Objective To introduce the possible effects and significances of angiogenesis and antiangiogenic in the development and treatment of hepatocellular carcinoma (HCC).
Methods Recently relevant literatures were reviewed.
Results Angiogenesis played a significant role in the development and therapy of HCC, and the development and metastasis of HCC could be effectively suppressed by antiangiogenic therapy. This might provide a new approach for the treatment of HCC.
Conclusion Comprehending the molecular mechanism of angiogenesis and applying antiangiogenic therapy will contribute a lot for the prevention and treatment of HCC.
Citation: YE Yibiao,CHEN Tao. Advances of Study on Angiogenesis and Antiangiogenic Therapy in Hepatocellular Carcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(10): 861-865. doi: Copy
1. | Ferrara N, Henzel WJ. Pituitary follicular cells secrete a novel heparin-binding growth factor specific for vascular endothelial cells [J]. Biochem Biophys Res Commun, 1989; 161(2): 851-858. |
2. | Teramoto S, Arihiro K, Koseki M, et al. Role of vascular endothelial growth factor-C and -D mRNA in breast cancer [J]. Hiroshima J Med Sci, 2008; 57(2): 73-88. |
3. | Thelen A, Scholz A, Benckert C, et al. VEGF-D promotes tumor growth and lymphatic spread in a mouse model of hepatocellular carcinoma [J]. Int J Cancer, 2008; 122(11): 2471-2481. |
4. | Brekken RA, Overholser JP, Stastny VA, et al. Selective inhibition of vascular endothelial growth factor (VEGF) receptor 2 (KDR/Flk-1) activity by a monoclonal anti-VEGF antibody blocks tumor growth in mice [J]. Cancer Res, 2000; 60(18): 5117-5124. |
5. | Brodsky SV, Mendelev N, Melamed M, et al. Vascular density and VEGF expression in hepatic lesions [J]. J Gastrointestin Liver Dis, 2007; 16(4): 373-377. |
6. | Li Q, Xu B, Fu L, et al. Correlation of four vascular specific growth factors with carcinogenesis and portal vein tumor thrombus formation in human hepatocellular carcinoma [J]. J Exp Clin Cancer Res, 2006; 25(3): 403-409. |
7. | Raskopf E, Vogt A, Sauerbruch T, et al. siRNA targeting VEGF inhibits hepatocellular carcinoma growth and tumor angiogenesis in vivo [J]. J Hepatol, 2008; 49(6): 977-984. |
8. | Amaoka N, Saio M, Nonaka K, et al. Expression of vascular endothelial growth factor receptors is closely related to the histological grade of hepatocellular carcinoma [J]. Oncol Rep, 2006; 16(1): 3-10. |
9. | Yasuda S, Arii S, Mori A, et al. Hexokinase Ⅱ and VEGF expression in liver tumors: correlation with hypoxia-inducible factor 1 alpha and its significance [J]. J Hepatol, 2004; 40(1): 117-123. |
10. | Tang TC, Poon RT, Lau CP, et al. Tumor cyclooxygenase-2 levels correlate with tumor invasiveness in human hepatocellular carcinoma [J]. World J Gastroenterol, 2005; 11(13): 1896-1902. |
11. | Tseng PL, Tai MH, Huang CC, et al. Overexpression of VEGF is associated with positive p53 immunostaining in hepatocellular carcinoma (HCC) and adverse outcome of HCC patients [J]. J Surg Oncol, 2008; 98(5): 349-357. |
12. | Bhagwat SV, Petrovic N, Okamoto Y, et al. The angiogenic regulator CD13/APN is a transcriptional target of Ras signaling pathways in endothelial morphogenesis [J]. Blood, 2003; 101(5): 1818-1826. |
13. | Poon RT, Ng IO, Lau C, et al. Correlation of serum basic fibroblast growth factor levels with clinicopathologic features and postoperative recurrence in hepatocellular carcinoma [J]. Am J Surg, 2001; 182(3): 298-304. |
