MRI in patients with high-grade gliomas treated with bevacizumab and chemotherapy

被引:222
作者
Pope, WB
Lai, A
Nghiemphu, P
Mischel, P
Cloughesy, TF
机构
[1] Univ Calif Los Angeles, David Geffen Sch Med, Med Ctr, Dept Radiol Sci, Los Angeles, CA 90095 USA
[2] Univ Calif Los Angeles, David Geffen Sch Med, Dept Neurol, Los Angeles, CA 90095 USA
[3] Univ Calif Los Angeles, David Geffen Sch Med, Dept Pathol & Lab Med, Los Angeles, CA 90095 USA
关键词
D O I
10.1212/01.wnl.0000208958.29600.87
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Bevacizumab is a monoclonal antibody that neutralizes vascular endothelial growth factor (VEGF), the key mediator of tumor angiogenesis. VEGF impacts endothelial cell permeability, activation, survival, proliferation, invasion and migration, all of which play a role in tumor progression. In combination with chemotherapy, bevacizumab may improve survival in patients with metastatic colorectal cancer, breast cancer, and lung cancer. (1) Malignant gliomas express VEGF receptors, (2) and glioblastoma cell lines have been shown to secrete VEGF. (3) Therefore, we assessed the early imaging effects of bevacizumab coupled with etoposide, carboplatin, or cpt-11 on recurrent malignant (Grade III and Grade IV) gliomas using contrast-enhanced MRI.
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页码:1258 / 1260
页数:3
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