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Non-receptor protein-tyrosine kinases as molecular targets for antiangiogenic therapy (Review)
Shigeru Kanda1, Yasuyoshi Miyata, Hiroshi Kanetake
1National Hospital Organization, Nagasaki Hospital, Nagasaki, Japan. skanda-jua@umin.net
Abstract:
Antiangiogenic therapy, including blockade of vascular endothelial growth factor (VEGF) signaling, was highly anticipated to improve the prognosis for patients with advanced cancers following the success of preclinical animal models. However, antiangiogenic monotherapy with VEGF antagonists has produced disappointing results in clinical trials to date. One of the reasons for this poor outcome is that angiogenesis is not solely regulated by VEGF. Inhibition of VEGF signaling, therefore, may select for tumor cell populations that stimulate angiogenesis through VEGF-independent pathways. Successful antiangiogenic therapy, therefore, may require simultaneous blockade of signaling downstream from multiple proangiogenic factor receptors. Recently, we found that non-receptor protein-tyrosine kinases, including members of the Src and Fes families, play vital roles in the responses of cultured endothelial cells to several proangiogenic factors. In this review, we summarize the contributions of these kinase families to angiogenic pathways in endothelial cells, and discuss the potential of these kinases as new targets for antiangiogenic drug discovery.
Insights
Antiangiogenic therapy targeting vascular endothelial growth factor (VEGF) has shown limited success. Targeting multiple proangiogenic pathways, including non-receptor tyrosine kinases, may improve cancer treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Antiangiogenic therapy, particularly vascular endothelial growth factor (VEGF) blockade, was expected to improve advanced cancer prognosis based on preclinical data.
- Clinical trials of VEGF-targeted monotherapy have yielded disappointing results, suggesting limitations in this approach.
Purpose of the Study:
- To review the role of non-receptor protein-tyrosine kinases in angiogenesis.
- To discuss the potential of these kinases as novel therapeutic targets for antiangiogenic drug discovery in cancer.
Main Methods:
- Review of existing literature on angiogenesis signaling pathways.
- Analysis of the function of Src and Fes family kinases in endothelial cell responses to proangiogenic factors.
Main Results:
- Angiogenesis is regulated by multiple proangiogenic factors beyond VEGF.
- Non-receptor tyrosine kinases, including Src and Fes family members, are crucial for endothelial cell responses to various proangiogenic signals.
- VEGF inhibition may lead to the selection of tumor cells utilizing alternative angiogenic pathways.
Conclusions:
- Successful antiangiogenic therapy may necessitate simultaneous blockade of multiple signaling pathways.
- Non-receptor tyrosine kinases represent promising new targets for developing more effective antiangiogenic cancer therapies.
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