14. | Kin M, Sata M, Ueno T, et al. Basic fibroblast growth factor regulates proliferation and motility of human hepatoma cells by an autocrine mechanism [J]. J Hepatol, 1997; 27(4): 677-687. |
15. | Yoshiji H, Kuriyama S, Yoshii J, et al. Synergistic effect of basic fibroblast growth factor and vascular endothelial growth factor in murine hepatocellular carcinoma [J]. Hepatology, 2002; 35(4): 834-842. |
16. | Kuboki S, Shimizu H, Mitsuhashi N, et al. Angiopoietin-2 levels in the hepatic vein as a useful predictor of tumor invasiveness and prognosis in human hepatocellular carcinoma [J]. J Gastroenterol Hepatol, 2008; 23(7 Pt 2): e157-e164. |
17. | Wada H, Nagano H, Yamamoto H, et al. Expression pattern of angiogenic factors and prognosis after hepatic resection in hepatocellular carcinoma: importance of angiopoietin-2 and hypoxia-induced factor-1 alpha [J]. Liver Int, 2006; 26(4): 414-423. |
18. | Tanaka S, Wands JR, Arii S. Induction of angiopoietin-2 ge-ne expression by COX-2: a novel role for COX-2 inhibitors during hepatocarcinogenesis [J]. J Hepatol, 2006; 44(1): 233-235. |
19. | Balkwill F, Mantovani A. Inflammation and cancer: back to Virchow? [J]. Lancet, 2001; 357(9255): 539-545. |
20. | Pérez-Ruiz M, Ros J, Morales-Ruiz M, et al. Vascular endothelial growth factor production in peritoneal macrophages of cirrhotic patients: regulation by cytokines and bacterial lipopolysaccharide [J]. Hepatology, 1999; 29(4): 1057-1063. |
21. | Menon C, Iyer M, Prabakaran I, et al. TNF-alpha downregulates vascular endothelial Flk-1 expression in human melanoma xenograft model [J]. Am J Physiol Heart Circ Physiol, 2003; 284(1): H317-H329. |
22. | Bai L, Mao GP, Cao CP. Effects of inflammatory cytokines on the recurrence of liver cancer after an apparently curative operation [J]. J Dig Dis, 2007; 8(3): 154-159. |
23. | Qiu LW, Yao DF, Zong L, et al. Abnormal expression of insulin-like growth factor-Ⅱ and its dynamic quantitative analysis at different stages of hepatocellular carcinoma development [J]. Hepatobiliary Pancreat Dis Int, 2008; 7(4): 406-411. |
24. | Nussbaum T, Samarin J, Ehemann V, et al. Autocrine insulin-like growth factor-Ⅱ stimulation of tumor cell migration is a progression step in human hepatocarcinogenesis [J]. Hepatology, 2008; 48(1): 146-156. |
25. | Ishikawa H, Nakao K, Matsumoto K, et al. Antiangiogenic gene therapy for hepatocellular carcinoma using angiostatin gene [J]. Hepatology, 2003; 37(3): 696-704. |
26. | Yuan S, Fu Y, Wang X, et al. Voltage-dependent anion channel 1 is involved in endostatin-induced endothelial cell apoptosis [J]. FASEB J, 2008; 22(8): 2809-2820. |
27. | Poon RT, Ho JW, Tong CS, et al. Prognostic significance of serum vascular endothelial growth factor and endostatin in patients with hepatocellular carcinoma [J]. Br J Surg, 2004; 91(10): 1354-1360. |
28. | Dhar DK, Ono T, Yamanoi A, et al. Serum endostatin predicts tumor vascularity in hepatocellular carcinoma [J]. Cancer, 2002; 95(10): 2188-2195. |
29. | Poon RT, Chung KK, Cheung ST, et al. Clinical significance of thrombospondin 1 expression in hepatocellular carcinoma [J]. Clin Cancer Res, 2004; 10(12 Pt 1): 4150-4157. |
30. | Altadill A, Rodríguez M, González LO, et al. Liver expression of matrix metalloproteases and their inhibitors in hepatocellular carcinoma [J]. Dig Liver Dis, 2009 Apr 14[Epub ahead of print]. |
31. | Xia D, Yan LN, Xie JG, et al. Overexpression of TIMP-1 mediated by recombinant adenovirus in hepatocellular carcinoma cells inhibits proliferation and invasion in vitro [J]. Hepatobiliary Pancreat Dis Int, 2006; 5(3): 409-415. |
