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Updated: Jan 24, 2026

Angiogenesis in the Ischemic Rat Lung
Published on: February 8, 2013
Emerging angiogenesis inhibitors for non-small cell lung cancer
Umberto Malapelle1, Antonio Rossi2
1a Department of Public Health , University Federico II of Naples , Naples , Italy.
Abstract:
Introduction: Angiogenesis represents a complex process crucial during embryo development, wound healing, and collateral formation for improved organ perfusion. Numerous stimulatory and inhibitory pathways through their balance regulate angiogenesis and vascular homeostasis. Targeting the pathways implicated in the regulation of angiogenesis and neo-angiogenesis plays an important role in cancer research, treatment, and patients' outcome. Antiangiogenic strategies, including monoclonal antibodies binding vascular endothelial growth factor (VEGF) or the corresponding receptor and small molecules which inhibit the function of different angio-related tyrosine kinase, produced interesting results in cancer treatments including non-small-cell lung cancer (NSCLC). Areas covered: The current state-of-the-art of anti-angiogenesis treatment in the management of NSCLC patients is reviewed and discussed. A structured search of bibliographic databases for peer-reviewed research literature and of main meetings using a focused review question was undertaken in order to discuss about emerging angiogenesis inhibitors in NSCLC. Expert opinion: Targeting angiogenesis remains an important therapeutic strategy in the management of NSCLC. Moreover, VEGF has been recognized having also an immunosuppressive action leading to investigate the potential activity of angiogenic inhibitors in restoring the antitumor immunity by targeting VEGF/VEGF-Receptor. Furthermore, new anti-angiogenic drugs for which there is also the availability of predictive biomarkers are welcome.
Insights
Targeting angiogenesis, the process of new blood vessel formation, is vital for treating non-small-cell lung cancer (NSCLC). Anti-VEGF therapies show promise, and new inhibitors may restore antitumor immunity.
Area of Science:
- Oncology
- Molecular Biology
- Vascular Biology
Background:
- Angiogenesis is essential for development and homeostasis, but its dysregulation drives cancer growth.
- Targeting angiogenesis is a key strategy in cancer research and treatment, particularly for non-small-cell lung cancer (NSCLC).
- Current anti-angiogenic therapies include monoclonal antibodies against VEGF and small molecules inhibiting tyrosine kinases.
Purpose of the Study:
- To review the current state-of-the-art of anti-angiogenesis treatment in NSCLC.
- To discuss emerging angiogenesis inhibitors and their potential in NSCLC management.
- To explore the role of VEGF in tumor immunity and the potential of anti-angiogenic drugs in restoring antitumor responses.
Main Methods:
- A structured literature search of bibliographic databases was conducted.
- Peer-reviewed research and main conference meeting abstracts were reviewed.
- A focused review question guided the literature search and discussion.
Main Results:
- Anti-angiogenic strategies, including anti-VEGF therapies, have yielded positive results in NSCLC treatment.
- VEGF exhibits immunosuppressive properties, suggesting anti-angiogenic inhibitors could enhance antitumor immunity.
- New anti-angiogenic drugs with predictive biomarkers are needed for improved NSCLC management.
Conclusions:
- Targeting angiogenesis remains a critical therapeutic approach for NSCLC.
- Investigating the interplay between VEGF, angiogenesis, and tumor immunity is crucial for developing novel treatments.
- The development of predictive biomarkers for anti-angiogenic therapies will optimize patient outcomes in NSCLC.
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