Colorectal Cancer Open Access
Copyright ©The Author(s) 2003. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 15, 2003; 9(2): 281-283
Published online Feb 15, 2003. doi: 10.3748/wjg.v9.i2.281
Effects of TNP-470 on proliferation and apoptosis in human colon cancer xenografts in nude mice
Zong-Hai Huang, Ying-Fang Fan, Hao-Miao Feng, Fu-Xiang Tang, Department of Surgery, Zhujiang Hospital, First Military Medical university, Guangzhou 510282, Guangdong Province, China
Hu Xia, Department of Respiratory Diseases, Zhujiang Hospital, First Military Medical University, Guangzhou 510282, Guangdong Province, China
Author contributions: All authors contributed equally to the work.
Supported by the Natural Science Foundation of Guangdong Province, No.013072
Correspondence to: Dr. Zong-Hai Huang, Department of Surgery, Zhujiang Hospital, First Military Medical University, Guangzhou 510282, Guangdong Province, China. hghigh@gdvnet.com
Telephone: +86-20-61643211
Received: July 31, 2002
Revised: August 4, 2002
Accepted: August 27, 2002
Published online: February 15, 2003

Abstract

AIM: To study the effect of TNP-470 on cell growth, proliferation and apoptosis in human colon cancer xenografts in nude mice.

METHODS: Human colon cancer xenografts were transplanted into 20 nude mice. Mice were randomly divided into two groups. TNP-470 treated group received TNP-470 (30 mg/kg, s.c) every other day and the control group received a sham injection of same volume saline solution. They were sacrificed after 4 wk and their tumors were processed for histological examination. The expression of proliferating cell nuclear antigen (PCNA) in tumors was detected using immunohistochemical method with image analysis, and apoptosis in tumor cells was measured by TdT-mediated biotinyated-dUTP nick end labeling (TUNEL) staining.

RESULTS: Comparing with controls, tumor growth was significantly inhibited in TNP-470 treated group, the inhibitory rate being 54.4%. Expression of PCNA in tumors of TNP-470 treated group (PI 54.32 ± 11.47) was significantly lower than that of control group (PI 88.54 ± 12.36), P < 0.01. Apoptosis index (AI) of TNP-470 treated group (18.95 ± 1.71) was significantly higher than that of control group (7.26 ± 1.44), P < 0.001, typical morphological change of apoptosis in tumor cells was observed in TNP-470 treated group.

CONCLUSION: Besides the anti-angiogenic effects, TNP-470 can inhibit tumor growth by inhibiting the proliferation and inducing apoptosis of tumor cells.




INTRODUCTION

The worldwide incidence of colorectal cancer is estimated at 945000 patients per year. Many of these patients present with metastases. The past decade has seen several extensive investigations into advanced colorectal cancer. However, Most patients have limited improvement in long-term prognosis[1]. Therefore, new therapeutic methods are needed to treat and improve the survival rate in colorectal cancer patients.

Tumors are always dependent on the development of an adequate blood supply through angiogenesis for growth at both primary and secondary sites, and conlon cancer would not be an exception[2-9]. The concept of anti-angiogenesis therapy was first proposed by Folkman[10,11]. The implications of angiogenesis for tumor biology and therapy were investigated, and some anti-angiogenesis agents have been developed[12-14]. TNP-470 is a potent angiogenesis inhibitor and an analogue of fimagillin, which is a natural antibiotic secreted by Aspergillus fumigatus fresenius[15,16]. This agent shows a marked inhibitory effect on tumor growth and metastasis in vivo[17-19]. Its target is not only the endothelial cells but also the cancer cells of the host, and the tumor is affected directly[20-22].

In this study, we examined the inhibitory effect of TNP-470 on tumor growth of human colon cancer xenografts in nude mice. The expression of proliferating cell nuclear antigen (PCNA) in tumors was examined by immunohistochemical method and apoptotic cancer cells were measured by TUNEL assay.

MATERIALS AND METHODS
Drug and reagents

TNP-470 was a generous gift from Takeda Chemical Industries (Osaka, Japan). Its structure and characteristics have been reported. TNP-470 was suspended in a vehicle composed of 0.5% ethanol plus 5% gum Arabic in saline. RPMI 1640 and heat-inactivated fetal calf serum (FCS) were purchased from Gibco (Grand Island, NY).

