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Related Concept Videos

Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Treatment Resistent Cancers02:56

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Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Regulation of Angiogenesis and Blood Supply01:24

Regulation of Angiogenesis and Blood Supply

Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits.  Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl hydroxylase and factor...
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Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.

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Characterization of Vascular Morphology of Neovascular Age-Related Macular Degeneration by Indocyanine Green Angiography
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Overcoming antiangiogenic resistance.

James C Yao1, Alexandria Phan

  • 1Department of Gastrointestinal Medical Oncology, University of Texas, M. D. Anderson Cancer Center, Houston, Texas 77030, USA. jyao@mdanderson.org

Clinical Cancer Research : an Official Journal of the American Association for Cancer Research
|August 11, 2011
PubMed
Summary

Anti-angiogenesis drugs offer limited disease control and survival benefits. Therapeutic hypoxia can trigger resistance pathways, necessitating strategies to overcome this evasion for improved patient outcomes.

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Looking for Driver Pathways of Acquired Resistance to Targeted Therapy: Drug Resistant Subclone Generation and Sensitivity Restoring by Gene Knock-down

Published on: December 11, 2017

Area of Science:

  • Oncology
  • Vascular Biology
  • Drug Resistance

Background:

  • Angiogenesis inhibitors are crucial cancer therapies.
  • Current treatments show transient efficacy and modest survival gains.
  • Therapeutic hypoxia is a key mechanism of treatment resistance.

Purpose of the Study:

  • To investigate the mechanisms of evasive resistance to anti-angiogenesis therapy.
  • To identify pathways upregulated by hypoxic stress during treatment.
  • To explore strategies for overcoming treatment resistance to improve outcomes.

Main Methods:

  • Analysis of molecular pathways involved in angiogenesis and invasion.
  • Assessment of hypoxic stress markers in preclinical models.
  • Evaluation of combination therapies targeting resistance mechanisms.

Main Results:

  • Successful anti-angiogenesis therapy induces significant hypoxic stress.
  • Hypoxia upregulates pro-angiogenic and invasive pathways, leading to resistance.
  • Targeting these resistance pathways shows potential for enhanced therapeutic effect.

Conclusions:

  • Evasive resistance is a major limitation of current anti-angiogenesis drugs.
  • Understanding hypoxia-induced pathways is critical for overcoming resistance.
  • Developing strategies to counteract evasive resistance may significantly improve cancer treatment efficacy and patient survival.