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Antiproliferative Effect of Lenvatinib on Human Liver Cancer Cell Lines In Vitro and In Vivo | Anticancer Research

<!DOCTYPE html> <html lang="en" dir="ltr" xmlns="http://www.w3.org/1999/xhtml" xmlns:mml="http://www.w3.org/1998/Math/MathML"> <head prefix="og: http://ogp.me/ns# article: http://ogp.me/ns/article# book: http://ogp.me/ns/book#" > <!--[if IE]><![endif]--> <link rel="dns-prefetch" href="//d1bxh8uas1mnw7.cloudfront.net" /> <link rel="dns-prefetch" href="//cdn.jsdelivr.net" /> <link rel="dns-prefetch" href="//cdn.foxycart.com" /> <link rel="dns-prefetch" href="//scholar.google.com" /> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <meta name="Generator" content="Drupal 7 (http://drupal.org)" /> <link rel="canonical" href="https://ar.iiarjournals.org/content/39/11/5973" /> <link rel="alternate" type="application/pdf" title="Full Text (PDF)" href="/content/39/11/5973.full.pdf" /> <link rel="alternate" type="text/plain" title="Full Text (Plain)" href="/content/39/11/5973.full.txt" /> <link rel="alternate" type="application/vnd.ms-powerpoint" title="Powerpoint" href="/content/39/11/5973.ppt" /> <meta name="issue_cover_image" content="https://ar.iiarjournals.org/sites/default/files/highwire/default/covers/acr_default_cover_0.gif" /> <meta name="type" content="article" /> <meta name="category" content="research-article" /> <meta name="HW.identifier" content="/anticanres/39/11/5973.atom" /> <meta name="HW.pisa" content="anticanres;39/11/5973" /> <meta name="DC.Format" content="text/html" /> <meta name="DC.Language" content="en" /> <meta name="DC.Title" content="Antiproliferative Effect of Lenvatinib on Human Liver Cancer Cell Lines In Vitro and In Vivo" /> <meta name="DC.Identifier" content="10.21873/anticanres.13802" /> <meta name="DC.Date" content="2019-11-01" /> <meta name="DC.Publisher" content="International Institute of Anticancer Research" /> <meta name="DC.Rights" content="Copyright© 2019, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved" /> <meta name="DC.AccessRights" content="restricted" /> <meta name="DC.Description" content="Background/Aim: Lenvatinib is a potent inhibitor of receptor tyrosine kinases, targeting vascular endothelial growth factor receptors (VEGFR1-3), fibroblast growth factor receptors (FGFR1-4), KIT, and RET. Here, we investigated the antiproliferative effects of lenvatinib in liver cancer cells in vitro and in vivo. Materials and Methods: Eleven hepatocellular carcinoma cell lines and two combined hepatocellular/cholangiocarcinoma cell lines were treated with 0-30 μM lenvatinib. Cell growth, apoptosis and the expression of FGFR1-4, FGF19, fibroblast growth factor receptor substrate (FRS)2α and RET were examined. Two HCC cell lines were subcutaneously implanted on nude mice and mice were treated with 3, 10, 30 mg/kg/day of lenvatinib or vehicle for 14 consecutive days. Tumor volume was measured every 3 days. Mice were sacrificed on day 15 and tumors were processed for histological examination. Blood vessels, microvessel density, necrosis, and apoptosis were also examined. Results: Lenvatinib dose- and time-dependently inhibited growth of all cell lines; however, sensitivity to lenvatinib varied. Apoptosis was not observed in any cell line, and expression of FGFR1, -2, -3 and -4, FGF19, FRS2α, and RET were observed in these cell lines. Cell lines with high expression of these factors showed higher response to lenvatinib. In mice, lenvatinib dose-dependently suppressed tumor growth. Blood vessels and microvessel density were significantly reduced and the rate of necrosis was significantly increased by lenvatinib; apoptosis was not observed. Conclusion: Antiproliferative effects of lenvatinib on liver cancer cells were observed in vitro and in vivo. Lenvatinib may suppress tumor formation by inhibiting angiogenesis, and via an additional direct antiproliferative effect in some liver cancer cells." /> <meta