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Published in: Cancer Chemotherapy and Pharmacology 1/2012

01-01-2012 | Original Article

Different combination schedules of gemcitabine with endostar affect antitumor efficacy

Authors: Xing-Chen Peng, Meng Qiu, Meng Wei, Ben-Xu Tan, Jun Ge, Yu Zhao, Ye Chen, Ke Cheng, Yi Zhou, Yang Wu, Feng-Ming Gong, Qiu Li, Feng Xu, Feng Bi, Ji-Yan Liu

Published in: Cancer Chemotherapy and Pharmacology | Issue 1/2012

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Abstract

Purpose

Antiangiogenic drugs inhibit tumor growth by decreasing blood supply and causing transient “normalization” of the tumor vasculature, thereby improving the delivery of systemic chemotherapy. A higher dose of antiangiogenic drugs may lead to a more marked decrease in intratumoral blood flow but may concomitantly cause a decrease in delivery of chemotherapeutic agents. The purpose of this study was to define an optimal schedule for the combination of gemcitabine with a recombinant endostatin, endostar.

Methods

We evaluated the antitumor effects with different schedules of gemcitabine combined with or without endostar. The changes of vascular endothelial growth factor (VEGF) levels in tumor extracts and sera after gemcitabine treatment were examined. Endostar was also assessed for its abilities to inhibit the increase in VEGF levels. Apoptotic cells and microvessel density within tumor tissue were also examined.

Results

Endostar administered simultaneously with or following gemcitabine improved the inhibition of tumor growth, compared with gemcitabine alone. VEGF levels decreased immediately after gemcitabine treatment, but increased in the following several days. Endostar administered simultaneously with or following gemcitabine could inhibit the increase in VEGF levels, thereby cause a decreased vessel density and an increased apoptosis in tumor tissue.

Conclusions

Our finding suggested that endostar given simultaneously with or following gemcitabine might be optimal to enhance the antitumor effect.
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Metadata
Title
Different combination schedules of gemcitabine with endostar affect antitumor efficacy
Authors
Xing-Chen Peng
Meng Qiu
Meng Wei
Ben-Xu Tan
Jun Ge
Yu Zhao
Ye Chen
Ke Cheng
Yi Zhou
Yang Wu
Feng-Ming Gong
Qiu Li
Feng Xu
Feng Bi
Ji-Yan Liu
Publication date
01-01-2012
Publisher
Springer-Verlag
Published in
Cancer Chemotherapy and Pharmacology / Issue 1/2012
Print ISSN: 0344-5704
Electronic ISSN: 1432-0843
DOI
https://doi.org/10.1007/s00280-011-1695-8

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