[Resistance to anti-angiogenic therapy: a clinical and scientific current issue]
Yuchen Gu1, He Lu1, Catherine Boisson-Vidal2
1Inserm UMR-S1165, université Paris Diderot, Sorbonne Paris Cité, 1, avenue Claude Vellefaux, 75010 Paris, France.
Abstract:
Although the use of anti-angiogenic agents has been considered a promising strategy to block tumor growth and improve the bioavailability of drugs into the tumor, the use of most of them in clinical trials is limited. The development of resistance to some anti-angiogenic agents and their high toxicity are currently under investigations. However, the approach is still valid since this therapeutic tool has lengthened survival of patients with colon, breast, kidney, lungs and liver cancers. The identification of biomarkers in response to this family of drugs is an important area of investigation.
Insights
Anti-angiogenic agents show promise in blocking tumor growth and improving drug delivery, despite limitations in clinical trials. Research is ongoing to address resistance and toxicity, and identify biomarkers for effective cancer therapy.
Area of Science:
- Oncology
- Pharmacology
Background:
- Anti-angiogenic agents are a promising strategy for cancer therapy.
- Their clinical application is limited by resistance and toxicity.
- However, they have demonstrated efficacy in extending survival for various cancers.
Purpose of the Study:
- To review the current status of anti-angiogenic agents in cancer treatment.
- To highlight the challenges and potential of this therapeutic approach.
- To emphasize the importance of biomarker identification.
Main Methods:
- Literature review of anti-angiogenic agents in cancer therapy.
- Analysis of clinical trial data and outcomes.
- Discussion of resistance mechanisms and toxicity profiles.
Main Results:
- Anti-angiogenic therapy has shown survival benefits in colon, breast, kidney, lung, and liver cancers.
- Resistance and toxicity remain significant challenges.
- Biomarker identification is crucial for optimizing treatment response.
Conclusions:
- Anti-angiogenic agents remain a valuable therapeutic tool in oncology.
- Further research is needed to overcome resistance and toxicity.
- Identifying predictive biomarkers is essential for personalized anti-angiogenic therapy.
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