Related Experiment Video
Updated: Jun 17, 2026

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Targeting inflammatory cells to improve anti-VEGF therapies in oncology
Hans-Peter Gerber1, Ezogelin Olazoglu, Iqbal S Grewal
1Sr Dir Discovery Tumor Prog, Pharma, Research & Development, Pearl River, NY, USA. gerberh@wyeth.com
Abstract:
Vascular endothelial growth factor A (VEGF-A) is a well-characterized regulator of physiological and pathological angiogenesis. Multiple therapeutic compounds interfering with VEGF-A-regulated signal transduction pathways are currently being developed for the treatment of neoplasias and other malignancies associated with pathological angiogenesis. A major challenge in developing anti-VEGF therapies are tumor intrinsic refractoriness and the emergence of treatment-induced resistance. A variety of molecular and cellular mechanisms contribute to tumor angiogenesis, including the recruitment of bone marrow (BM)-derived endothelial cell progenitors (EPCs) and inflammatory cells to the tumor mass. Among the latter, two types of tumor infiltrating, inflammatory cells were recently identified to mediate refractoriness to anti-VEGF treatment: CD11b + Gr1+ myeloid derived suppressor cells (MDSC) and tumor-associated macrophages (TAMs). In this chapter, we review some of the inflammatory components regulating tumor angiogenesis and their roles in mediating refractoriness toward anti-VEGF treatment. In addition, we discuss potential therapeutic strategies targeting angiogenic pathways regulated by inflammatory cells. A better understanding of the biological and molecular events involved in mediating refractoriness to anti-VEGF treatment may help to further improve therapeutic strategies targeting tumor angiogenesis.
Insights
Tumor resistance to anti-VEGF therapies involves inflammatory cells like myeloid-derived suppressor cells and macrophages. Targeting these cells may improve cancer treatment strategies.
Area of Science:
- Oncology
- Immunology
- Angiogenesis Research
Background:
- Vascular endothelial growth factor A (VEGF-A) is crucial for angiogenesis, making it a target for cancer therapies.
- Tumor resistance to anti-VEGF treatments is a significant clinical challenge.
- Tumor angiogenesis involves inflammatory cells, including myeloid-derived suppressor cells (MDSCs) and tumor-associated macrophages (TAMs).
Purpose of the Study:
- To review inflammatory components regulating tumor angiogenesis.
- To examine the role of inflammatory cells in mediating refractoriness to anti-VEGF therapy.
- To discuss therapeutic strategies targeting inflammatory pathways in tumor angiogenesis.
Main Methods:
- Literature review of inflammatory cells and angiogenesis.
- Analysis of mechanisms of anti-VEGF treatment resistance.
- Discussion of therapeutic interventions targeting inflammatory cells.
Main Results:
- CD11b+Gr1+ myeloid-derived suppressor cells (MDSCs) and tumor-associated macrophages (TAMs) are key inflammatory cells mediating refractoriness to anti-VEGF treatment.
- These inflammatory cells contribute to tumor angiogenesis and treatment resistance.
- Understanding these inflammatory components is vital for improving anti-VEGF therapies.
Conclusions:
- Inflammatory cells significantly impact tumor angiogenesis and resistance to anti-VEGF therapies.
- Targeting inflammatory pathways offers potential strategies to overcome treatment refractoriness.
- Further research into these mechanisms can enhance the efficacy of anti-cancer treatments.
Related Concept Videos
Tumor Immunotherapy
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Regulation of Angiogenesis and Blood Supply
Cancer Vaccines
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
The Tumor Microenvironment

