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Anti-VEGF Anticancer Drugs: Mind the Hypertension
Vasiliki Katsi, Ioannis Zerdes1, Stavroula Manolakou
1Faculty of Medicine, School of Health Sciences, University of Ioannina, Greece. Address: Sakellariou 1- 3, Post Code 45333, Ioannina, Greece. jzerdes@hotmail.com.
Abstract:
The introduction of therapies that inhibit tumor angiogenesis and particularly target to vascular endothelial growth factor (VEGF) and vascular endothelial growth factor receptor (VEGFR) (VEGF inhibitors/VEGFi) have revolutionized the treatment of various cancer types. Although their clinical benefit can be optimal for cancer-affected patients, the safety of these targeted agents is of special concern especially for longer-term adjuvant or maintenance treatment. Importantly, VEGFi therapy has been significantly associated with hypertension (HTN) as an adverse effect and therefore the control of blood pressure (BP) after the administration of these drugs remains a challenging matter to be faced. The aim of this review is to summarize studies which investigate the association of VEGFi agents with HTN manifestation and the possible risks associated with this complication. Additionally, given that the optimal management of HTN caused by VEGFi remains obscure, this review will focus on prevention strategies including BP monitoring plans and propose potential therapeutic approaches.
Insights
Vascular endothelial growth factor inhibitors (VEGFi) improve cancer treatment but can cause hypertension (HTN). This review examines VEGFi-associated HTN risks, prevention, and management strategies for better patient care.
Area of Science:
- Oncology
- Pharmacology
- Cardiology
Background:
- Vascular endothelial growth factor inhibitors (VEGFi) have transformed cancer therapy by targeting tumor angiogenesis.
- While effective, VEGFi therapy poses safety concerns, particularly with long-term use.
- Hypertension (HTN) is a significant adverse effect associated with VEGFi treatment, complicating patient management.
Purpose of the Study:
- To review the association between VEGFi agents and the manifestation of hypertension.
- To explore the potential risks linked to VEGFi-induced hypertension.
- To propose prevention strategies and therapeutic approaches for managing hypertension in patients receiving VEGFi therapy.
Main Methods:
- Literature review of studies investigating VEGFi and hypertension.
- Analysis of reported risks and complications associated with VEGFi-induced HTN.
- Synthesis of current knowledge on prevention and management strategies.
Main Results:
- VEGFi therapy is strongly linked to the development of hypertension.
- Managing VEGFi-induced HTN is challenging, with optimal strategies still under investigation.
- Understanding risks and implementing monitoring are crucial for patient safety.
Conclusions:
- Effective management of VEGFi-associated hypertension is critical for optimizing cancer treatment outcomes.
- Proactive blood pressure monitoring and tailored therapeutic interventions are essential.
- Further research is needed to establish definitive management guidelines for VEGFi-induced HTN.
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