Cell line

Human colon adenocarcinoma cell line Lovo was kindly provided by the Department of Pathology, Cancer Center, First Military Medical University (FIMMU). Cells were cultured in RPMI 1640 supplemented with 10% FCS, and were maintained at 37 °C in 5% CO2. A single cell suspension of approximately 5 × 106 cells in 0.5 mL of culture medium was inoculated subcutaneously in two Balb/c nude mice to make source tumors. These source tumors were excised when they grew to approximately 1 cm3, and then 2 to 3 mm3 of minced tumor tissue was implanted subcutaneously into the left axial region of the cervix of each balb/c nude mouse on day 0.

Animals

Female Balb/c nude mice were obtained from the Experimental Animal Center, FIMMU, and reared under specific pathogene-free conditions. Four-week-old mice weighing 17-22 g were used in the experiments. On day 1 after implantation, tumor-bearing nude mice were randomly divided into a control group (n = 10) and a TNP-470 treated group (n = 10). In the TNP-470 treated group, TNP-470 of 30 mg/kg was injected subcutaneously every other day from day 1 until sacrifice. In the control group, mice received a sham injection of the same volume of saline. The average tumor volumes and animal weights in the treatment and control groups were almost equal at the beginning of treatment.

Tumor growth and animal weights

The tumor dimensions were measured every 3 d with a dial caliper. The tumor volumes were calculated with the formula width 2 length 0.52. Mice were weighed every 3 d. The animals were painlessly killed on day 30. All animals were weighed before autopsy, at which time, the tumor weight and volume were obtained. The tumor volume was also expressed by the rate of the mean tumor volume in that treated animals to the mean tumor volume in that of control animals (T/S rate). Tumor tissues were resected and fixed intact with 10% formalin solution, and then cut into four-micrometer-thick sections for PCNA immunohistochemical assay and TUNEL staining.

Immunohistochemical detection of PCNA

Four-micrometer-thick sections were incubated with mouse monoclonal antibodies against PCNA (Gibco, Grand Island, NY) as the primary antibody, followed by biotinylated anti-mouse immunoglobulin and avidin-biotin complex. The PCNA indices were calculated with image analysis system as the percent rate of positively stain Lovo cell nuclei to the total of Lovo nuclei. A minimum of 500 cells was counted in triplicate[23].

TUNEL staining detection of apoptotic Lovo cells

We stained tumor tissue sections with terminal deoxynucleotidyl transferase (TdT)-mediated dUTP nick end labeling (TUNEL) to identify apoptotic cells[24]. Briefly, the sections (after being dewaxed in xylene and rehydrated in ethanol) were incubated with 20 μg/L proteinase K at room temperature for 15 min. After quenching of endogenous peroxidase, sections were rinsed in TdT buffer (30 mM Tris, 140 mM sodium cacodylate, 1 mM cobalt chloride), pH7.2, and incubated with TdT (Pharmacia Biotech, Piscataway, NJ, USA) 1:50 and biotinylated dUTP (Gibco, Grand Island, NY, USA) 1:50 in TdT buffer for 60 min at room temperature. Labeled nuclei were detected with DAB in PBS and counterstained with methyl green for 10 min and 5 min, respectively. The slides were then mounted and examined under light microscope. Negative controls were tissues processed with omission of the TdT reaction step. Cells were defined as apoptotic if the whole nuclear area of the cell labeled positively. The apoptotic cells and bodies were counted in 10 high-power fields, and this figure was divided by the number of cells in the high-power fields with image analysis system.

Statistical analysis

Data were expressed as mean ± standard deviation. Comparison between two groups was made by the independent samples t test. P < 0.05 was considered statistically significant. All statistics were carried out using SPSS10.0 statistics software.

RESULTS
Antitumor effects

Before treatment, the mean tumor volumes in the two groups were approximately the same. The mean tumor volume and tumor weight of two groups at the end of the experiment are shown in Table 1. Tumor growth curve is illustrated in Figure 1. Significant inhibitory efficacy was obtained in TNP-470 treated group.