32. | Morinaga S, Yamamoto Y, Noguchi Y, et al. Platelet-derived endothelial cell growth factor (PD-ECGF) is up-regulated in human hepatocellular carcinoma (HCC) and the corresponding hepatitis liver [J]. Hepatogastroenterology, 2003; 50(53): 1521-1526. |
33. | Cervello M, Montalto G. Cyclooxygenases in hepatocellular carcinoma [J]. World J Gastroenterol, 2006; 12(32): 5113-5121. |
34. | Horiguchi N, Takayama H, Toyoda M, et al. Hepatocyte growth factor promotes hepatocarcinogenesis through c-Met autocrine activation and enhanced angiogenesis in transgenic mice treated with diethylnitrosamine [J]. Oncogene, 2002; 21(12): 1791-1799. |
35. | Chau GY, Lui WY, Chi CW, et al. Significance of serum hepatocyte growth factor levels in patients with hepatocellular carcinoma undergoing hepatic resection [J]. Eur J Surg Oncol, 2008; 34(3): 333-338. |
36. | Zhu AX, Blaszkowsky LS, Ryan DP, et al. Phase Ⅱ study of gemcitabine and oxaliplatin in combination with bevacizumab in patients with advanced hepatocellular carcinoma [J]. J Clin Oncol, 2006; 24(12): 1898-1903. |
37. | Siegel AB, Cohen EI, Ocean A, et al. Phase Ⅱ trial evaluating the clinical and biologic effects of bevacizumab in unresectable hepatocellular carcinoma [J]. J Clin Oncol, 2008; 26(18): 2992-2998. |
38. | Ueda S, Basaki Y, Yoshie M, et al. PTEN/Akt signaling through epidermal growth factor receptor is prerequisite for angiogenesis by hepatocellular carcinoma cells that is susceptible to inhibition by gefitinib [J]. Cancer Res, 2006; 66(10): 5346-5353. |
39. | Hpfner M, Sutter AP, Huether A, et al. Targeting the epidermal growth factor receptor by gefitinib for treatment of hepatocellular carcinoma [J]. J Hepatol, 2004; 41(6): 1008-1016. |
40. | Herrmann E, Bierer S, Gerss J, et al. Prospective comparison of sorafenib and sunitinib for second-line treatment of cytokine-refractory kidney cancer patients [J]. Oncology, 2008; 74(3-4): 216-222. |
41. | Cheng AL, Kang YK, Chen Z, et al. Efficacy and safety of sorafenib in patients in the Asia-Pacific region with advanced hepatocellular carcinoma: a phase Ⅲ randomised, double-blind, placebo-controlled trial [J]. Lancet Oncol, 2009; 10(1): 25-34. |
42. | Hsieh CH, Jeng KS, Lin CC, et al. Combination of sorafenib and intensity modulated radiotherapy for unresectable hepatocellular carcinoma [J]. Clin Drug Investig, 2009; 29(1): 65-71. |
43. | 李勇, 张湘茹, 孙燕. 多靶点抗肿瘤药物: ZD6474 [J]. 癌症进展, 2006; 4(3): 206-210. |
44. | Zhu AX, Raymond E. Early development of sunitinib in hepatocellular carcinoma [J]. Expert Rev Anticancer Ther, 2009; 9(1): 143-150. |
45. | Zhu AX, Sahani DV, di Tomaso E, et al. A Phase Ⅱstudy of sunitinib in patients with ad advanced hepatocellular carcinoma (poster) [C]. The 43rd Annual Meeting of the American Society of Clinical Oncology (ASCO). Chicago, June 1-5, 2007. |
46. | Faivre SJ, Raymond E, Douillard J, et al. Phase Ⅱtrial investigating the efficacy and and safety of sunitinib in patients with unresectable hepatocellular carcinoma (poster) [C]. The 14th European Cancer Conference (ECCO). Barcelona, Spain. September 23-27, 2007. |
47. | Yang ZF, Poon RT, Liu Y, et al. High doses of tyrosine kinase inhibitor PTK787 enhance the efficacy of ischemic hypoxia for the treatment of hepatocellular carcinoma: dual effects on cancer cell and angiogenesis [J]. Mol Cancer Ther, 2006; 5(9): 2261-2270. |
48. | Ribatti D, Vacca A. Therapeutic renaissance of thalidomide in the treatment of haematological malignancies [J]. Leukemia, 2005; 19(9): 1525-1531. |
