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In pursuit of new anti-angiogenic therapies for cancer treatment.

Abstract
Despite advances in surgery, radiation therapy, and chemotherapy, patients with cancer have a poor prognosis. Sustained aberrant tumor angiogenesis and metastasis is a major obstacle for effective cancer treatment. Just a few years ago, few would argue that one of the key success stories of the modern cancer medicine were the anti-angiogenic drugs targeting the vascular endothelial growth factor (VEGF) signaling pathway approved by FDA. This initial success inspired many researchers to search for new anti-angiogenic targets and drugs with the hope that one day, anti-angiogenic therapy might really become the panacea for cancer patients. Unfortunately, the limited clinical benefits achieved with anti-angiogenic drugs conflicts with the widely accepted notion that angiogenesis is a key event in tumor progression. Emerging data indicate that unique characteristics of the tumor vasculature within the tumor microenvironment may hold the key for success of anti-angiogenic therapy. In particular, the molecular and cellular alterations that sustain aberrant tumor angiogenesis in the face of angiogenic inhibitors represents novel targets for rationally designing and improving current anti-angiogenic strategies.
AuthorsJun Cai, Song Han, Ruan Qing, Daiqing Liao, Brian Law, Michael E Boulton
JournalFrontiers in bioscience (Landmark edition) (Front Biosci (Landmark Ed)) Vol. 16 Issue 3 Pg. 803-14 (01 01 2011) ISSN: 2768-6698 [Electronic] Singapore
PMID21196204 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Review)
Chemical References
  • Angiogenesis Inhibitors
  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents
  • Benzenesulfonates
  • Indazoles
  • Indoles
  • Oligonucleotides
  • Phenylurea Compounds
  • Pyridines
  • Pyrimidines
  • Pyrroles
  • Quinazolines
  • Recombinant Fusion Proteins
  • Sulfonamides
  • aflibercept
  • Niacinamide
  • Bevacizumab
  • pazopanib
  • Sorafenib
  • Receptors, Vascular Endothelial Growth Factor
  • imetelstat
  • cediranib
  • Sunitinib
Topics
  • Angiogenesis Inhibitors (therapeutic use)
  • Antibodies, Monoclonal (therapeutic use)
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents (therapeutic use)
  • Benzenesulfonates (therapeutic use)
  • Bevacizumab
  • Drug Resistance, Neoplasm
  • Humans
  • Indazoles
  • Indoles (therapeutic use)
  • Neoplasms (blood supply, drug therapy)
  • Neovascularization, Pathologic (drug therapy)
  • Niacinamide (analogs & derivatives, therapeutic use)
  • Oligonucleotides
  • Phenylurea Compounds
  • Pyridines (therapeutic use)
  • Pyrimidines (therapeutic use)
  • Pyrroles (therapeutic use)
  • Quinazolines (therapeutic use)
  • Receptors, Vascular Endothelial Growth Factor
  • Recombinant Fusion Proteins (therapeutic use)
  • Sorafenib
  • Sulfonamides (therapeutic use)
  • Sunitinib
  • Tumor Microenvironment

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