Molecular therapeutic targets for glioma angiogenesis

Shingo Takano1, Toshiharu Yamashita, Osamu Ohneda

  • 1Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba, Tsukuba Ibaraki 305-8575, Japan.

Journal of Oncology
|April 24, 2010
PubMed

Insights

This review explores molecular targets for antiangiogenic therapy in malignant glioma. Targeting factors like VEGF and distinct glioma endothelial cells offers promising therapeutic strategies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Malignant gliomas exhibit significant angiogenesis, making antiangiogenic therapy a key research area.
  • Several molecular targets exist for glioma angiogenesis, applicable to both gliomas and systemic cancers.

Purpose of the Study:

  • To review molecular therapeutic targets for glioma angiogenesis.
  • To discuss novel targets beyond VEGF for antiangiogenic strategies in gliomas.

Main Methods:

  • Review of literature on angiogenic factors and therapeutic targets in malignant glioma.
  • Analysis of specific molecular targets including VEGF, SDF-1/CXCR7, and Dll4.

Main Results:

  • Key angiogenic factors (VEGF, tissue factor, integrins) and inhibitors (soluble Flt1, thrombospondin 1) are identified as potential targets.
  • Hypoxic areas in gliomas can be reduced by metronomic CPT11 and temozolomide.
  • Glioma-specific endothelial cells (targeted by SDF-1/CXCR7) and endothelial progenitor cells (EPCs) are crucial.
  • Blockade of delta-like 4 (Dll4) offers a VEGF-independent antiangiogenic approach.

Conclusions:

  • Targeting specific molecular pathways, including VEGF, glioma-endothelial cell interactions, and Dll4, is crucial for effective antiangiogenic therapy in malignant gliomas.
  • Endothelial progenitor cells present opportunities for both therapeutic targeting and drug delivery in glioma treatment.

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