49. | Chiou HE, Wang TE, Wang YY, et al. Efficacy and safety of thalidomide in patients with hepatocellular carcinoma. World J Gastroenterol, 2006; 12(43): 6955-6960. |
50. | Chuah B, Lim R, Boyer M, et al. Multi-centre phase Ⅱ trial of Thalidomide in the treatment of unresectable hepatocellular carcinoma [J]. Acta Oncol, 2007; 46(2): 234-238. |
51. | Celik I, Sürücü O, Dietz C, et al. Therapeutic efficacy of endostatin exhibits a biphasic dose-response curve [J]. Cancer Res, 2005; 65(23): 11044-11050. |
52. | Mauriz JL, Gonzalez P, Duran MC, et al. Cell-cycle inhibition by TNP-470 in an in vivo model of hepatocarcinoma is mediated by a p53 and p21WAF1/CIP1 mechanism [J]. Transl Res, 2007; 149(1): 46-53. |
53. | Bu W, Tang ZY, Sun FX, et al. Effects of matrix metalloproteinase inhibitor BB-94 on liver cancer growth and metastasis in a patient-like orthotopic model LCI-D20 [J]. Hepatogastroenterology, 1998; 45(22): 1056-1061. |
54. | Zhao QT, Yue SQ, Cui Z, et al. Potential involvement of the cyclooxygenase-2 pathway in hepatocellular carcinoma-associated angiogenesis [J]. Life Sci, 2007; 80(5): 484-492. |
55. | Baek JY, Hur W, Wang JS, et al. Selective COX-2 inhibitor, NS-398, suppresses cellular proliferation in human hepatocellular carcinoma cell lines via cell cycle arrest [J]. World J Gastroenterol, 2007; 13(8): 1175-1181. |
56. | Lin SM, Yu ML, Lee CM, et al. Interferon therapy in HBeAg positive chronic hepatitis reduces progression to cirrhosis and hepatocellular carcinoma [J]. J Hepatol, 2007; 46(1): 45-52. |
57. | Wada H, Nagano H, Yamamoto H, et al. Combination therapy of interferon-alpha and 5-fluorouracil inhibits tumor angiogenesis in human hepatocellular carcinoma cells by regulating vascular endothelial growth factor and angiopoietins [J]. Oncol Rep, 2007; 18(4): 801-809. |
58. | Treiber G, Wex T, Rcken C, et al. Impact of biomarkers on disease survival and progression in patients treated with octreotide for advanced hepatocellular carcinoma [J]. J Cancer Res Clin Oncol, 2006; 132(11): 699-708. |
59. | Kerbel RS, Kamen BA. The anti-angiogenic basis of metronomic chemotherapy [J]. Nat Rev Cancer, 2004; 4(6): 423-436. |
- 1. Ferrara N, Henzel WJ. Pituitary follicular cells secrete a novel heparin-binding growth factor specific for vascular endothelial cells [J]. Biochem Biophys Res Commun, 1989; 161(2): 851-858.
- 2. Teramoto S, Arihiro K, Koseki M, et al. Role of vascular endothelial growth factor-C and -D mRNA in breast cancer [J]. Hiroshima J Med Sci, 2008; 57(2): 73-88.
- 3. Thelen A, Scholz A, Benckert C, et al. VEGF-D promotes tumor growth and lymphatic spread in a mouse model of hepatocellular carcinoma [J]. Int J Cancer, 2008; 122(11): 2471-2481.
- 4. Brekken RA, Overholser JP, Stastny VA, et al. Selective inhibition of vascular endothelial growth factor (VEGF) receptor 2 (KDR/Flk-1) activity by a monoclonal anti-VEGF antibody blocks tumor growth in mice [J]. Cancer Res, 2000; 60(18): 5117-5124.
- 5. Brodsky SV, Mendelev N, Melamed M, et al. Vascular density and VEGF expression in hepatic lesions [J]. J Gastrointestin Liver Dis, 2007; 16(4): 373-377.
- 6. Li Q, Xu B, Fu L, et al. Correlation of four vascular specific growth factors with carcinogenesis and portal vein tumor thrombus formation in human hepatocellular carcinoma [J]. J Exp Clin Cancer Res, 2006; 25(3): 403-409.
- 7. Raskopf E, Vogt A, Sauerbruch T, et al. siRNA targeting VEGF inhibits hepatocellular carcinoma growth and tumor angiogenesis in vivo [J]. J Hepatol, 2008; 49(6): 977-984.