name="DC.Contributor" content="SACHIKO OGASAWARA" /> <meta name="DC.Contributor" content="YUTARO MIHARA" /> <meta name="DC.Contributor" content="REIICHIRO KONDO" /> <meta name="DC.Contributor" content="HIRONORI KUSANO" /> <meta name="DC.Contributor" content="JUN AKIBA" /> <meta name="DC.Contributor" content="HIROHISA YANO" /> <meta name="article:published_time" content="2019-11-01" /> <meta name="article:section" content="Experimental Studies" /> <meta name="citation_title" content="Antiproliferative Effect of Lenvatinib on Human Liver Cancer Cell Lines In Vitro and In Vivo" /> <meta name="citation_abstract" lang="en" content="&lt;p&gt;Background/Aim: Lenvatinib is a potent inhibitor of receptor tyrosine kinases, targeting vascular endothelial growth factor receptors (VEGFR1-3), fibroblast growth factor receptors (FGFR1-4), KIT, and RET. Here, we investigated the antiproliferative effects of lenvatinib in liver cancer cells in vitro and in vivo. Materials and Methods: Eleven hepatocellular carcinoma cell lines and two combined hepatocellular/cholangiocarcinoma cell lines were treated with 0-30 μM lenvatinib. Cell growth, apoptosis and the expression of FGFR1-4, FGF19, fibroblast growth factor receptor substrate (FRS)2α and RET were examined. Two HCC cell lines were subcutaneously implanted on nude mice and mice were treated with 3, 10, 30 mg/kg/day of lenvatinib or vehicle for 14 consecutive days. Tumor volume was measured every 3 days. Mice were sacrificed on day 15 and tumors were processed for histological examination. Blood vessels, microvessel density, necrosis, and apoptosis were also examined. Results: Lenvatinib dose- and time-dependently inhibited growth of all cell lines; however, sensitivity to lenvatinib varied. Apoptosis was not observed in any cell line, and expression of FGFR1, -2, -3 and -4, FGF19, FRS2α, and RET were observed in these cell lines. Cell lines with high expression of these factors showed higher response to lenvatinib. In mice, lenvatinib dose-dependently suppressed tumor growth. Blood vessels and microvessel density were significantly reduced and the rate of necrosis was significantly increased by lenvatinib; apoptosis was not observed. Conclusion: Antiproliferative effects of lenvatinib on liver cancer cells were observed in vitro and in vivo. Lenvatinib may suppress tumor formation by inhibiting angiogenesis, and via an additional direct antiproliferative effect in some liver cancer cells.&lt;/p&gt;" /> <meta name="citation_journal_title" content="Anticancer Research" /> <meta name="citation_publisher" content="International Institute of Anticancer Research" /> <meta name="citation_publication_date" content="2019/11/01" /> <meta name="citation_mjid" content="anticanres;39/11/5973" /> <meta name="citation_id" content="39/11/5973" /> <meta name="citation_public_url" content="https://ar.iiarjournals.org/content/39/11/5973" /> <meta name="citation_abstract_html_url" content="https://ar.iiarjournals.org/content/39/11/5973.abstract" /> <meta name="citation_full_html_url" content="https://ar.iiarjournals.org/content/39/11/5973.full" /> <meta name="citation_pdf_url" content="https://ar.iiarjournals.org/content/anticanres/39/11/5973.full.pdf" /> <meta name="citation_issn" content="0250-7005" /> <meta name="citation_issn" content="1791-7530" /> <meta name="citation_doi" content="10.21873/anticanres.13802" /> <meta name="citation_pmid" content="31704822" /> <meta name="citation_volume" content="39" /> <meta name="citation_issue" content="11" /> <meta name="citation_article_type" content="Research Article" /> <meta name="citation_section" content="Experimental Studies" /> <meta name="citation_firstpage" content="5973" /> <meta name="citation_lastpage" content="5982" /> <meta name="citation_author" content="SACHIKO OGASAWARA" /> <meta name="citation_author_institution" content="Department of Pathology, Kurume University School of Medicine, Kurume, Japan" /> <meta