Genes involved in pericyte-driven tumor maturation predict treatment benefit of first-line folfiri plus bevacizumab in patients with metastatic colorectal cancer

Genes involved in pericyte-driven tumor maturation predict treatment benefit of first-line folfiri plus bevacizumab in patients with metastatic colorectal cancer


Play all audios:


ABSTRACT Pericytes are crucial for angiogenesis. The impact of pericyte function to bevacizumab efficacy in mCRC treatment has not been comprehensively examined. This retrospective study


investigated germline polymorphisms in genes related to early pericyte maturation to predict bevacizumab efficacy in 424 patients of two clinical trials treated first line with


FOLFIRI+bevacizumab. Eight single-nucleotide polymorphisms (SNPs) were tested for potential biomarker value: RGS5 (regulator of G-protein signaling 5; rs1056515, rs2661280), PDGFR-β


(platelet-derived growth factor receptor-β; rs2229562, rs2302273), CSPG4 (chondroitin sulfate proteoglycan NG2; rs8023621, rs1127648) and RALBP1 (RalA binding protein 1; rs10989, rs329007).


For progression-free survival (PFS), PDGFR-β (rs2302273) was able to define significantly different patient cohorts in uni- and multivariate testing. RALPB1 (rs329007) showed predictive


value for tumor response. The C allele in RGS5 (rs2661280) predicted longer overall survival and CSPG4 rs1127648 was associated with differences in PFS, but for both value was lost when


multivariate analysis was applied. A comprehensive statistical analysis revealed that the biomarker value of the SNPs was dependent on primary tumor location. This is the first study to


identify pericyte germline polymorphisms associated with clinical outcome in mCRC patients treated first line with FOLFIRI+bevacizumab. The differences seen with regard to primary tumor


location may lead to further research to understand the clinical outcome differences seen in right- and left-sided colon cancer. Access through your institution Buy or subscribe This is a


preview of subscription content, access via your institution ACCESS OPTIONS Access through your institution Subscribe to this journal Receive 6 print issues and online access $259.00 per


year only $43.17 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which are calculated


during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS PROSPECTIVE


VALIDATION OF _VEGF_ AND _ENOS_ POLYMORPHISMS AS PREDICTORS OF FIRST-LINE BEVACIZUMAB EFFICACY IN PATIENTS WITH METASTATIC COLORECTAL CANCER Article Open access 09 August 2023 _VEGF-A_,


_VEGFR1_ AND _VEGFR2_ SINGLE NUCLEOTIDE POLYMORPHISMS AND OUTCOMES FROM THE AGITG MAX TRIAL OF CAPECITABINE, BEVACIZUMAB AND MITOMYCIN C IN METASTATIC COLORECTAL CANCER Article Open access


24 January 2022 CLINICAL SIGNIFICANCE OF ENTEROCYTE-SPECIFIC GENE POLYMORPHISMS AS CANDIDATE MARKERS OF OXALIPLATIN-BASED TREATMENT FOR METASTATIC COLORECTAL CANCER Article 04 February 2021


REFERENCES * Goel S, Duda DG, Xu L, Munn LL, Boucher Y, Fukumura D _et al_. Normalization of the vasculature for treatment of cancer and other diseases. _Physiol Rev_ 2011; 91: 1071–1121.


Article  CAS  PubMed  Google Scholar  * Folkman J, Shing Y . Angiogenesis. _J Biol Chem_ 1992; 267: 10931–10934. CAS  PubMed  Google Scholar  * Folkman J . Tumor angiogenesis: therapeutic


implications. _N Engl J Med_ 1971; 285: 1182–1186. Article  CAS  PubMed  Google Scholar  * Giantonio BJ, Catalano PJ, Meropol NJ, O'Dwyer PJ, Mitchell EP, Alberts SR _et al_.


