Englander Institute for Precision Medicine

Decrease of Pro-Angiogenic Monocytes Predicts Clinical Response to Anti-Angiogenic Treatment in Patients with Metastatic Renal Cell Carcinoma.

TitleDecrease of Pro-Angiogenic Monocytes Predicts Clinical Response to Anti-Angiogenic Treatment in Patients with Metastatic Renal Cell Carcinoma.
Publication TypeJournal Article
Year of Publication2021
AuthorsOudard S, Benhamouda N, Escudier B, Ravel P, Tran T, Levionnois E, Negrier S, Barthelemy P, Berdah JFrançois, Gross-Goupil M, Sternberg CN, Bono P, Porta C, De Giorgi U, Parikh O, Hawkins R, Highley M, Wilke J, Decker T, Tanchot C, Gey A, Terme M, Tartour E
JournalCells
Volume11
Issue1
Date Published2021 Dec 22
ISSN2073-4409
KeywordsAngiogenesis Inhibitors, Animals, Antigens, CD, Carcinoma, Renal Cell, Disease Models, Animal, Humans, Kidney Neoplasms, Mice, Inbred BALB C, Monocytes, Myeloid Cells, Neoplasm Metastasis, Neovascularization, Pathologic, Sunitinib, Treatment Outcome, Vascular Endothelial Growth Factor Receptor-1
Abstract

The modulation of subpopulations of pro-angiogenic monocytes (VEGFR-1CD14 and Tie2CD14) was analyzed in an ancillary study from the prospective PazopanIb versus Sunitinib patient preferenCE Study (PISCES) (NCT01064310), where metastatic renal cell carcinoma (mRCC) patients were treated with two anti-angiogenic drugs, either sunitinib or pazopanib. Blood samples from 86 patients were collected prospectively at baseline (T1), and at 10 weeks (T2) and 20 weeks (T3) after starting anti-angiogenic therapy. Various subpopulations of myeloid cells (monocytes, VEGFR-1CD14 and Tie2CD14 cells) decreased during treatment. When patients were divided into two subgroups with a decrease (defined as a >20% reduction from baseline value) (group 1) or not (group 2) at T3 for VEGFR-1CD14 cells, group 1 patients presented a median PFS and OS of 24 months and 37 months, respectively, compared with a median PFS of 9 months ( = 0.032) and a median OS of 16 months ( = 0.033) in group 2 patients. The reduction in Tie2CD14 at T3 predicted a benefit in OS at 18 months after therapy ( = 0.04). In conclusion, in this prospective clinical trial, a significant decrease in subpopulations of pro-angiogenic monocytes was associated with clinical response to anti-angiogenic drugs in patients with mRCC.

DOI10.3390/cells11010017
Alternate JournalCells
PubMed ID35011579
PubMed Central IDPMC8750389
Grant List2019 / / Foncer contre le Cancer /
2020 / / SIRIC CARPEM /
2021 / / Labex Immuno-Oncology /

Weill Cornell Medicine Englander Institute for Precision Medicine 413 E 69th Street
Belfer Research Building
New York, NY 10021