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Published on: June 30, 2023
Therapeutic approaches of angiogenesis inhibition: are we tackling the problem at the right level?
1Department of Pathology, Angiogenesis Laboratory, Research Institute For Growth and Development (GROW), Maastricht University, University Hospital Maastricht, The Netherlands. aw.griffioen@path.unimaas.nl
Abstract:
A growing body of evidence now demonstrates that inhibition of angiogenesis is a promising way for treatment of disease. Although the field of angiogenesis research is strongly linked to cancer biology, many other diseases were found to be dependent on angiogenesis as well, introducing a potential benefit from antiangiogenesis treatment. Recently, the first specific angiogenesis inhibitor was approved by the Food and Drug Administration for the treatment of colorectal cancer. Currently, several compounds with angiostatic activity are approved, and many are in late-stage clinical development. Most of these are indirect inhibitors, either clearing angiogenic growth factors from the circulation or blocking the signaling pathways activated by these growth factors. Although these compounds seem to represent an efficient strategy in cancer treatment, they possess an intrinsic threat to induce resistance. Therefore, it remains to be seen whether this strategy will be the most attractive in the future. Advancing insights into fundamental mechanisms will be necessary in the development of novel anticancer strategies based on inhibition of angiogenesis.
Insights
Inhibiting angiogenesis, the formation of new blood vessels, shows promise for treating diseases, including cancer. While current anti-angiogenesis treatments are effective, developing novel strategies is crucial to overcome resistance.
Area of Science:
- Oncology
- Vascular Biology
Background:
- Angiogenesis inhibition is a promising therapeutic strategy for various diseases, notably cancer.
- The field has seen significant advancements, including FDA approval of the first specific angiogenesis inhibitor for colorectal cancer.
Purpose of the Study:
- To review the current landscape of angiogenesis inhibition in disease treatment.
- To discuss the potential benefits and challenges of anti-angiogenesis therapies.
Main Methods:
- Review of existing literature on angiogenesis inhibitors.
- Analysis of approved and late-stage clinical development compounds.
- Discussion of mechanisms of action for indirect inhibitors.
Main Results:
- Several angiogenesis inhibitors are approved or in late-stage development, primarily targeting cancer.
- Current indirect inhibitors work by targeting angiogenic growth factors or their signaling pathways.
- A significant challenge with these therapies is the potential for induced resistance.
Conclusions:
- Anti-angiogenesis therapy offers a valuable approach for treating diseases beyond cancer.
- Further research into fundamental mechanisms is essential for developing next-generation anticancer strategies.
- Overcoming treatment resistance remains a key challenge for the future of angiogenesis inhibition.
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