New Angiogenic Regulators Produced by TAMs: Perspective for Targeting Tumor Angiogenesis

Irina Larionova1,2, Elena Kazakova1, Tatiana Gerashchenko2

  • 1Laboratory of Translational Cellular and Molecular Biomedicine, National Research Tomsk State University, 634050 Tomsk, Russia.

Cancers
|July 2, 2021
PubMed

Insights

Tumor-associated macrophages (TAMs) drive tumor angiogenesis by secreting factors like VEGF, explaining resistance to current therapies. Targeting TAMs offers a promising strategy for more effective anti-angiogenic cancer treatment.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Angiogenesis is vital for tumor growth, making its inhibition a key cancer treatment strategy.
  • Current anti-angiogenic drugs targeting VEGF or receptor tyrosine kinases show limited efficacy due to patient resistance.
  • Tumor-associated macrophages (TAMs) are identified as crucial inducers of tumor angiogenesis.

Purpose of the Study:

  • To review secreted angiogenic factors produced by TAMs.
  • To explain the mechanisms behind resistance to current anti-angiogenic therapies.
  • To discuss prospects for targeting TAMs in cancer treatment.

Main Methods:

  • Literature review of studies on TAMs and angiogenesis.
  • Analysis of secreted regulators of angiogenesis produced by TAMs.
  • Discussion of genetic and posttranscriptional control mechanisms.

Main Results:

  • TAMs secrete multiple pro-angiogenic factors including VEGF, SEMA, S100A, chitinase-like proteins, osteopontin, and SPARC.
  • Factors like COX-2 and Tie2 influence TAM pro-angiogenic activity.
  • These TAM-derived factors contribute to resistance against current anti-angiogenic drugs.

Conclusions:

  • Understanding TAM-driven angiogenesis is crucial for overcoming treatment resistance.
  • Targeting TAMs and their secreted factors presents a novel therapeutic avenue.
  • Complex targeting strategies for TAM pro-angiogenic activity hold promise for improved cancer therapy.

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