2020
DOI: 10.1007/s12029-020-00389-w
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Prognostic Significance of VEGF and HIF-1 α in Hepatocellular Carcinoma Patients Receiving Sorafenib Versus Metformin Sorafenib Combination

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Cited by 22 publications
(14 citation statements)
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“…Tumor cells directly or indirectly participate in the formation of tumor blood vessels. In hypoxic environment, hypoxia-inducible factor (HIF) directly upregulates the gene expression of VEGF and other angiogenic factors [ 49 ]. Marjon et al found that VEGF mRNA expression level was increased by 10–50 times when the oxygen concentration of tumor cells was reduced from 21 to 0.3% [ 50 ].…”
Section: Vascular Microenvironmentmentioning
confidence: 99%
“…Tumor cells directly or indirectly participate in the formation of tumor blood vessels. In hypoxic environment, hypoxia-inducible factor (HIF) directly upregulates the gene expression of VEGF and other angiogenic factors [ 49 ]. Marjon et al found that VEGF mRNA expression level was increased by 10–50 times when the oxygen concentration of tumor cells was reduced from 21 to 0.3% [ 50 ].…”
Section: Vascular Microenvironmentmentioning
confidence: 99%
“…HCC has significantly higher serum levels of HIF-1α than benign liver diseases. 9 Hypoxia is also a common element in the tumor microenvironment (TME) of pancreatic ductal adenocarcinoma, a highly deadly cancer. 10 HIF-1α can promote invasion and metastasis of pancreatic cancer cells and their resistance to chemotherapy.…”
Section: Introductionmentioning
confidence: 99%
“…HIF-1α activates VEGF to promote angiogenesis in cancer. 9 VEGF can promote tumor dedifferentiation and epithelial mesenchymal transition (EMT) transition through the phosphorylation of AKT , ERK1/2, and other signaling pathways. It also enhances tumor migration and survival ability and plays a significant role in the function and self-renewal of tumor stem cells, increasing the degree of malignancy of tumors.…”
Section: Introductionmentioning
confidence: 99%
“…Metformin, a biguanide derivative that is commonly used as a hypoglycemic agent, inhibits cell proliferation in several human malignancies, including pancreatic, thyroid, gastric, endometrial, and ovarian cancers [ 8 , 9 ]. It demonstrated significant synergy with chemotherapeutic drugs in both in vitro and in vivo models, including cisplatin, gefitinib [ 10 ], sorafenib [ 11 ], everolimus, or trastuzumab. Metformin induces apoptosis and inhibits angiogenesis and the metastatic spread of ovarian cancer [ 12 ].…”
Section: Introductionmentioning
confidence: 99%