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Updated: May 25, 2026

Transfer of Manipulated Tumor-associated Neutrophils into Tumor-Bearing Mice to Study their Angiogenic Potential In Vivo
Published on: July 20, 2019
Metabolic effects of anti-angiogenic therapy in tumors
Elisabetta Zulato1, Matteo Curtarello, Giorgia Nardo
1Istituto Oncologico Veneto - IRCCS, via Gattamelata, 64 - 35128 Padova, Italy.
Abstract:
Anti-angiogenic therapy has recently been added to the panel of cancer therapeutics, but predictive biomarkers of response are still not available. In animal models, anti-angiogenic therapy causes tumor starvation by increasing hypoxia and impairing nutrients supply. It is thus conceivable that angiogenesis inhibition causes remarkable metabolic perturbations in tumors, although they remain largely uncharted. We review here recent acquisitions about metabolic effects of angiogenesis blockade in tumors and discuss the possibility that some metabolic features of tumor cells - i.e. their dependency from glucose as primary energy substrate - might affect tumor responses to anti-VEGF treatment.
Insights
Predictive biomarkers for anti-angiogenic therapy are missing. This review explores how blocking tumor blood vessel growth impacts cancer cell metabolism, potentially affecting treatment response.
Area of Science:
- Oncology
- Cancer Biology
- Metabolic Research
Background:
- Anti-angiogenic therapy is a new cancer treatment, but lacks predictive biomarkers for patient response.
- This therapy inhibits tumor blood vessel formation, leading to tumor starvation, hypoxia, and impaired nutrient supply.
- The metabolic consequences of this therapy within tumors are not well understood.
Purpose of the Study:
- To review recent findings on the metabolic effects of angiogenesis blockade in tumors.
- To discuss how tumor cell metabolic characteristics, such as glucose dependency, may influence response to anti-vascular endothelial growth factor (VEGF) treatment.
Main Methods:
- Literature review of recent studies on angiogenesis inhibition and tumor metabolism.
- Analysis of metabolic perturbations induced by anti-angiogenic therapy.
- Discussion of the role of tumor cell metabolic dependencies in treatment outcomes.
Main Results:
- Anti-angiogenic therapy significantly alters tumor metabolism, primarily through increased hypoxia and reduced nutrient availability.
- Tumor cells exhibit metabolic adaptations in response to impaired nutrient supply.
- The extent of glucose dependency in tumor cells is a potential factor influencing their response to anti-VEGF therapies.
Conclusions:
- Understanding the metabolic effects of anti-angiogenic therapy is crucial for developing predictive biomarkers.
- Tumor cell metabolism, particularly glucose utilization, may be a key determinant of treatment efficacy.
- Further research into tumor metabolic reprogramming is needed to optimize anti-angiogenic cancer treatment strategies.
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