Bevacizumab in combination with oxaliplatin, fluorouracil, and leucovorin (FOLFOX4) for previously treated metastatic colorectal cancer: results from the Eastern Cooperative Oncology Group


Study E3200. _J Clin Oncol_ 2007; 25: 1539–1544. Article  CAS  PubMed  Google Scholar  * Saltz LB, Clarke S, Diaz-Rubio E, Scheithauer W, Figer A, Wong R _et al_. Bevacizumab in combination


with oxaliplatin-based chemotherapy as first-line therapy in metastatic colorectal cancer: a randomized phase III study. _J Clin Oncol_ 2008; 26: 2013–2019. Article  CAS  PubMed  Google


Scholar  * Hurwitz H, Fehrenbacher L, Novotny W, Cartwright T, Hainsworth J, Heim W _et al_. Bevacizumab plus irinotecan, fluorouracil, and leucovorin for metastatic colorectal cancer. _N


Engl J Med_ 2004; 350: 2335–2342. Article  CAS  PubMed  Google Scholar  * Budinska E, Popovici V, Tejpar S, D'Ario G, Lapique N, Sikora KO _et al_. Gene expression patterns unveil a new


level of molecular heterogeneity in colorectal cancer. _J Pathol_ 2013; 231: 63–76. Article  CAS  PubMed  PubMed Central  Google Scholar  * Stintzing S, Lenz HJ . Protein kinase inhibitors


in metastatic colorectal cancer. Let's pick patients, tumors, and kinase inhibitors to piece the puzzle together!. _Expert Opin Pharmacother_ 2013; 14: 2203–2220. Article  CAS  PubMed 


Google Scholar  * Harada K, Hiraoka S, Kato J, Horii J, Fujita H, Sakaguchi K _et al_. Genetic and epigenetic alterations of Ras signalling pathway in colorectal neoplasia: analysis based on


tumour clinicopathological features. _Br J Cancer_ 2007; 97: 1425–1431. Article  CAS  PubMed  PubMed Central  Google Scholar  * CancerGenomeAtlasNetwork. Comprehensive molecular


characterization of human colon and rectal cancer. _Nature_ 2012; 487: 330–337. Article  Google Scholar  * Boisen MK, Johansen JS, Dehlendorff C, Larsen JS, Osterlind K, Hansen J _et al_.


Primary tumor location and bevacizumab effectiveness in patients with metastatic colorectal cancer. _Ann Oncol_ 2013; 24: 2554–2559. Article  CAS  PubMed  Google Scholar  * Lambrechts D,


Lenz HJ, de Haas S, Carmeliet P, Scherer SJ . Markers of response for the antiangiogenic agent bevacizumab. _J Clin Oncol_ 2013; 31: 1219–1230. Article  CAS  PubMed  Google Scholar  *


Bergers G, Song S . The role of pericytes in blood-vessel formation and maintenance. _Neuro-oncology_ 2005; 7: 452–464. CAS  PubMed  PubMed Central  Google Scholar  * Greenberg JI, Shields


DJ, Barillas SG, Acevedo LM, Murphy E, Huang J _et al_. A role for VEGF as a negative regulator of pericyte function and vessel maturation. _Nature_ 2008; 456: 809–813. Article  CAS  PubMed


  PubMed Central  Google Scholar  * Gerhardt H, Golding M, Fruttiger M, Ruhrberg C, Lundkvist A, Abramsson A _et al_. VEGF guides angiogenic sprouting utilizing endothelial tip cell


filopodia. _J Cell Biol_ 2003; 161: 1163–1177. Article  CAS  PubMed  PubMed Central  Google Scholar  * Rusanescu G, Gotoh T, Tian X, Feig LA . Regulation of Ras signaling specificity by


protein kinase C. _Mol Cell Biol_ 2001; 21: 2650–2658. Article  CAS  PubMed  PubMed Central  Google Scholar  * Lee S, Wurtzel JG, Singhal SS, Awasthi S, Goldfinger LE . RALBP1/RLIP76


depletion in mice suppresses tumor growth by inhibiting tumor neovascularization. _Cancer Res_ 2012; 72: 5165–5173. Article  CAS  PubMed  PubMed Central  Google Scholar  * Berger M, Bergers


G, Arnold B, Hammerling GJ, Ganss R . Regulator of G-protein signaling-5 induction in pericytes coincides with active vessel remodeling during neovascularization. _Blood_ 2005; 105:


1094–1101. Article  CAS  PubMed  Google Scholar  * Liu P, Zhang C, Chen J, Zhang R, Ren J, Huang Y _et al_. Combinational therapy of interferon-alpha and chemotherapy normalizes tumor


vasculature by regulating pericytes including the novel marker RGS5 in melanoma. _J Immunother_ 2011; 34: 320–326. Article  CAS  PubMed  Google Scholar  * Lambrechts D, Lenz HJ, de Haas S,


Carmeliet P, Scherer SJ . Markers of response for the antiangiogenic agent bevacizumab. _J Clin Oncol_ 2013; 31: 1219–1230. Article  CAS  PubMed  Google Scholar  * Bocci G, Loupakis F .