- 8. Amaoka N, Saio M, Nonaka K, et al. Expression of vascular endothelial growth factor receptors is closely related to the histological grade of hepatocellular carcinoma [J]. Oncol Rep, 2006; 16(1): 3-10.
- 9. Yasuda S, Arii S, Mori A, et al. Hexokinase Ⅱ and VEGF expression in liver tumors: correlation with hypoxia-inducible factor 1 alpha and its significance [J]. J Hepatol, 2004; 40(1): 117-123.
- 10. Tang TC, Poon RT, Lau CP, et al. Tumor cyclooxygenase-2 levels correlate with tumor invasiveness in human hepatocellular carcinoma [J]. World J Gastroenterol, 2005; 11(13): 1896-1902.
- 11. Tseng PL, Tai MH, Huang CC, et al. Overexpression of VEGF is associated with positive p53 immunostaining in hepatocellular carcinoma (HCC) and adverse outcome of HCC patients [J]. J Surg Oncol, 2008; 98(5): 349-357.
- 12. Bhagwat SV, Petrovic N, Okamoto Y, et al. The angiogenic regulator CD13/APN is a transcriptional target of Ras signaling pathways in endothelial morphogenesis [J]. Blood, 2003; 101(5): 1818-1826.
- 13. Poon RT, Ng IO, Lau C, et al. Correlation of serum basic fibroblast growth factor levels with clinicopathologic features and postoperative recurrence in hepatocellular carcinoma [J]. Am J Surg, 2001; 182(3): 298-304.
- 14. Kin M, Sata M, Ueno T, et al. Basic fibroblast growth factor regulates proliferation and motility of human hepatoma cells by an autocrine mechanism [J]. J Hepatol, 1997; 27(4): 677-687.
- 15. Yoshiji H, Kuriyama S, Yoshii J, et al. Synergistic effect of basic fibroblast growth factor and vascular endothelial growth factor in murine hepatocellular carcinoma [J]. Hepatology, 2002; 35(4): 834-842.
- 16. Kuboki S, Shimizu H, Mitsuhashi N, et al. Angiopoietin-2 levels in the hepatic vein as a useful predictor of tumor invasiveness and prognosis in human hepatocellular carcinoma [J]. J Gastroenterol Hepatol, 2008; 23(7 Pt 2): e157-e164.
- 17. Wada H, Nagano H, Yamamoto H, et al. Expression pattern of angiogenic factors and prognosis after hepatic resection in hepatocellular carcinoma: importance of angiopoietin-2 and hypoxia-induced factor-1 alpha [J]. Liver Int, 2006; 26(4): 414-423.
- 18. Tanaka S, Wands JR, Arii S. Induction of angiopoietin-2 ge-ne expression by COX-2: a novel role for COX-2 inhibitors during hepatocarcinogenesis [J]. J Hepatol, 2006; 44(1): 233-235.
- 19. Balkwill F, Mantovani A. Inflammation and cancer: back to Virchow? [J]. Lancet, 2001; 357(9255): 539-545.
- 20. Pérez-Ruiz M, Ros J, Morales-Ruiz M, et al. Vascular endothelial growth factor production in peritoneal macrophages of cirrhotic patients: regulation by cytokines and bacterial lipopolysaccharide [J]. Hepatology, 1999; 29(4): 1057-1063.
- 21. Menon C, Iyer M, Prabakaran I, et al. TNF-alpha downregulates vascular endothelial Flk-1 expression in human melanoma xenograft model [J]. Am J Physiol Heart Circ Physiol, 2003; 284(1): H317-H329.
- 22. Bai L, Mao GP, Cao CP. Effects of inflammatory cytokines on the recurrence of liver cancer after an apparently curative operation [J]. J Dig Dis, 2007; 8(3): 154-159.
- 23. Qiu LW, Yao DF, Zong L, et al. Abnormal expression of insulin-like growth factor-Ⅱ and its dynamic quantitative analysis at different stages of hepatocellular carcinoma development [J]. Hepatobiliary Pancreat Dis Int, 2008; 7(4): 406-411.
- 24. Nussbaum T, Samarin J, Ehemann V, et al. Autocrine insulin-like growth factor-Ⅱ stimulation of tumor cell migration is a progression step in human hepatocarcinogenesis [J]. Hepatology, 2008; 48(1): 146-156.
- 25. Ishikawa H, Nakao K, Matsumoto K, et al. Antiangiogenic gene therapy for hepatocellular carcinoma using angiostatin gene [J]. Hepatology, 2003; 37(3): 696-704.
