Antiangiogenic therapy for primary and metastatic brain tumors

Benjamin Purow1, Howard A Fine

  • 1Neuro-Oncology Branch, National Cancer Institute, National Institutes of Neurological Disorder and Stroke, National Institutes of Health, Room 235, The Bloch Building/Bldg. #82, 9030 Old Georgetown Road, Bethesda, MD 20892, USA.

Insights

Antiangiogenic therapy targets blood vessel formation in brain tumors. This review covers preclinical and clinical studies of antiangiogenic treatments for primary and metastatic brain tumors.

Area of Science:

  • Neuro-oncology
  • Vascular Biology
  • Cancer Therapeutics

Background:

  • Angiogenesis, the formation of new blood vessels, is crucial for brain tumor growth and progression.
  • Antiangiogenic therapy aims to inhibit this process, starving tumors of nutrients and oxygen.
  • Both primary and metastatic brain tumors rely on angiogenesis, though metastases are less studied.

Purpose of the Study:

  • To provide a theoretical foundation for antiangiogenic therapy in brain tumors.
  • To review preclinical experimental therapies for brain tumors.
  • To summarize clinical trial data and ongoing trials for brain tumors.

Main Methods:

  • Review of the biology of angiogenesis in the context of brain tumors.
  • Survey of preclinical antiangiogenic therapies applied to brain tumors.
  • Analysis of published and ongoing clinical trial data.

Main Results:

  • The review details the biological basis of antiangiogenic therapy for brain tumors.
  • Experimental therapies are being explored preclinically.
  • Clinical trial data, though limited for brain metastases, is presented.

Conclusions:

  • Antiangiogenic therapy holds promise for treating brain tumors.
  • Further research is needed, particularly for brain metastases.
  • Understanding angiogenesis is key to developing effective anti-brain tumor strategies.