Bevacizumab pharmacogenetics in tumor treatment: still looking for the right pieces of the puzzle. _Pharmacogenomics_ 2011; 12: 1077–1080. Article  CAS  PubMed  Google Scholar  * Gerger A,


LaBonte M, Lenz HJ . Molecular predictors of response to antiangiogenesis therapies. _Cancer J_ 2011; 17: 134–141. Article  CAS  PubMed  Google Scholar  * Flicek P, Amode MR, Barrell D, Beal


K, Brent S, Carvalho-Silva D _et al_. Ensembl 2012. _Nucleic Acids Res_ 2012; 40: D84–D90. Article  CAS  PubMed  Google Scholar  * Xu Z, Taylor JA . SNPinfo: integrating GWAS and candidate


gene information into functional SNP selection for genetic association studies. _Nucleic Acids Res_ 2009; 37: W600–W605. Article  CAS  PubMed  PubMed Central  Google Scholar  * Lee PH,


Shatkay H . F-SNP: computationally predicted functional SNPs for disease association studies. _Nucleic Acids Res_ 2008; 36: D820–D824. Article  CAS  PubMed  Google Scholar  * Paez D, Gerger


A, Zhang W, Yang D, Labonte MJ, Benhanim L _et al_. Association of common gene variants in the WNT/beta-catenin pathway with colon cancer recurrence. _Pharmacogenom J_ 2013; 14: 142–150.


Article  Google Scholar  * Lurje G, Nagashima F, Zhang W, Yang D, Chang HM, Gordon MA _et al_. Polymorphisms in cyclooxygenase-2 and epidermal growth factor receptor are associated with


progression-free survival independent of K-ras in metastatic colorectal cancer patients treated with single-agent cetuximab. _Clin Cancer Res_ 2008; 14: 7884–7895. Article  CAS  PubMed 


Google Scholar  * Conneely KN, Boehnke M . So many correlated tests, so little time! Rapid adjustment of P values for multiple correlated tests. _Am Jl Hum Genet_ 2007; 81: 1158–1168.


Article  CAS  Google Scholar  * Therneau TM, Atkinson EJ _An Introduction_ _to Recursive Partitioning Using the RPART Routines_ Mayo Foundation. Available at:


http://cran.r-project.org/web/packages/rpart/vignettes/longintro.pdf, 2014, accessed on 1 March 2014. * Jain RK . Normalization of tumor vasculature: an emerging concept in antiangiogenic


therapy. _Science_ 2005; 307: 58–62. Article  CAS  PubMed  Google Scholar  * Boyle AP, Hong EL, Hariharan M, Cheng Y, Schaub MA, Kasowski M _et al_. Annotation of functional variation in


personal genomes using RegulomeDB. _Genome Res_ 2012; 22: 1790–1797. Article  CAS  PubMed  PubMed Central  Google Scholar  * Veyrieras JB, Kudaravalli S, Kim SY, Dermitzakis ET, Gilad Y,


Stephens M _et al_. High-resolution mapping of expression-QTLs yields insight into human gene regulation. _PLoS Genet_ 2008; 4: e1000214. Article  PubMed  PubMed Central  Google Scholar  *


Dimas AS, Deutsch S, Stranger BE, Montgomery SB, Borel C, Attar-Cohen H _et al_. Common regulatory variation impacts gene expression in a cell type-dependent manner. _Science_ 2009; 325:


1246–1250. Article  CAS  PubMed  PubMed Central  Google Scholar  * Hamzah J, Jugold M, Kiessling F, Rigby P, Manzur M, Marti HH _et al_. Vascular normalization in Rgs5-deficient tumours


promotes immune destruction. _Nature_ 2008; 453: 410–414. Article  CAS  PubMed  Google Scholar  * Barrett LW, Fletcher S, Wilton SD . Regulation of eukaryotic gene expression by the


untranslated gene regions and other non-coding elements. _Cell Mol Life Sci_ 2012; 69: 3613–3634. Article  CAS  PubMed  PubMed Central  Google Scholar  * Sambi BS, Hains MD, Waters CM,


