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Updated: Jun 22, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
Drug resistance associated with antiangiogenesis therapy
Hans Petter Eikesdal1, Raghu Kalluri
1Division of Matrix Biology, Department of Medicine, Beth Israel Deaconess Medical Center & Harvard Medical School, Boston, MA 02115, USA.
Abstract:
Neovascularization is one of the hallmarks associated with tumor growth. In the recent years, a number of angiogenesis inhibitors have been approved for clinical use in cancer patients. However, the efficacy of antiangiogenic therapy is in most cases short-lasting, with likely drug resistance developing within a few months. It is becoming clear also that there are a subset of malignant tumors that are inherently resistant to angiogenesis inhibition. The knowledge regarding resistance mechanisms towards angiogenesis inhibitors is still evolving and here we propose some theories and in some cases provide experimental evidence.
Insights
Angiogenesis inhibitors show limited efficacy in cancer due to developing drug resistance and inherent tumor resistance. Further research is needed to understand and overcome these resistance mechanisms for improved cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Neovascularization, the formation of new blood vessels, is crucial for tumor growth.
- Angiogenesis inhibitors are approved cancer therapies, but their effectiveness is often limited.
- Tumor resistance to antiangiogenic therapy is a significant clinical challenge.
Purpose of the Study:
- To explore the evolving knowledge of resistance mechanisms to angiogenesis inhibitors.
- To propose theories and present experimental evidence regarding therapeutic resistance in cancer.
Main Methods:
- Review of current literature on angiogenesis inhibitors and cancer resistance.
- Theoretical modeling of resistance pathways.
- Presentation of experimental data supporting proposed theories.
Main Results:
- Efficacy of antiangiogenic therapy is frequently short-lived due to acquired resistance.
- A subset of tumors exhibits intrinsic resistance to angiogenesis inhibition.
- Mechanisms underlying resistance are complex and still under investigation.
Conclusions:
- Understanding resistance mechanisms is critical for improving antiangiogenic therapy outcomes.
- Further research is essential to develop strategies to overcome or prevent resistance.
- Targeting resistance pathways may enhance the efficacy of cancer treatments.
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