Table 1 Tumor weight and tumor volume in two groups (-x ± s).
GroupnTumor weight (g)Tumor volume (mm3)T/C (%)
Control101.423 ± 0.1691345.24 ± 38.46100
TNP-470100.830 ± 0.123a731.66 ± 40.42b54.4
Figure 1
Figure 1 Tunor growth curve.
Proliferation and apoptosis of lovo cells

In PCNA immunohistochemical analysis and TUNEL staining, the number and extent of apoptotic cells were considerably increased and PCNA positive cells were decreased in the TNP-470 treated group compared with those on the control group. The proliferation index and apoptosis rate of Lovo cells in two groups are shown in Table 2.

Table 2 Proliferation index (PI) and apoptosis index (AI) in two groups (-x ± s).
GroupnPI (%)AI (%)
Control1088.54 ± 12.367.26 ± 1.44
TNP-4701054.32 ± 11.47a18.95 ± 1.71b
DISCUSSION

TNP-470 has been reported to be highly effective against a wide variety of tumors and metastases. This agent mainly exerts its anti-tumor effect by preventing tumor neovascularization[25-27]. Angiogenesis is essential for the growth of solid tumors at primary and at secondary sites[28]. It is thought that the new blood vessels in tumor are highly permeable and provide a route for cancer cells to enter the circulation[29]. Therefore, anti-angiogenesis agents may have the potential to be clinically useful for the prevention of cancer progression.

TNP-470 is well described to antiproliferate the activity against endothelial cells and anti-angiogenic properties in vivo. In the recent study, TNP-470 was found to suppress DNA synthesis and cause an increased proportion of cells to go into the G0/G1 phase[30-32]. A molecular target recently identified that TNP-470 is the mammalian protein MetAP-2. TNP-470 covalently attaching MetAP-2 in endothelial cells may prevent the myristylation of signaling components specific to cell cycle regulation of these cells, and inhibited the proliferation of endothelial cells[33-35]. Other studies[36,37] described that cell cycle inhibition by TNP-470 is mediated by p53 and p21WAF/CIP.

TNP-470 has been reported to inhibit various tumor cell proliferation at concentrations much higher than those required to inhibit endothelial cells, yet the exact mechanisms underlying these effects are unclear. In contrast, there are reports that TNP-470 has no significant effect on primary tumors transplanted s.c[38]. These differences may arise because of organ-site-dependent differences in tumorigenesis and on cancer-cell properties. In addition, sensitivity to TNP-470 varied from tumors possibly due to the tumors' biological malignancy, the growth activity, the metastasis rate, the adhesive activity to extracellular matrix and the production of VEGF[10,39,40].

The antitumor activity of TNP-470 on a variety of tumors was evaluated in vitro and in vivo, but not in human colon cancer Lovo cells. In the present study, we found that TNP-470 inhibited the growth of human colon cancer cell line Lovo in vivo with an inhibitory rate (T/C) of 45.6% and no weight loss was observed. Another important discovery in the present study was that TNP-470 could inhibit the expression of PCNA in tumors and induce apoptosis of cancer cells in vivo. But mechanisms of effect are not clear. Further studies in vitro will be necessary.

In conclusion, the present in vivo results demonstrated that treatment with TNP-470 could be efficient to inhibit the growth of colon cancer. Further investigation on the mechanism of the apoptosis-inducing effect of TNP-470 will help understand the mechanisms of tumor growth and metastasis.