- 26. Yuan S, Fu Y, Wang X, et al. Voltage-dependent anion channel 1 is involved in endostatin-induced endothelial cell apoptosis [J]. FASEB J, 2008; 22(8): 2809-2820.
- 27. Poon RT, Ho JW, Tong CS, et al. Prognostic significance of serum vascular endothelial growth factor and endostatin in patients with hepatocellular carcinoma [J]. Br J Surg, 2004; 91(10): 1354-1360.
- 28. Dhar DK, Ono T, Yamanoi A, et al. Serum endostatin predicts tumor vascularity in hepatocellular carcinoma [J]. Cancer, 2002; 95(10): 2188-2195.
- 29. Poon RT, Chung KK, Cheung ST, et al. Clinical significance of thrombospondin 1 expression in hepatocellular carcinoma [J]. Clin Cancer Res, 2004; 10(12 Pt 1): 4150-4157.
- 30. Altadill A, Rodríguez M, González LO, et al. Liver expression of matrix metalloproteases and their inhibitors in hepatocellular carcinoma [J]. Dig Liver Dis, 2009 Apr 14[Epub ahead of print].
- 31. Xia D, Yan LN, Xie JG, et al. Overexpression of TIMP-1 mediated by recombinant adenovirus in hepatocellular carcinoma cells inhibits proliferation and invasion in vitro [J]. Hepatobiliary Pancreat Dis Int, 2006; 5(3): 409-415.
- 32. Morinaga S, Yamamoto Y, Noguchi Y, et al. Platelet-derived endothelial cell growth factor (PD-ECGF) is up-regulated in human hepatocellular carcinoma (HCC) and the corresponding hepatitis liver [J]. Hepatogastroenterology, 2003; 50(53): 1521-1526.
- 33. Cervello M, Montalto G. Cyclooxygenases in hepatocellular carcinoma [J]. World J Gastroenterol, 2006; 12(32): 5113-5121.
- 34. Horiguchi N, Takayama H, Toyoda M, et al. Hepatocyte growth factor promotes hepatocarcinogenesis through c-Met autocrine activation and enhanced angiogenesis in transgenic mice treated with diethylnitrosamine [J]. Oncogene, 2002; 21(12): 1791-1799.
- 35. Chau GY, Lui WY, Chi CW, et al. Significance of serum hepatocyte growth factor levels in patients with hepatocellular carcinoma undergoing hepatic resection [J]. Eur J Surg Oncol, 2008; 34(3): 333-338.
- 36. Zhu AX, Blaszkowsky LS, Ryan DP, et al. Phase Ⅱ study of gemcitabine and oxaliplatin in combination with bevacizumab in patients with advanced hepatocellular carcinoma [J]. J Clin Oncol, 2006; 24(12): 1898-1903.
- 37. Siegel AB, Cohen EI, Ocean A, et al. Phase Ⅱ trial evaluating the clinical and biologic effects of bevacizumab in unresectable hepatocellular carcinoma [J]. J Clin Oncol, 2008; 26(18): 2992-2998.
- 38. Ueda S, Basaki Y, Yoshie M, et al. PTEN/Akt signaling through epidermal growth factor receptor is prerequisite for angiogenesis by hepatocellular carcinoma cells that is susceptible to inhibition by gefitinib [J]. Cancer Res, 2006; 66(10): 5346-5353.
- 39. Hpfner M, Sutter AP, Huether A, et al. Targeting the epidermal growth factor receptor by gefitinib for treatment of hepatocellular carcinoma [J]. J Hepatol, 2004; 41(6): 1008-1016.
- 40. Herrmann E, Bierer S, Gerss J, et al. Prospective comparison of sorafenib and sunitinib for second-line treatment of cytokine-refractory kidney cancer patients [J]. Oncology, 2008; 74(3-4): 216-222.
- 41. Cheng AL, Kang YK, Chen Z, et al. Efficacy and safety of sorafenib in patients in the Asia-Pacific region with advanced hepatocellular carcinoma: a phase Ⅲ randomised, double-blind, placebo-controlled trial [J]. Lancet Oncol, 2009; 10(1): 25-34.
- 42. Hsieh CH, Jeng KS, Lin CC, et al. Combination of sorafenib and intensity modulated radiotherapy for unresectable hepatocellular carcinoma [J]. Clin Drug Investig, 2009; 29(1): 65-71.
