Therapeutic angiogenesis for cardiovascular disease: biological context, challenges, prospects

Ian Zachary1, Robert D Morgan

  • 1Centre for Cardiovascular Biology and Medicine, Department of Cardiovascular Science, Division of Medicine, University College London, London, UK. i.zachary@ucl.ac.uk

Insights

Therapeutic angiogenesis using vascular endothelial growth factor (VEGF) shows promise for ischemic diseases but also plays a role in atherosclerosis. Recent clinical trials offer new insights into VEGF

Area of Science:

  • Cardiovascular Research
  • Molecular Biology
  • Medical Science

Background:

  • Vascular endothelial growth factor (VEGF) discovery spurred interest in therapeutic angiogenesis for ischemic conditions.
  • Angiogenesis is implicated in the development and consequences of atherosclerotic disease.
  • Conflicting views on angiogenesis roles stem from preclinical rodent models.

Purpose of the Study:

  • To review therapeutic angiogenesis in light of recent scientific advances.
  • To discuss clinical evidence for pro-angiogenic and anti-angiogenic treatments.
  • To consider future challenges and prospects for therapeutic angiogenesis.

Main Methods:

  • Review of preclinical data from rodent models.
  • Analysis of results from clinical trials of pro- and anti-angiogenic therapies.
  • Synthesis of recent scientific advances and clinical evidence.

Main Results:

  • Preclinical data from rodent models provided initial insights.
  • Clinical trials have yielded new understanding of VEGF's impact in humans.
  • Evidence suggests complex roles for angiogenesis in cardiovascular health and disease.

Conclusions:

  • Therapeutic angiogenesis requires careful consideration of its dual roles.
  • Recent clinical evidence refines our understanding of VEGF-based therapies.
  • Future research should address challenges and explore prospects for angiogenesis treatments.