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Updated: May 9, 2026

Monitoring Functionality and Morphology of Vasculature Recruited by Factors Secreted by Fast-growing Tumor-generating Cells
Published on: November 23, 2014
Recent molecular discoveries in angiogenesis and antiangiogenic therapies in cancer
Jonathan Welti1, Sonja Loges, Stefanie Dimmeler
1Vesalius Research Center, University of Leuven, Leuven, Belgium.
Abstract:
Four decades ago, angiogenesis was recognized as a therapeutic target for blocking cancer growth. Because of its importance, VEGF has been at the center stage of antiangiogenic therapy. Now, several years after FDA approval of an anti-VEGF antibody as the first antiangiogenic agent, many patients with cancer and ocular neovascularization have benefited from VEGF-targeted therapy; however, this anticancer strategy is challenged by insufficient efficacy, intrinsic refractoriness, and resistance. Here, we examine recent discoveries of new mechanisms underlying angiogenesis, discuss successes and challenges of current antiangiogenic therapy, and highlight emerging antiangiogenic paradigms.
Insights
Targeting cancer growth via angiogenesis has been crucial. While anti-VEGF therapy offers benefits, challenges like resistance necessitate exploring new antiangiogenic strategies.
Area of Science:
- Oncology
- Vascular Biology
- Drug Development
Background:
- Angiogenesis, the formation of new blood vessels, is a key target for blocking tumor growth.
- Vascular Endothelial Growth Factor (VEGF) has been central to antiangiogenic therapy for cancer and ocular neovascularization.
- Despite successes, current VEGF-targeted therapies face limitations including insufficient efficacy, intrinsic refractoriness, and acquired resistance.
Purpose of the Study:
- To review recent advancements in understanding angiogenesis mechanisms.
- To discuss the successes and challenges associated with current antiangiogenic therapies.
- To highlight novel and emerging therapeutic paradigms in antiangiogenesis.
Main Methods:
- Literature review of recent discoveries in angiogenesis.
- Analysis of clinical outcomes and resistance mechanisms in VEGF-targeted therapy.
- Exploration of emerging antiangiogenic strategies and targets.
Main Results:
- New mechanisms underlying angiogenesis have been recently discovered.
- VEGF-targeted therapy has shown benefits but is limited by resistance and efficacy issues.
- Emerging antiangiogenic paradigms offer potential for overcoming current therapeutic challenges.
Conclusions:
- Understanding novel angiogenesis mechanisms is key to improving antiangiogenic therapies.
- Addressing resistance and refractoriness is critical for enhancing treatment efficacy.
- Future research should focus on developing and validating new antiangiogenic approaches.
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