- 43. 李勇, 张湘茹, 孙燕. 多靶点抗肿瘤药物: ZD6474 [J]. 癌症进展, 2006; 4(3): 206-210.
- 44. Zhu AX, Raymond E. Early development of sunitinib in hepatocellular carcinoma [J]. Expert Rev Anticancer Ther, 2009; 9(1): 143-150.
- 45. Zhu AX, Sahani DV, di Tomaso E, et al. A Phase Ⅱstudy of sunitinib in patients with ad advanced hepatocellular carcinoma (poster) [C]. The 43rd Annual Meeting of the American Society of Clinical Oncology (ASCO). Chicago, June 1-5, 2007.
- 46. Faivre SJ, Raymond E, Douillard J, et al. Phase Ⅱtrial investigating the efficacy and and safety of sunitinib in patients with unresectable hepatocellular carcinoma (poster) [C]. The 14th European Cancer Conference (ECCO). Barcelona, Spain. September 23-27, 2007.
- 47. Yang ZF, Poon RT, Liu Y, et al. High doses of tyrosine kinase inhibitor PTK787 enhance the efficacy of ischemic hypoxia for the treatment of hepatocellular carcinoma: dual effects on cancer cell and angiogenesis [J]. Mol Cancer Ther, 2006; 5(9): 2261-2270.
- 48. Ribatti D, Vacca A. Therapeutic renaissance of thalidomide in the treatment of haematological malignancies [J]. Leukemia, 2005; 19(9): 1525-1531.
- 49. Chiou HE, Wang TE, Wang YY, et al. Efficacy and safety of thalidomide in patients with hepatocellular carcinoma. World J Gastroenterol, 2006; 12(43): 6955-6960.
- 50. Chuah B, Lim R, Boyer M, et al. Multi-centre phase Ⅱ trial of Thalidomide in the treatment of unresectable hepatocellular carcinoma [J]. Acta Oncol, 2007; 46(2): 234-238.
- 51. Celik I, Sürücü O, Dietz C, et al. Therapeutic efficacy of endostatin exhibits a biphasic dose-response curve [J]. Cancer Res, 2005; 65(23): 11044-11050.
- 52. Mauriz JL, Gonzalez P, Duran MC, et al. Cell-cycle inhibition by TNP-470 in an in vivo model of hepatocarcinoma is mediated by a p53 and p21WAF1/CIP1 mechanism [J]. Transl Res, 2007; 149(1): 46-53.
- 53. Bu W, Tang ZY, Sun FX, et al. Effects of matrix metalloproteinase inhibitor BB-94 on liver cancer growth and metastasis in a patient-like orthotopic model LCI-D20 [J]. Hepatogastroenterology, 1998; 45(22): 1056-1061.
- 54. Zhao QT, Yue SQ, Cui Z, et al. Potential involvement of the cyclooxygenase-2 pathway in hepatocellular carcinoma-associated angiogenesis [J]. Life Sci, 2007; 80(5): 484-492.
- 55. Baek JY, Hur W, Wang JS, et al. Selective COX-2 inhibitor, NS-398, suppresses cellular proliferation in human hepatocellular carcinoma cell lines via cell cycle arrest [J]. World J Gastroenterol, 2007; 13(8): 1175-1181.
- 56. Lin SM, Yu ML, Lee CM, et al. Interferon therapy in HBeAg positive chronic hepatitis reduces progression to cirrhosis and hepatocellular carcinoma [J]. J Hepatol, 2007; 46(1): 45-52.
- 57. Wada H, Nagano H, Yamamoto H, et al. Combination therapy of interferon-alpha and 5-fluorouracil inhibits tumor angiogenesis in human hepatocellular carcinoma cells by regulating vascular endothelial growth factor and angiopoietins [J]. Oncol Rep, 2007; 18(4): 801-809.
- 58. Treiber G, Wex T, Rcken C, et al. Impact of biomarkers on disease survival and progression in patients treated with octreotide for advanced hepatocellular carcinoma [J]. J Cancer Res Clin Oncol, 2006; 132(11): 699-708.
- 59. Kerbel RS, Kamen BA. The anti-angiogenic basis of metronomic chemotherapy [J]. Nat Rev Cancer, 2004; 4(6): 423-436.