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Published on: March 30, 2019
Anti-Angiogenic Therapy in the Treatment of Non-Small Cell Lung Cancer
Wentao Tian1,2, Chenghui Cao1,2, Long Shu1
1Department of Oncology, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, People's Republic of China.
Abstract:
Angiogenesis plays an essential role in the development of most solid tumors by delivering nutrients and oxygen to the tumor. Therefore, anti-angiogenic therapy, particularly anti-VEGF and anti-VEGF receptor (VEGFR) therapy, has been a popular strategy to treat cancer. However, anti-angiogenic therapy does not significantly improve patients' outcomes when used alone because the cutdown of the vessels transforms tumor cells to a hypoxia-tolerant phenotype. While combining anti-angiogenic therapy with other therapies, including chemotherapy, radiotherapy, immunotherapy, and anti-epidermal growth factor receptor (EGFR) therapy, has a promising efficacy due to the vessel normalization effect induced by anti-angiogenic agents. Here, we review the characteristics of tumor angiogenesis, the mechanisms, clinical applications, and prospects of combining anti-angiogenic therapy with other therapies in the treatment of non-small cell lung cancer.
Insights
Anti-angiogenic therapy shows limited success alone in cancer treatment. Combining it with chemotherapy, radiotherapy, or immunotherapy offers promising efficacy by normalizing tumor blood vessels.
Area of Science:
- Oncology
- Cancer Biology
- Translational Medicine
Background:
- Tumor growth relies on angiogenesis, the formation of new blood vessels, for nutrient and oxygen supply.
- Anti-angiogenic therapies targeting vascular endothelial growth factor (VEGF) are common cancer treatments.
- Monotherapy with anti-angiogenic agents is often ineffective due to tumor cell adaptation to hypoxia.
Purpose of the Study:
- To review tumor angiogenesis characteristics.
- To explore mechanisms of combining anti-angiogenic therapy with other treatments.
- To discuss clinical applications and prospects for non-small cell lung cancer.
Main Methods:
- Literature review on tumor angiogenesis.
- Analysis of mechanisms underlying combination therapies.
- Evaluation of clinical data for anti-angiogenic therapy combinations.
Main Results:
- Anti-angiogenic therapy alone can induce hypoxia and promote tumor cell survival.
- Combining anti-angiogenic therapy with chemotherapy, radiotherapy, immunotherapy, or anti-EGFR therapy shows enhanced efficacy.
- Vessel normalization induced by anti-angiogenic agents is key to improved outcomes in combination strategies.
Conclusions:
- Combination therapy holds significant promise for improving non-small cell lung cancer treatment outcomes.
- Understanding tumor angiogenesis is crucial for developing effective anti-cancer strategies.
- Further research into optimizing combination regimens is warranted.
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