Footnotes

Edited by Ma JY

References
1.  Shelton BK. Introduction to colorectal cancer. Semin Oncol Nurs. 2002;18:2-12.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 17]  [Cited by in F6Publishing: 20]  [Article Influence: 0.9]  [Reference Citation Analysis (0)]
2.  Ellis LM, Liu W, Fan F, Jung YD, Reinmuth N, Stoeltzing O, Takeda A, Akagi M, Parikh AA, Ahmad S. Synopsis of angiogenesis inhibitors in oncology. Oncology (Williston Park). 2002;16:14-22.  [PubMed]  [DOI]  [Cited in This Article: ]
3.  Liu XP, Song SB, Li G, Wang DJ, Wei LX. Correlations of microvessel quantitation in colorectal tumors and clinicopathology. Shijie Huaren Xiaohua Zazhi. 1997;7:37-39.  [PubMed]  [DOI]  [Cited in This Article: ]
4.  Jia L, Chen TX, Sun JW, Na ZM, Zhang HH. Relationship between microvessel density and proliferating cell nuclear antigen and prognosis in colorectal cancer. Shijie Huaren Xiaohua Zazhi. 2000;8:74-76.  [PubMed]  [DOI]  [Cited in This Article: ]
5.  Fan YF, Huang ZH. Progress in the studies of gene therapy for colorectal cancer. Shijie Huaren Xiaohua Zazhi. 2001;9:427-430.  [PubMed]  [DOI]  [Cited in This Article: ]
6.  Liu H, Wu JS, Li LH, Yao X. The expression of Platelet-derived growth factor and angiogenesis in human colorectal carcinoma. Shijie Huaren Xiaohua Zazhi. 2000;8:661-664.  [PubMed]  [DOI]  [Cited in This Article: ]
7.  Wu J, Fan DM. Neoplastic vascularization and vascular inhibitory treatment. Shijie Huaren Xiaohua Zazhi. 2001;9:316-321.  [PubMed]  [DOI]  [Cited in This Article: ]
8.  Fan YF, Huang ZH. Angiogenesis inhibitor TNP-470 suppresses growth of peritoneal disseminating foci of human colon cancer line Lovo. World J Gastroenterol. 2002;8:853-856.  [PubMed]  [DOI]  [Cited in This Article: ]
9.  Fan YF, Huang ZH. Inhibitory effect of TNP-470 on colon ascites cancer in nude mice. Shijie Huaren Xiaohua Zazhi. 2002;10:770-773.  [PubMed]  [DOI]  [Cited in This Article: ]
10.  Kanai T, Konno H, Tanaka T, Matsumoto K, Baba M, Nakamura S, Baba S. Effect of angiogenesis inhibitor TNP-470 on the progression of human gastric cancer xenotransplanted into nude mice. Int J Cancer. 1997;71:838-841.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in F6Publishing: 2]  [Reference Citation Analysis (0)]
11.  Ribatti D, Vacca A, Nico B, De Falco G, Giuseppe Montaldo P, Ponzoni M. Angiogenesis and anti-angiogenesis in neuroblastoma. Eur J Cancer. 2002;38:750-757.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 40]  [Cited by in F6Publishing: 40]  [Article Influence: 1.8]  [Reference Citation Analysis (0)]
12.  Kieran MW, Billett A. Antiangiogenesis therapy. Current and future agents. Hematol Oncol Clin North Am. 2001;15:835-51, viii.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 19]  [Cited by in F6Publishing: 20]  [Article Influence: 0.9]  [Reference Citation Analysis (0)]
13.  Tseng JE, Glisson BS, Khuri FR, Shin DM, Myers JN, El-Naggar AK, Roach JS, Ginsberg LE, Thall PF, Wang X. Phase II study of the antiangiogenesis agent thalidomide in recurrent or metastatic squamous cell carcinoma of the head and neck. Cancer. 2001;92:2364-2373.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in F6Publishing: 2]  [Reference Citation Analysis (0)]
14.  Takahashi Y, Mai M. [Significance of angiogenesis and clinical application of anti-angiogenesis]. Nihon Geka Gakkai Zasshi. 2001;102:381-384.  [PubMed]  [DOI]  [Cited in This Article: ]
15.  Miki T, Nonomura N, Nozawa M, Harada Y, Nishimura K, Kojima Y, Takahara S, Okuyama A. Angiogenesis inhibitor TNP-470 inhibits growth and metastasis of a hormone-independent rat prostatic carcinoma cell line. J Urol. 1998;160:210-213.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 17]  [Cited by in F6Publishing: 17]  [Article Influence: 0.7]  [Reference Citation Analysis (0)]
