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Antiangiogenic agents such as bevacizumab that target the vascular endothelial growth factor (VEGF) pathway have shown promise in the treatment of a variety of malignancies.1 However, clinical biomarkers are needed for quantitative evaluation of the effect of bevacizumab.VEGF is known to promote the mobilization of bone‐marrow–derived circulating endothelial progenitors (CEPs) and survival by activating antiapoptotic pathways in circulating endothelial cells (CECs),2–4 which may subsequently differentiate into mature endothelial cells.5, 6 Recently, CEPs were reported to be involved in tumor angiogenesis in tumor implantation models7–10 and in clinical studies.11, 12 According to several clinical reports, baseline CEC levels in cancer patients have shown higher values compared with those in healthy controls and were correlated with response and outcome.13–15The aim of this study was to investigate the potential of CEPs and phenotypical CECs as surrogate markers of clinical outcome in metastatic colorectal cancer (mCRC) patients to identify responders to chemotherapy with bevacizumab.MATERIALS AND METHODSPatientsPrincipal inclusion criteria were measurable mCRC and commencement of a new systemic therapy. Other inclusion criteria were Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1, adequate organ function, and radiographic evidence of disease progression as defined by the Response Evaluation Criteria in Solid Tumors (RECIST).
Cancer – Wiley
Published: Sep 1, 2011
Keywords: circulating endothelial progenitors; CXCR4‐positive circulating endothelial cells; bevacizumab; metastatic colorectal cancer; chemotherapy
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