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Published on: June 30, 2023
Antiangiogenesis in cancer therapy--endostatin and its mechanisms of action
1Children's Hospital/Harvard Medical School, Cambridge, MA, USA. judah.folkman@childrens.harvard.edu
Abstract:
The first angiogenesis inhibitors for cancer have now been approved by the F.D.A. in the U.S. and in 28 other countries, including China. The majority of these are monotherapies that block VEGF. However, mutant tumor cells may over time produce redundant angiogenic factors. Therefore, for long-term use in cancer, combinations of angiogenesis inhibitors or broad spectrum angiogenesis inhibitors will be needed. The two most broad spectrum and least toxic angiogenesis inhibitors are Caplostatin and endostatin. Endostatin inhibits 65 different tumor types and modifies 12% of the human genome to downregulate pathological angiogenesis without side-effects. The recent discovery that small increases in circulating endostatin can suppress tumor growth and that orally available small molecules can increase endostatin in the plasma suggests the possible development of a new pharmaceutical field.
Insights
New cancer treatments require broad-spectrum angiogenesis inhibitors beyond VEGF blockers. Endostatin shows promise for long-term cancer therapy due to its broad efficacy and low toxicity, potentially launching a new pharmaceutical field.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Approved angiogenesis inhibitors primarily target VEGF, offering limited long-term efficacy against tumors producing redundant angiogenic factors.
- The need for novel therapeutic strategies is critical as tumors evolve resistance mechanisms.
- Broad-spectrum angiogenesis inhibitors are essential for sustained cancer treatment.
Purpose of the Study:
- To evaluate the potential of broad-spectrum angiogenesis inhibitors for long-term cancer therapy.
- To highlight Caplostatin and endostatin as promising candidates.
- To explore the therapeutic potential of endostatin-based treatments.
Main Methods:
- Review of existing angiogenesis inhibitor therapies and their limitations.
- Analysis of the mechanism of action and efficacy of Caplostatin and endostatin.
- Investigation of recent findings on endostatin's tumor-suppressive effects and methods to increase its plasma levels.
Main Results:
- Endostatin demonstrates broad-spectrum activity, inhibiting 65 tumor types with minimal side effects.
- Endostatin modifies 12% of the human genome to downregulate pathological angiogenesis.
- Small increases in circulating endostatin can suppress tumor growth, and orally available drugs can enhance plasma endostatin levels.
Conclusions:
- Broad-spectrum angiogenesis inhibitors, particularly endostatin, are crucial for effective long-term cancer treatment.
- Endostatin's unique mechanism and safety profile present a new avenue for pharmaceutical development.
- Further research into endostatin-based therapies could revolutionize cancer treatment.
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