Defective Differentiation of Myeloid and Plasmacytoid Dendritic Cells in Advanced Cancer Patients is not Normalized by Tyrosine Kinase Inhibition of the Vascular Endothelial Growth Factor Receptor
2007

Dendritic Cell Differentiation in Advanced Cancer Patients

Sample size: 13 publication Evidence: moderate

Author Information

Author(s): H. van Cruijsen, K. Hoekman, A. G. M. Stam, A. J. M. van den Eertwegh, B. C. Kuenen, R. J. Scheper, G. Giaccone, T. D. de Gruijl

Primary Institution: VU University Medical Center

Hypothesis

Tumor-derived VEGF inhibits dendritic cell differentiation in advanced cancer patients.

Conclusion

VEGFR TK inhibition with AZD2171 does not restore defective dendritic cell differentiation in advanced cancer patients.

Supporting Evidence

  • Circulating dendritic cell frequencies were significantly lower in cancer patients compared to healthy individuals.
  • VEGFR TK inhibition did not significantly change the frequencies of dendritic cell precursors.
  • An increased number of myeloid suppressor cells was observed in cancer patients before treatment.

Takeaway

In cancer patients, the cells that help fight tumors don't work well, and a new treatment didn't help fix them.

Methodology

The study measured dendritic cell frequencies in blood samples from advanced cancer patients before and after treatment with a VEGFR TKI.

Potential Biases

The patient population was heterogeneous, which may introduce variability in the results.

Limitations

The study's phase I design and small sample size limit the generalizability of the findings.

Participant Demographics

13 patients (3 women, 10 men) with a mean age of 52 years.

Statistical Information

P-Value

p = .002 for MDC-1, p = .001 for MDC-2, p = 0.04 for PDC

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1155/2007/17315

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