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Anti-Dll4 therapy: can we block tumour growth by increasing angiogenesis?
Richard C A Sainson1, Adrian L Harris
1Cancer Research UK, Molecular Oncology Laboratories, Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, Oxford, OX3 9DS, UK.
Abstract:
Since the early 1970s, the dogma postulating that blocking tumour angiogenesis can inhibit tumour growth has been accepted widely and has resulted in the generation of a variety of successful anti-angiogenic therapies. More recently, new signalling pathways, such as the Dll4-Notch signalling pathway, have been shown to regulate angiogenesis during development. In pathological conditions, such as cancer, Dll4 is up-regulated strongly in the tumour vasculature. Based on this expression pattern, different molecules have been generated to block Dll4 signalling. Unexpectedly, these blocking agents inhibited tumour growth in vivo by triggering excessive but nonfunctional angiogenesis. Altogether, these molecules constitute a new category of pro-angiogenic yet anticancer agents and offer an exciting alternative to previously described vascular targeting molecules.
Insights
Blocking the Dll4-Notch pathway unexpectedly promotes anti-cancer effects by causing nonfunctional tumor blood vessel growth. These novel agents offer a new approach to vascular targeting for cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Biomedical Research
Background:
- Tumor angiogenesis inhibition has been a cornerstone of cancer therapy since the 1970s.
- The Dll4-Notch signaling pathway is crucial for regulating angiogenesis during development and is upregulated in cancer vasculature.
Purpose of the Study:
- To investigate the effects of blocking Dll4 signaling in cancer.
- To explore the therapeutic potential of Dll4-targeting agents.
Main Methods:
- Development of molecules to block Dll4 signaling.
- In vivo assessment of tumor growth and angiogenesis in response to Dll4 blockade.
Main Results:
- Blocking Dll4 signaling unexpectedly inhibited tumor growth.
- Inhibition was mediated by the induction of excessive, nonfunctional tumor angiogenesis.
Conclusions:
- Molecules blocking Dll4 signaling represent a new class of pro-angiogenic, yet anticancer agents.
- These agents offer a novel strategy for vascular targeting in cancer treatment.
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