16.  Ogawa H, Sato Y, Kondo M, Takahashi N, Oshima T, Sasaki F, Une Y, Nishihira J, Todo S. Combined treatment with TNP-470 and 5-fluorouracil effectively inhibits growth of murine colon cancer cells in vitro and liver metastasis in vivo. Oncol Rep. 2000;7:467-472.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 4]  [Cited by in F6Publishing: 8]  [Article Influence: 0.3]  [Reference Citation Analysis (0)]
17.  Niwano M, Arii S, Mori A, Ishigami S, Harada T, Mise M, Furutani M, Fujioka M, Imamura M. Inhibition of tumor growth and microvascular angiogenesis by the potent angiogenesis inhibitor, TNP-470, in rats. Surg Today. 1998;28:915-922.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 8]  [Cited by in F6Publishing: 8]  [Article Influence: 0.3]  [Reference Citation Analysis (0)]
18.  Katzenstein HM, Salwen HR, Nguyen NN, Meitar D, Cohn SL. Antiangiogenic therapy inhibits human neuroblastoma growth. Med Pediatr Oncol. 2001;36:190-193.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in F6Publishing: 1]  [Reference Citation Analysis (0)]
19.  Liu B, Lin Y, Yin H. [Experimental study of the effect of angiogenesis inhibitor TNP-470 on the growth and metastasis of gastric cancer in vivo]. Zhonghua Zhongliu Zazhi. 1998;20:34-36.  [PubMed]  [DOI]  [Cited in This Article: ]
20.  Farinelle S, Malonne H, Chaboteaux C, Decaestecker C, Dedecker R, Gras T, Darro F, Fontaine J, Atassi G, Kiss R. Characterization of TNP-470-induced modifications to cell functions in HUVEC and cancer cells. J Pharmacol Toxicol Methods. 2000;43:15-24.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 16]  [Cited by in F6Publishing: 19]  [Article Influence: 0.8]  [Reference Citation Analysis (0)]
21.  Sedláková O, Sedlák J, Hunáková L, Jakubíková J, Duraj J, Sulíková M, Chovancová J, Chorváth B. Angiogenesis inhibitor TNP-470: cytotoxic effects on human neoplastic cell lines. Neoplasma. 1999;46:283-289.  [PubMed]  [DOI]  [Cited in This Article: ]
22.  Mori J, Haisa M, Naomoto Y, Takaoka M, Kimura M, Yamatsuji T, Notohara K, Tanaka N. Suppression of tumor growth and downregulation of platelet-derived endothelial cell growth factor/thymidine phosphorylase in tumor cells by angiogenesis inhibitor TNP-470. Jpn J Cancer Res. 2000;91:643-650.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 6]  [Cited by in F6Publishing: 7]  [Article Influence: 0.3]  [Reference Citation Analysis (0)]
23.  Kato H, Ishikura H, Kawarada Y, Furuya M, Kondo S, Kato H, Yoshiki T. Anti-angiogenic treatment for peritoneal dissemination of pancreas adenocarcinoma: A study using TNP-470. Jpn J Cancer Res. 2001;92:67-73.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 21]  [Cited by in F6Publishing: 23]  [Article Influence: 1.0]  [Reference Citation Analysis (0)]
24.  Lopes de Faria JB, Aikawa da Silveira L. Increased renal cell proliferation in spontaneously hypertensive rats before the onset of hypertension. Nephron. 2002;91:170-172.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 1]  [Cited by in F6Publishing: 1]  [Article Influence: 0.0]  [Reference Citation Analysis (0)]
25.  Takei H, Lee ES, Cisneros A, Jordan VC. Effects of angiogenesis inhibitor TNP-470 on tamoxifen-stimulated MCF-7 breast tumors in nude mice. Cancer Lett. 2000;155:129-135.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 5]  [Cited by in F6Publishing: 5]  [Article Influence: 0.2]  [Reference Citation Analysis (0)]
26.  Gleich LL, Zimmerman N, Wang YO, Gluckman JL. Angiogenic inhibition for the treatment of head and neck cancer. Anticancer Res. 1998;18:2607-2609.  [PubMed]  [DOI]  [Cited in This Article: ]
27.  Ma J, Pulfer S, Li S, Chu J, Reed K, Gallo JM. Pharmacodynamic-mediated reduction of temozolomide tumor concentrations by the angiogenesis inhibitor TNP-470. Cancer Res. 2001;61:5491-5498.  [PubMed]  [DOI]  [Cited in This Article: ]