name="citation_author_email" content="sachiko@med.kurume-u.ac.jp" /> <meta name="citation_author" content="YUTARO MIHARA" /> <meta name="citation_author_institution" content="Department of Pathology, Kurume University School of Medicine, Kurume, Japan" /> <meta name="citation_author" content="REIICHIRO KONDO" /> <meta name="citation_author_institution" content="Department of Pathology, Kurume University School of Medicine, Kurume, Japan" /> <meta name="citation_author" content="HIRONORI KUSANO" /> <meta name="citation_author_institution" content="Department of Pathology, Kurume University School of Medicine, Kurume, Japan" /> <meta name="citation_author" content="JUN AKIBA" /> <meta name="citation_author_institution" content="Department of Diagnostic Pathology, Kurume University Hospital, Kurume, Japan" /> <meta name="citation_author" content="HIROHISA YANO" /> <meta name="citation_author_institution" content="Department of Pathology, Kurume University School of Medicine, Kurume, Japan" /> <meta name="citation_reference" content="citation_journal_title=Int J Cancer;citation_author=J. 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Patel;citation_author=CJ. Ren;citation_author=A. Gualandris;citation_author=G. Pintucci;citation_author=ES. Robbins;citation_author=RL. Shapiro;citation_author=AC. Galloway;citation_author=DB. Rifkin;citation_author=P. Mignatti;citation_title=Fibroblast growth factor-2 (FGF-2) induces vascular endothelial growth factor (VEGF) expression in the endothelial cells of forming capillaries: An autocrine mechanism contributing to angiogenesis;citation_volume=141;citation_year=1998;citation_issue=7;citation_pmid=9647657;citation_doi=10.1083/jcb.141.7.1659" /> <meta name="twitter:title" content="Antiproliferative Effect of Lenvatinib on Human Liver Cancer Cell Lines In Vitro and In Vivo" /> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:image" content="https://ar.iiarjournals.org/sites/default/files/highwire/default/covers/acr_default_cover_0.gif" /> <meta name="twitter:description" content="Background/Aim: Lenvatinib is a potent inhibitor of receptor tyrosine kinases, targeting vascular endothelial growth factor receptors (VEGFR1-3), fibroblast growth factor receptors (FGFR1-4), KIT, and RET. Here, we investigated the antiproliferative effects of lenvatinib in liver cancer cells in vitro and in vivo. Materials and Methods: Eleven hepatocellular carcinoma cell lines and two combined hepatocellular/cholangiocarcinoma cell lines were treated with 0-30 μM lenvatinib. Cell growth, apoptosis and the expression of FGFR1-4, FGF19, fibroblast growth factor receptor substrate (FRS)2α and RET were examined. Two HCC cell lines were subcutaneously implanted on nude mice and mice were treated with 3, 10, 30 mg/kg/day of lenvatinib or vehicle for 14 consecutive days. Tumor volume was measured every 3 days. Mice were sacrificed on day 15 and tumors were processed for histological examination. Blood vessels, microvessel density, necrosis, and apoptosis were also examined. Results: Lenvatinib dose- and time-dependently inhibited growth of all cell lines; however, sensitivity to lenvatinib varied. Apoptosis was not observed in any cell line, and expression of FGFR1, -2, -3 and -4, FGF19, FRS2α, and RET were observed in these cell lines. Cell lines with high expression of these factors showed higher response to lenvatinib. In mice, lenvatinib dose-dependently suppressed tumor growth. Blood vessels and microvessel density were significantly reduced and the rate of necrosis was significantly increased by lenvatinib; apoptosis was not observed. Conclusion: Antiproliferative effects of lenvatinib on liver cancer cells were observed in vitro and in vivo. Lenvatinib may suppress tumor formation by inhibiting angiogenesis, and via an additional direct antiproliferative effect in some liver cancer cells." /> <meta name="og-title" property="og:title" content="Antiproliferative Effect of Lenvatinib