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Published on: December 1, 2013
Anti-angiogenesis approach to genitourinary cancer treatment
Jeanny B Aragon-Ching1, William L Dahut
1Division of Hematology and Oncology, George Washington University Medical Center, Washington, DC.
Abstract:
Angiogenesis plays a crucial role in the survival, proliferation, and metastatic potential of several tumors, including genitourinary (GU) cancers. Over the last decade, increasing basic science and clinical research have led to the approval of several angiogenesis inhibitors. GU tumors are unique in its pathogenesis whereby specific pathways, such as involvement of the Von Hippel-Lindau gene in clear cell renal cell cancer and aberrant overexpression of vascular endothelial growth factor in prostatic cancers and transitional cell bladder cancers, allow for potential targeting using angiogenesis inhibitors. This review discusses the biologic pathways as well as the rationale for using angiogenesis inhibitors in renal cell, prostate, and transitional cell bladder cancers. This review also focuses on pivotal trials and emerging data on the use of these inhibitors.
Insights
Angiogenesis inhibitors show promise in treating genitourinary cancers by targeting specific tumor pathways. This review covers the biology, rationale, and clinical trials for these targeted therapies.
Area of Science:
- Oncology
- Molecular Biology
- Genitourinary (GU) Cancers
Background:
- Angiogenesis is vital for tumor growth, proliferation, and metastasis in GU cancers.
- Specific genetic and molecular pathways (e.g., Von Hippel-Lindau gene, vascular endothelial growth factor) are implicated in GU tumorigenesis.
- Several angiogenesis inhibitors have been approved due to extensive research.
Purpose of the Study:
- To review the biologic pathways driving angiogenesis in GU cancers.
- To discuss the rationale for employing angiogenesis inhibitors in GU cancer treatment.
- To summarize pivotal clinical trials and emerging data on these therapies.
Main Methods:
- Literature review of basic science and clinical research.
- Analysis of specific molecular targets in renal cell, prostate, and bladder cancers.
- Synthesis of data from key clinical trials and ongoing studies.
Main Results:
- Identified key angiogenic pathways in renal cell, prostate, and transitional cell bladder cancers.
- Established the rationale for targeting these pathways with specific inhibitors.
- Summarized efficacy and safety data from major clinical trials.
Conclusions:
- Angiogenesis inhibitors represent a significant therapeutic strategy for GU cancers.
- Targeting specific molecular pathways offers a personalized approach to treatment.
- Ongoing research continues to refine the use of these agents in clinical practice.
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