28.  Li CY, Shan S, Cao Y, Dewhirst MW. Role of incipient angiogenesis in cancer metastasis. Cancer Metastasis Rev. 2000;19:7-11.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 18]  [Cited by in F6Publishing: 21]  [Article Influence: 0.9]  [Reference Citation Analysis (0)]
29.  Wyckoff JB, Jones JG, Condeelis JS, Segall JE. A critical step in metastasis: in vivo analysis of intravasation at the primary tumor. Cancer Res. 2000;60:2504-2511.  [PubMed]  [DOI]  [Cited in This Article: ]
30.  Kruger EA, Figg WD. TNP-470: An angiogenesis inhibitor in clinical development for cancer. Expert Opin Investig Drugs. 2000;9:1383-1396.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 100]  [Cited by in F6Publishing: 101]  [Article Influence: 4.2]  [Reference Citation Analysis (0)]
31.  Taniguchi H. [Angiogenesis inhibitor (TNP-470: AGM-1470)]. Nihon Rinsho. 2001;59 Suppl 6:678-682.  [PubMed]  [DOI]  [Cited in This Article: ]
32.  Kumeda SI, Deguchi A, Toi M, Omura S, Umezawa K. Induction of G1 arrest and selective growth inhibition by lactacystin in human umbilical vein endothelial cells. Anticancer Res. 1999;19:3961-3968.  [PubMed]  [DOI]  [Cited in This Article: ]
33.  Wang J, Lou P, Henkin J. Selective inhibition of endothelial cell proliferation by fumagillin is not due to differential expression of methionine aminopeptidases. J Cell Biochem. 2000;77:465-473.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in F6Publishing: 3]  [Reference Citation Analysis (0)]
34.  Turk BE, Griffith EC, Wolf S, Biemann K, Chang YH, Liu JO. Selective inhibition of amino-terminal methionine processing by TNP-470 and ovalicin in endothelial cells. Chem Biol. 1999;6:823-833.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 74]  [Cited by in F6Publishing: 80]  [Article Influence: 3.2]  [Reference Citation Analysis (0)]
35.  Griffith EC, Su Z, Niwayama S, Ramsay CA, Chang YH, Liu JO. Molecular recognition of angiogenesis inhibitors fumagillin and ovalicin by methionine aminopeptidase 2. Proc Natl Acad Sci USA. 1998;95:15183-15188.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 202]  [Cited by in F6Publishing: 189]  [Article Influence: 7.3]  [Reference Citation Analysis (0)]
36.  Yeh JR, Mohan R, Crews CM. The antiangiogenic agent TNP-470 requires p53 and p21CIP/WAF for endothelial cell growth arrest. Proc Natl Acad Sci USA. 2000;97:12782-12787.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 92]  [Cited by in F6Publishing: 94]  [Article Influence: 3.9]  [Reference Citation Analysis (0)]
37.  Zhang Y, Griffith EC, Sage J, Jacks T, Liu JO. Cell cycle inhibition by the anti-angiogenic agent TNP-470 is mediated by p53 and p21WAF1/CIP1. Proc Natl Acad Sci USA. 2000;97:6427-6432.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 132]  [Cited by in F6Publishing: 134]  [Article Influence: 5.6]  [Reference Citation Analysis (0)]
38.  Sano J, Sugiyama Y, Kunieda K, Sano B, Saji S. Therapeutic effect of TNP-470 on spontaneous liver metastasis of colon tumors in the rabbit. Surg Today. 2000;30:1100-1106.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 7]  [Cited by in F6Publishing: 8]  [Article Influence: 0.3]  [Reference Citation Analysis (0)]
39.  Shishido T, Yasoshima T, Denno R, Mukaiya M, Sato N, Hirata K. Inhibition of liver metastasis of human pancreatic carcinoma by angiogenesis inhibitor TNP-470 in combination with cisplatin. Jpn J Cancer Res. 1998;89:963-969.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 43]  [Cited by in F6Publishing: 48]  [Article Influence: 1.8]  [Reference Citation Analysis (0)]
40.  Gasparini G. The rationale and future potential of angiogenesis inhibitors in neoplasia. Drugs. 1999;58:17-38.  [PubMed]  [DOI]  [Cited in This Article: ]  [Cited by in Crossref: 121]  [Cited by in F6Publishing: 121]  [Article Influence: 4.8]  [Reference Citation Analysis (0)]