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A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Angiogenesis in malignant melanoma
1Department of Dermatology, Venereology, and Allergy, and Center of Excellence in Dermatology, the state of Baden-Württemberg, Medical Faculty Mannheim at Heidelberg University, Mannheim, Germany.
Abstract:
Despite the development of novel therapies, the therapy of malignant melanoma remains challenging. Various studies have shown the vascular system to be pivotal for metastasis in melanoma. Consequently, the effect of various antiangiogenic therapies has been and is being investigated in preclinical and clinical trials. While most studies focus on inhibition of vascular endothelial growth factor (VEGF) signaling, others are aimed at determining the effect of multikinase inhibitors or the inhibition of angiogenic integrin activity. However, overall survival rates have not significantly improved in clinical trials with antiangiogenic agents. Resistance to anti-VEGF monotherapy has been observed in several studies, especially in malignant melanoma. Angiopoietin-2 (Ang-2) represents a promising candidate molecule for antiangiogenic therapy and the effect of Ang-2 inhibitors is currently being explored in first trials. In melanoma, Ang-2 has been shown to be a marker for metastasis formation and represents an interesting therapeutic target molecule. Future studies are required to analyze the effect of a combined approach, using anti-VEGF and anti-Ang-2, as therapy for malignant melanoma.
Insights
Malignant melanoma therapy is challenging, with antiangiogenic therapies showing limited success. Targeting Angiopoietin-2 (Ang-2) alongside vascular endothelial growth factor (VEGF) may improve outcomes for melanoma patients.
Area of Science:
- Oncology
- Vascular Biology
- Cancer Metastasis
Background:
- Malignant melanoma treatment remains difficult despite new therapies.
- The tumor vascular system is crucial for melanoma metastasis.
- Current antiangiogenic therapies, primarily targeting VEGF, have shown limited efficacy and resistance.
Purpose of the Study:
- To review the role of antiangiogenic therapies in malignant melanoma.
- To explore Angiopoietin-2 (Ang-2) as a therapeutic target in melanoma.
- To evaluate the potential of combining anti-VEGF and anti-Ang-2 therapies.
Main Methods:
- Review of preclinical and clinical trials on antiangiogenic agents in melanoma.
- Analysis of studies investigating VEGF signaling inhibitors, multikinase inhibitors, and integrin activity.
- Examination of emerging research on Ang-2 inhibitors and their role in melanoma.
Main Results:
- Antiangiogenic therapies, particularly anti-VEGF monotherapy, have not significantly improved overall survival rates in melanoma.
- Resistance to anti-VEGF therapy is a notable issue in malignant melanoma.
- Angiopoietin-2 (Ang-2) is identified as a marker for metastasis and a potential therapeutic target.
Conclusions:
- Current antiangiogenic strategies for melanoma require further optimization.
- Angiopoietin-2 (Ang-2) inhibition presents a promising avenue for melanoma treatment.
- Combined anti-VEGF and anti-Ang-2 therapy warrants investigation for improved malignant melanoma treatment outcomes.
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