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.
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Authors | Jun Cai, Song Han, Ruan Qing, Daiqing Liao, Brian Law, Michael E Boulton |
Journal | Frontiers in bioscience (Landmark edition)
(Front Biosci (Landmark Ed))
Vol. 16
Issue 3
Pg. 803-14
(01 01 2011)
ISSN: 2768-6698 [Electronic] Singapore |
PMID | 21196204
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Review)
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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
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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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