on Human Liver Cancer Cell Lines In Vitro and In Vivo" /> <meta name="og-url" property="og:url" content="https://ar.iiarjournals.org/content/39/11/5973" /> <meta name="og-site-name" property="og:site_name" content="Anticancer Research" /> <meta name="og-description" property="og:description" content="Background/Aim: Lenvatinib is a potent inhibitor of receptor tyrosine kinases, targeting vascular endothelial growth factor receptors (VEGFR1-3), fibroblast growth factor receptors (FGFR1-4), KIT, and RET. Here, we investigated the antiproliferative effects of lenvatinib in liver cancer cells in vitro and in vivo. Materials and Methods: Eleven hepatocellular carcinoma cell lines and two combined hepatocellular/cholangiocarcinoma cell lines were treated with 0-30 μM lenvatinib. Cell growth, apoptosis and the expression of FGFR1-4, FGF19, fibroblast growth factor receptor substrate (FRS)2α and RET were examined. Two HCC cell lines were subcutaneously implanted on nude mice and mice were treated with 3, 10, 30 mg/kg/day of lenvatinib or vehicle for 14 consecutive days. Tumor volume was measured every 3 days. Mice were sacrificed on day 15 and tumors were processed for histological examination. Blood vessels, microvessel density, necrosis, and apoptosis were also examined. Results: Lenvatinib dose- and time-dependently inhibited growth of all cell lines; however, sensitivity to lenvatinib varied. Apoptosis was not observed in any cell line, and expression of FGFR1, -2, -3 and -4, FGF19, FRS2α, and RET were observed in these cell lines. Cell lines with high expression of these factors showed higher response to lenvatinib. In mice, lenvatinib dose-dependently suppressed tumor growth. Blood vessels and microvessel density were significantly reduced and the rate of necrosis was significantly increased by lenvatinib; apoptosis was not observed. Conclusion: Antiproliferative effects of lenvatinib on liver cancer cells were observed in vitro and in vivo. Lenvatinib may suppress tumor formation by inhibiting angiogenesis, and via an additional direct antiproliferative effect in some liver cancer cells." /> <meta name="og-type" property="og:type" content="article" /> <meta name="og-image" property="og:image" content="https://ar.iiarjournals.org/sites/default/files/highwire/default/covers/acr_default_cover_0.gif" /> <link rel="shortlink" href="/node/56184" /> <link rel="shortcut icon" href="https://ar.iiarjournals.org/sites/default/files/images/favicon.ico" type="image/vnd.microsoft.icon" /> <meta name="viewport" content="width=device-width, initial-scale=1" /> <title>Antiproliferative Effect of Lenvatinib on Human Liver Cancer Cell Lines In Vitro and In Vivo | Anticancer Research</title> <link type="text/css" rel="stylesheet" href="/sites/default/files/advagg_css/css__2zPavjNI4URbm7YEOITlubDJzvajDzVbbhQ4q5-qmmI__uV7KmINrPipfZctdVFoJt8NS05a9GP5fLatYcltcPks__hRizlJXedncVv5rdjtoqctDMz6OkI3LghM4uq8DNLG0.css" media="all" /> <link 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data-pisa="anticanres;39/11/5973" data-pisa-master="anticanres;39/11/5973" data-apath="/anticanres/39/11/5973.atom" data-hw-author-tooltip-instance="highwire_author_tooltip"><div class="highwire-cite highwire-cite-highwire-article highwire-citation-jcore-article-title-complete clearfix has-author-tooltip highwire-citation-highwire-article-top-a"> <div class="highwire-cite-overline"><span class="highwire-cite-metadata-article-type highwire-cite-metadata">Research Article</span><span class="separator-pipe"></span><span class="highwire-cite-metadata-art-cat highwire-cite-metadata"><span class="wrapper">Experimental Studies</span></span></div> <div class="highwire-cite-access"><span class="highwire-citation-access highwire-citation-access-check" data-pisa-id="anticanres;39/11/5973" data-atom-uri="/anticanres/39/11/5973.atom" data-request-view="full"></span></div> <h1 class="highwire-cite-title" id="page-title">Antiproliferative Effect of