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Published on: March 15, 2016
ErbB targeted drugs and angiogenesis
Erika Iivanainen1, Klaus Elenius
1Department of Oncology and Radiotherapy, Turku University Central Hospital, FIN-20520 Turku, Finland.
Abstract:
Members of the ErbB receptor tyrosine kinase family are central regulators of several normal as well as tumor cell functions. A number of therapeutic compounds such as small molecular weight tyrosine kinase inhibitors and monoclonal antibodies have been developed to inhibit ErbB signaling in cancer. Drugs that target epidermal growth factor receptor (EGFR = ErbB1) and/or ErbB2 have demonstrated effect against breast, colorectal, lung, pancreatic and head and neck carcinomas, and are currently in clinical use. Part of the anti-tumor effect of the ErbB inhibitor drugs has been suggested to derive from inhibition of tumor angiogenesis. There are several proposed mechanisms by which the ErbB inhibiting agents may regulate tumor neovascularization although most of them are currently not fully characterized. This review addresses the role of ErbB signaling in angiogenesis, as well as the anti-angiogenic mechanisms of ErbB targeted cancer drugs.
Insights
ErbB signaling regulates tumor cell functions and angiogenesis. ErbB-targeted cancer drugs, including EGFR inhibitors, show anti-tumor effects partly through inhibiting tumor angiogenesis via poorly understood mechanisms.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- ErbB receptor tyrosine kinases regulate normal and tumor cell functions.
- Therapeutic inhibitors targeting ErbB signaling (EGFR, ErbB2) are used in various cancers.
- ErbB inhibitors are thought to exert anti-tumor effects by inhibiting tumor angiogenesis.
Purpose of the Study:
- To review the role of ErbB signaling in angiogenesis.
- To discuss the anti-angiogenic mechanisms of ErbB-targeted cancer drugs.
Main Methods:
- Literature review of ErbB signaling in angiogenesis.
- Analysis of proposed anti-angiogenic mechanisms of ErbB inhibitors.
Main Results:
- ErbB signaling plays a key role in tumor angiogenesis.
- ErbB inhibitors impact tumor neovascularization through various mechanisms.
- Several mechanisms by which ErbB inhibitors affect angiogenesis are proposed but not fully characterized.
Conclusions:
- ErbB signaling is a critical target for cancer therapy.
- Understanding the anti-angiogenic effects of ErbB inhibitors is crucial for optimizing cancer treatment.
- Further research is needed to fully elucidate the mechanisms of ErbB-mediated anti-angiogenesis.
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