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.

Oncotargets and Therapy
|December 2, 2020
PubMed

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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