Lenvatinib on Human Liver Cancer Cell Lines <em>In Vitro</em> and <em>In Vivo</em></h1> <div class="highwire-cite-authors"><span class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">SACHIKO OGASAWARA</span>, <span class="highwire-citation-author" data-delta="1">YUTARO MIHARA</span>, <span class="highwire-citation-author" data-delta="2">REIICHIRO KONDO</span>, <span class="highwire-citation-author" data-delta="3">HIRONORI KUSANO</span>, <span class="highwire-citation-author" data-delta="4">JUN AKIBA</span> and <span class="highwire-citation-author" data-delta="5">HIROHISA YANO</span></span></div> <div class="highwire-cite-metadata"><span class="highwire-cite-metadata-journal highwire-cite-metadata">Anticancer Research </span><span class="highwire-cite-metadata-date highwire-cite-metadata">November 2019, </span><span class="highwire-cite-metadata-volume highwire-cite-metadata">39 </span><span class="highwire-cite-metadata-issue highwire-cite-metadata">(11) </span><span class="highwire-cite-metadata-pages highwire-cite-metadata">5973-5982; </span><span class="highwire-cite-metadata-doi highwire-cite-metadata">DOI: https://doi.org/10.21873/anticanres.13802 </span></div> <div class="highwire-cite-extras"><span class="highwire-foxycart-add-to-cart-ahah highwire-foxycart-add-to-cart-ahah" data-text="Add to Cart (%short-price)" data-apath="/anticanres/39/11/5973.atom" data-type="link" data-font-icon="" data-parent-id="56005"></span></div> </div> <div id="hw-article-author-popups-top-node-56184--81018179021" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">SACHIKO OGASAWARA </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>1</span>Department of Pathology, Kurume University School of Medicine, Kurume, Japan</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=SACHIKO%2BOGASAWARA%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=OGASAWARA%20S&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3ASACHIKO%2BOGASAWARA%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-corresp-email-link last"><span>For correspondence: <a href="mailto:sachiko@med.kurume-u.ac.jp" class="" data-icon-position="" data-hide-link-title="0">sachiko@med.kurume-u.ac.jp</a></span></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">YUTARO MIHARA </div><div 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class="author-tooltip-2"><div class="author-tooltip-name">REIICHIRO KONDO </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>1</span>Department of Pathology, Kurume University School of Medicine, Kurume, Japan</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=REIICHIRO%2BKONDO%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=KONDO%20R&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AREIICHIRO%2BKONDO%2B" rel="nofollow" class="" data-icon-position="" 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class="highwire-cite-metadata-issue highwire-cite-metadata">no. 11 </span><span class="highwire-cite-metadata-page-string highwire-cite-metadata">5973-5982 </span></div> </div> </div> </div> </div> </div> </div> </div> </div> <!-- /.panel-row-wrapper --> <div class="panel-row-wrapper clearfix"> <div class="content-wrapper"> <div class="panel-panel panel-region-content"> <div class="inside"><div class="panel-pane pane-highwire-doi" > <div class="pane-content"> <div class="field field-name-field-highwire-a-doi field-type-text field-label-inline clearfix"><div class="field-label">DOI&nbsp;</div><div class="field-items"><div class="field-item even"><a href="https://doi.org/10.21873/anticanres.13802" target="_blank" class="" data-icon-position="" data-hide-link-title="0">https://doi.org/10.21873/anticanres.13802</a></div></div></div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-highwire-pubmed" > <div class="pane-content"> <div class="field 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Research</a></div></div></div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-highwire-issn" > <div