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Updated: May 25, 2026

A Simple Bioassay for the Evaluation of Vascular Endothelial Growth Factors
Published on: March 15, 2016
Targeting the VEGF signaling pathway in cancer therapy
Maximilian J Waldner1, Markus F Neurath
1University of Erlangen-Nuremberg, Department of Medicine I , Ulmenweg 18, Erlangen, Germany.
Introduction:
Angiogenesis was first proposed as a possible target for the treatment of human cancer several decades ago. During recent years, the discovery of VEGF as the main mediator of tumor angiogenesis enabled the specific and successful inhibition of angiogenesis in several experimental and clinical studies.
Areas Covered:
This review discusses recent data regarding the molecular mechanisms of VEGF signaling in cancer development, the response of various types of human cancer to anti-VEGF treatment, reasons for a failure of therapy and possible biomarkers for the prediction of therapeutic response. The literature discussed is based on a systematic analysis using PubMed and MEDLINE databases for articles presented in 2000 - 2011.
Expert Opinion:
Although anti-VEGF therapy has improved the treatment of several types of cancer during recent years, several questions still remain unanswered. For instance, in some patients, cancer develops resistance to anti-VEGF therapeutics following initially successful therapy, whereas others never show a response. Therefore, a more detailed knowledge of the molecular mechanisms involved in VEGF signaling and predictive biomarkers for a response to anti-VEGF therapy are among the most important challenges for VEGF research today.
Insights
Targeting tumor angiogenesis with vascular endothelial growth factor (VEGF) inhibitors has improved cancer treatment. Further research into VEGF signaling mechanisms and predictive biomarkers is crucial for overcoming resistance and non-response to anti-VEGF therapy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Angiogenesis, the formation of new blood vessels, is a critical process in tumor growth and has been a target for cancer treatment for decades.
- Vascular Endothelial Growth Factor (VEGF) has been identified as a key mediator of tumor angiogenesis, leading to the development of targeted anti-VEGF therapies.
Purpose of the Study:
- To review recent data on VEGF signaling in cancer development.
- To analyze the response of various cancers to anti-VEGF treatments.
- To explore reasons for therapy failure and identify potential predictive biomarkers for treatment response.
Main Methods:
- Systematic literature review of PubMed and MEDLINE databases.
- Analysis of articles published between 2000 and 2011.
- Focus on molecular mechanisms, clinical responses, and therapeutic challenges related to VEGF inhibition.
Main Results:
- Anti-VEGF therapy has shown success in improving outcomes for several cancer types.
- Variability in patient response, including development of resistance and lack of initial response, has been observed.
- Understanding VEGF signaling pathways is key to improving therapeutic efficacy.
Conclusions:
- Despite advancements, significant challenges remain in anti-VEGF therapy.
- Further investigation into the molecular mechanisms of VEGF signaling is necessary.
- Development of predictive biomarkers is essential for optimizing patient selection and treatment strategies for anti-VEGF therapies.
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