Connell MC, Willard FS, Kimple AJ _et al_. The effect of RGS12 on PDGFbeta receptor signalling to p42/p44 mitogen activated protein kinase in mammalian cells. _Cell Signal_ 2006; 18:


971–981. Article  CAS  PubMed  Google Scholar  * Loupakis F, Cremolini C, Yang D, Salvatore L, Zhang W, Wakatsuki T _et al_. Prospective validation of candidate SNPs of VEGF/VEGFR pathway in


metastatic colorectal cancer patients treated with First-Line FOLFIRI plus bevacizumab. _PLoS One_ 2013; 8: e66774. Article  CAS  PubMed  PubMed Central  Google Scholar  * Cancer Genome


Atlas Research N. Comprehensive genomic characterization defines human glioblastoma genes and core pathways. _Nature_ 2008; 455: 1061–1068. Article  Google Scholar  Download references


ACKNOWLEDGEMENTS This study was supported by the NIH Grant 5 P30CA14089-27S1 and Nancy Bernstein Call to Cure Foundation. SS is granted a postdoctoral fellowship by the German Cancer Aid


(Mildred-Scheel-Foundation). AUTHOR INFORMATION Author notes * N B Volz and S Stintzing: These authors contributed equally to this work. AUTHORS AND AFFILIATIONS * USC/Norris Comprehensive


Cancer Center, Keck School of Medicine, Sharon Carpenter Laboratory, Los Angeles, CA, USA N B Volz, S Stintzing, W Zhang, Y Ning, T Wakatsuki, R E El-Khoueiry, J E Li, A Kardosh & H-J


Lenz * Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA D Yang & H-J Lenz * Department of Gastroenterology Center,


Cancer Institute Hospital, Tokyo, Japan T Wakatsuki * UO Oncologia Medica 2 – Aziendo Ospedaliero-Universitaria Pisana, Pisa, Italy F Loupakis, C Cremolini & A Falcone * University of


Wuerzburg, Biocenter Physiological Chemistry, Wuerzburg, Germany S J Scherer Authors * N B Volz View author publications You can also search for this author inPubMed Google Scholar * S


Stintzing View author publications You can also search for this author inPubMed Google Scholar * W Zhang View author publications You can also search for this author inPubMed Google Scholar


* D Yang View author publications You can also search for this author inPubMed Google Scholar * Y Ning View author publications You can also search for this author inPubMed Google Scholar *


T Wakatsuki View author publications You can also search for this author inPubMed Google Scholar * R E El-Khoueiry View author publications You can also search for this author inPubMed 


Google Scholar * J E Li View author publications You can also search for this author inPubMed Google Scholar * A Kardosh View author publications You can also search for this author inPubMed


 Google Scholar * F Loupakis View author publications You can also search for this author inPubMed Google Scholar * C Cremolini View author publications You can also search for this author


inPubMed Google Scholar * A Falcone View author publications You can also search for this author inPubMed Google Scholar * S J Scherer View author publications You can also search for this


author inPubMed Google Scholar * H-J Lenz View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to H-J Lenz. ETHICS


DECLARATIONS COMPETING INTERESTS The authors declare no conflict of interest. POWERPOINT SLIDES POWERPOINT SLIDE FOR FIG. 1 POWERPOINT SLIDE FOR FIG. 2 RIGHTS AND PERMISSIONS Reprints and


permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Volz, N., Stintzing, S., Zhang, W. _et al._ Genes involved in pericyte-driven tumor maturation predict treatment benefit of first-line


FOLFIRI plus bevacizumab in patients with metastatic colorectal cancer. _Pharmacogenomics J_ 15, 69–76 (2015). https://doi.org/10.1038/tpj.2014.40 Download citation * Received: 11 February


2014 * Revised: 13 May 2014 * Accepted: 04 June 2014 * Published: 29 July 2014 * Issue Date: February 2015 * DOI: https://doi.org/10.1038/tpj.2014.40 SHARE THIS ARTICLE Anyone you share the


following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer


Nature SharedIt content-sharing initiative