class="pane-content"> <div class="field field-name-field-highwire-journal-pissn field-type-text field-label-inline clearfix"><div class="field-label">Print ISSN&nbsp;</div><div class="field-items"><div class="field-item even"><a href="http://www.worldcat.org/issn/0250-7005" link_target="_blank" class="" data-icon-position="" data-hide-link-title="0">0250-7005</a></div></div></div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-highwire-issn" > <div class="pane-content"> <div class="field field-name-field-highwire-journal-eissn field-type-text field-label-inline clearfix"><div class="field-label">Online ISSN&nbsp;</div><div class="field-items"><div class="field-item even"><a href="http://www.worldcat.org/issn/1791-7530" link_target="_blank" class="" data-icon-position="" data-hide-link-title="0">1791-7530</a></div></div></div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-highwire-publication-history" > <div class="pane-content"> <div class="field field-name-field-highwire-publication-history field-type-text field-label-inline clearfix"><div class="field-label">History&nbsp;</div><div class="field-items"><div class="field-item even"><ul class="publication-history"><li>Received October 1, 2019</li><li>Revision received October 17, 2019</li><li>Accepted October 21, 2019</li><li class="published"><span class="published-label">Published online</span> November 8, 2019.</li></ul></div></div></div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-custom pane-2" > <div class="pane-content"> <hr class="blank" /> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-highwire-copyright" > <div class="pane-content"> <div class="field field-name-field-highwire-copyright field-type-text field-label-inline clearfix"><div class="field-label">Copyright &amp; Usage&nbsp;</div><div class="field-items"><div class="field-item even"><span class="nlm-copyright-statement" data-hwp-id="copyright-statement-1">Copyright© 2019, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved</span></div></div></div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-custom pane-3" > <div class="pane-content"> <hr class="blank" /> </div> </div> </div> </div> </div> </div> <!-- /.panel-row-wrapper --> </div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-highwire-markup" > <h2 class="pane-title">Author Information</h2> <div class="pane-content"> <div class="highwire-markup"><div xmlns="http://www.w3.org/1999/xhtml" class="content-block-markup" xmlns:xhtml="http://www.w3.org/1999/xhtml"><div xmlns:xhtml="http://www.w3.org/1999/xhtml" class="contributors"><ol class="contributor-list" id="contrib-group-1"><li class="contributor" id="contrib-1"><span class="name">SACHIKO OGASAWARA</span><a id="xref-aff-1-1" class="xref-aff" href="#aff-1"><sup>1</sup></a><a id="xref-corresp-1-1" class="xref-up-link" href="#corresp-1"><span>⇑</span></a>, </li><li class="contributor" id="contrib-2"><span class="name">YUTARO MIHARA</span><a id="xref-aff-1-2" class="xref-aff" href="#aff-1"><sup>1</sup></a>, </li><li class="contributor" id="contrib-3"><span class="name">REIICHIRO KONDO</span><a id="xref-aff-1-3" class="xref-aff" href="#aff-1"><sup>1</sup></a>, </li><li class="contributor" id="contrib-4"><span class="name">HIRONORI KUSANO</span><a id="xref-aff-1-4" class="xref-aff" href="#aff-1"><sup>1</sup></a>, </li><li class="contributor" id="contrib-5"><span class="name">JUN AKIBA</span><a id="xref-aff-2-1" class="xref-aff" href="#aff-2"><sup>2</sup></a> and </li><li class="last" id="contrib-6"><span class="name">HIROHISA YANO</span><a id="xref-aff-1-5" class="xref-aff" href="#aff-1"><sup>1</sup></a></li></ol><ol class="affiliation-list"><li class="aff"><a id="aff-1" name="aff-1"></a><address><sup>1</sup>Department of Pathology, Kurume University School of Medicine, Kurume, Japan</address></li><li class="aff"><a id="aff-2" name="aff-2"></a><address><sup>2</sup>Department of Diagnostic Pathology, Kurume University