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Updated: Jun 23, 2026

Monitoring Functionality and Morphology of Vasculature Recruited by Factors Secreted by Fast-growing Tumor-generating Cells
Published on: November 23, 2014
Angiogenesis
1Vascular Biology Program, Children's Hospital and Harvard Medical School, Boston, Massachusetts 02115-5737, USA. judah.folkman@childrens.harvard.edu
Abstract:
Angiogenesis inhibitors for the treatment of cancer have now been approved by the Food and Drug Administration in the United States, and in 28 other countries including China. Clinical application of this new class of drugs is informed by certain principles from angiogenesis research. Oncogenic mutations initiate tumorigenesis, but angiogenesis is necessary for expansion of tumor mass. Two angiogenesis inhibitors have been developed that have a broad spectrum of anticancer activity, yet virtually no side effects. Endogenous angiogenesis inhibitors act as tumor suppressor proteins. The angiogenic response in vivo is based on the genetic background of the host. Several types of angiogenesis inhibitors reveal a biphasic, U-shaped curve of efficacy. "Antiangiogenic chemotherapy" is a novel approach to the treatment of drug resistance.
Insights
Approved angiogenesis inhibitors offer broad anticancer activity with minimal side effects. This novel drug class, informed by angiogenesis research, presents a promising approach to treating drug resistance.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Angiogenesis is crucial for tumor growth and expansion.
- Approved angiogenesis inhibitors have broad anticancer activity and minimal side effects.
- Endogenous angiogenesis inhibitors function as tumor suppressor proteins.
Purpose of the Study:
- To review the clinical application of angiogenesis inhibitors in cancer treatment.
- To discuss the principles of angiogenesis research informing drug development.
- To introduce antiangiogenic chemotherapy as a novel approach to overcome drug resistance.
Main Methods:
- Review of clinical trial data and regulatory approvals.
- Analysis of preclinical research on angiogenesis inhibitors.
- Synthesis of information on endogenous angiogenesis inhibitors and host genetic factors.
Main Results:
- Angiogenesis inhibitors are approved globally, including in the US and China.
- Two broad-spectrum angiogenesis inhibitors with minimal side effects have been developed.
- Angiogenic response is influenced by host genetic background.
- Some angiogenesis inhibitors exhibit a U-shaped efficacy curve.
Conclusions:
- Angiogenesis inhibitors represent a significant advancement in cancer therapy.
- Understanding angiogenesis mechanisms is key to developing effective cancer treatments.
- Antiangiogenic chemotherapy offers a new strategy for managing drug-resistant cancers.
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