Neoadjuvant bevacizumab persistently inactivates VEGF at the time of surgery despite preoperative cessation
| Autor: | Thomas Gruenberger, B. Perisanidis, C. Nemeth, Christine Brostjan, Dominic Schauer, Lejla Alidzanovic, Birgit Gruenberger, Patrick Starlinger, Dietmar Tamandl, Thomas Maier |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Vascular Endothelial Growth Factor A Cancer Research medicine.medical_specialty Time Factors Bevacizumab genetic structures medicine.medical_treatment VEGF receptors Angiogenesis Inhibitors wound healing bevacizumab Antibodies Monoclonal Humanized Drug Administration Schedule Text mining Postoperative Complications Antineoplastic Combined Chemotherapy Protocols medicine Hepatectomy Humans Immunoprecipitation Neoadjuvant therapy Aged metastasised colorectal cancer biology business.industry Liver Neoplasms Middle Aged VEGF eye diseases Neoadjuvant Therapy Surgery Vascular endothelial growth factor A Oncology biology.protein Clinical Study Female sense organs business Colorectal Neoplasms medicine.drug |
| Zdroj: | British Journal of Cancer |
| ISSN: | 1532-1827 |
| Popis: | Background: When anti-VEGF (vascular endothelial growth factor) antibody bevacizumab is applied in neoadjuvant treatment of colorectal cancer patients with liver metastasis, 5–6 weeks between last bevacizumab dose and liver resection are currently recommended to avoid complications in wound and liver regeneration. In this context, we aimed to determine whether VEGF is inactivated by bevacizumab at the time of surgery. Methods: Fifty colorectal cancer patients with liver metastases received neoadjuvant chemotherapy±bevacizumab supplementation. The last dose of bevacizumab was administered 6 weeks before surgery. Plasma, subcutaneous and intraabdominal wound fluid were analysed for VEGF content before and after liver resection (day 1–3). Immunoprecipitation was applied to determine the amount of bevacizumab-bound VEGF. Results: Bevacizumab-treated individuals showed no increase in perioperative complications. During the entire monitoring period, plasma VEGF was inactivated by bevacizumab. In wound fluid, VEGF was also completely bound by bevacizumab and was remarkably low compared with the control chemotherapy group. Conclusion: These data document that following a cessation time of 6 weeks, bevacizumab is fully active and blocks circulating and local VEGF at the time of liver resection. However, despite effective VEGF inactivation no increase in perioperative morbidity is recorded suggesting that VEGF activity is not essential in the immediate postoperative recovery period. |
| Databáze: | OpenAIRE |
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