Hospital, Kurume, Japan</address></li></ol><ol class="corresp-list"><li class="corresp" id="corresp-1"> <em>Correspondence to:</em> Sachiko Ogasawara, Department of Pathology, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan. E-mail: <span class="em-link"><span class="em-addr">sachiko{at}med.kurume-u.ac.jp</span></span> </li></ol></div></div><a href="https://ar.iiarjournals.org/content/39/11/5973.full" class="hw-link hw-link-article-full-text" data-icon-position="" data-hide-link-title="0">View Full Text</a></div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-highwire-altmetrics" > <h2 class="pane-title">Statistics from Altmetric.com</h2> <div class="pane-content"> <div data-badge-details="right" data-badge-type="medium-donut" data-doi="10.21873/anticanres.13802" data-hide-no-mentions="true" class="altmetric-embed"></div> </div> </div> <div class="panel-separator"></div><div class="panel-pane pane-highwire-cited-by" > <h2 class="pane-title">Cited By...</h2> <div class="pane-content"> <div class='highwire-list-footer'><ul class="links-with-logo"><li class="citing-isi-with-logo first"><a href="https://www.webofscience.com/api/gateway?GWVersion=2&amp;SrcApp=hw-platform-svc&amp;SrcAuth=WosAPI&amp;KeyUT=WOS:000496129100014&amp;DestLinkType=CitingArticles&amp;DestApp=WOS_CPL" target="_blank" class="" data-icon-position="" data-hide-link-title="0"><span class="counter">43</span> Citations</a></li><li class="citing-cross-ref-with-logo"><a href="/crossref-forward-links/anticanres/39/11/5973#crossref" class="hw-crossref hw-crossref-link-ajax" data-list-wrapper="hw-crossref-list-wrapper" target="_blank" data-icon-position="" data-hide-link-title="0"><span class="counter">40</span> Citations</a></li><li class="citing-google-scholar-with-logo last"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=citedby&amp;path=content/39/11/5973" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Google Scholar</a></li></ul></div><div title="Crossref Cited-by Linking Search Results" style="display:none;" class="hw-crossref-list-wrapper"><p class = "hw-crossref-message">This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.</p><div class="highwire-list-wrapper hw-crossref-linkcrossref-results highwire-article-citation-list"><div class="highwire-list"><ul><li class="first odd"><div class = "highwire-article-citation"><div class="highwire-cite cite-type-journal"><div class="highwire-cite-title"><a href="https://dx.doi.org/10.1016/j.bbcan.2020.188391" class="hw-crossref-link" title="Lenvatinib for hepatocellular carcinoma: From preclinical mechanisms to anti-cancer therapy" target="_blank" data-icon-position="" data-hide-link-title="0">Lenvatinib for hepatocellular carcinoma: From preclinical mechanisms to anti-cancer therapy</a></div> <div class="highwire-cite-authors">Yan Zhao, Ya-Ni Zhang, Kai-Ting Wang, Lei Chen</div> <div class="highwire-cite-metadata"><span class="hw-cite-journal-title">Biochimica et Biophysica Acta (BBA) - Reviews on Cancer</span> <span class="hw-cite-year">2020</span> <span class="hw-cite-volume">1874</span> <span class="hw-cite-issue">1</span> </div></div></div></li><li class="even"><div class = "highwire-article-citation"><div class="highwire-cite cite-type-journal"><div class="highwire-cite-title"><a href="https://dx.doi.org/10.1038/s41419-020-02749-7" class="hw-crossref-link" title="Anlotinib suppresses tumor progression via blocking the VEGFR2/PI3K/AKT cascade in intrahepatic cholangiocarcinoma" target="_blank" data-icon-position="" data-hide-link-title="0">Anlotinib suppresses tumor progression via blocking the VEGFR2/PI3K/AKT cascade in intrahepatic cholangiocarcinoma</a></div> <div class="highwire-cite-authors">Fei Song, Bo Hu, Jian-Wen Cheng, Yun-Fan Sun, Kai-Qian Zhou, Peng-Xiang Wang, Wei Guo, Jian Zhou, Jia Fan, Zhong Chen, Xin-Rong Yang</div> <div class="highwire-cite-metadata"><span class="hw-cite-journal-title">Cell Death &amp; 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