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Published on: September 13, 2022
Aflibercept a new target therapy in cancer treatment: a review
Vincenzo Ricci1, Monica Ronzoni1, Teresa Fabozzi2
1Oncology Department, San Raffaele Institute, 60, Olgettina St., 20132 Milan, Italy.
Abstract:
Angiogenesis is the process through which new blood vessels are formed from pre-existing vessels and is essential for the growth of all solid tumors. Vascular endothelial growth factor (VEGF) is a regulator of angiogenesis, which is crucial for tumor growth and metastasis. Its inhibition with antiangiogenic drugs is thought to improve delivery of chemotherapy through vascular normalization and disruption of tumor vasculature. Aflibercept is a recombinant fusion protein of the VEGF receptor (VEGFR)1 and VEGFR2 extracellular domains that binds to VEGF-A, VEGF-B, placental growth factor (PlGF) 1 and 2. Aflibercept has demonstrated preclinical efficacy in different tumor types and exerts its antiangiogenic effects through regression of tumor vasculature, remolding of vasculature, and inhibition of new tumor vessel growth. This review examines the effects of aflibercept on tumor vasculature and on different types of solid tumors, and explores the preclinical and clinical benefits of inclusion aflibercept into anticancer treatment strategies.
Insights
Aflibercept, a VEGF inhibitor, targets tumor blood vessel formation and growth. This review explores its potential to enhance cancer treatment strategies by disrupting tumor vasculature and improving chemotherapy delivery.
Area of Science:
- Oncology
- Vascular Biology
Background:
- Angiogenesis, the formation of new blood vessels, is vital for solid tumor growth and metastasis.
- Vascular Endothelial Growth Factor (VEGF) is a key regulator of angiogenesis, making it a target for anti-cancer therapies.
- Antiangiogenic drugs aim to normalize tumor vasculature, potentially improving chemotherapy delivery and efficacy.
Purpose of the Study:
- To review the effects of aflibercept on tumor vasculature and solid tumors.
- To explore the preclinical and clinical benefits of incorporating aflibercept into cancer treatment strategies.
Main Methods:
- Review of preclinical studies on aflibercept's antiangiogenic effects.
- Examination of clinical data regarding aflibercept's efficacy in various solid tumors.
- Analysis of aflibercept's mechanism of action, including its binding to VEGF family members.
Main Results:
- Aflibercept demonstrated preclinical efficacy across different tumor types.
- Aflibercept's antiangiogenic effects include regression, remodeling, and inhibition of new tumor vessel growth.
- The drug binds to VEGF-A, VEGF-B, and placental growth factor (PlGF).
Conclusions:
- Aflibercept exhibits significant antiangiogenic properties by targeting multiple VEGF ligands.
- The drug shows promise in preclinical models for various solid tumors.
- Further investigation into aflibercept's role in combination cancer therapy is warranted to assess clinical benefits.
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