAPK/ERK (MEK)-extracellular signal-regulated kinase (ERK) pathway, and directly targeted on v-raf murine sarcoma viral oncogene homolog B (B-raf) as well. It inhibited the proliferation of cell lines, such as DU-145 and HRC-45 in hepatocellular carcinoma, through mechanisms like "cell cycle arrest." In vivo xenograft studies and phase I/II clinical trials revealed a series of plasma cytokine and angiogenic factors, such as interleukin (IL)-6, IL-12, hepatocyte growth factor (HGF), and soluble VEGFR2, which have significant association with clinical curative effect. Pazopanib has been shown to be effective in solid tumors and some hematological malignancies. Future studies should focus on the exploration of biomarkers to screen sensitive patients and concomitant or metronomic dosage with other kinds of medicines.
Insights
Pazopanib, an oral anti-angiogenesis drug targeting VEGFR and PDGFR, effectively inhibits tumor growth by affecting cell cycle arrest and signaling pathways. Clinical trials show its efficacy in solid tumors and hematological malignancies.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Angiogenesis is crucial for tumor growth and metastasis.
- Anti-angiogenesis therapy is a promising cancer treatment strategy.
- Vascular Endothelial Growth Factor Receptor (VEGFR)-2 is a key target in angiogenesis.
Purpose of the Study:
- To evaluate pazopanib as a small molecule inhibitor of VEGFR and Platelet-Derived Growth Factor Receptor (PDGFR).
- To investigate the anti-tumor mechanisms of pazopanib in vitro and in vivo.
- To explore the association between plasma biomarkers and clinical efficacy of pazopanib.
Main Methods:
- In vitro studies on cell lines (e.g., DU-145, HRC-45) to assess anti-proliferative effects and cell cycle arrest.
- In vitro investigation of pazopanib's effects on signaling pathways like Raf-MAPK/ERK and direct targeting of B-raf.
- In vivo xenograft studies and Phase I/II clinical trials to analyze plasma cytokine and angiogenic factors.
Main Results:
- Pazopanib demonstrated anti-tumor effects through cell cycle arrest and inhibition of proliferation.
- The drug targets the Raf-MAPK/ERK pathway and B-raf.
- Elevated levels of IL-6, IL-12, HGF, and soluble VEGFR2 were associated with clinical response.
- Pazopanib showed efficacy in solid tumors and hematological malignancies.
Conclusions:
- Pazopanib is an effective oral anti-angiogenesis agent with broad applicability in various cancers.
- Biomarker discovery is essential for patient selection and optimizing pazopanib treatment.
- Future research should explore combination therapies and personalized dosing strategies.
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