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Updated: Oct 1, 2025

Monitoring Functionality and Morphology of Vasculature Recruited by Factors Secreted by Fast-growing Tumor-generating Cells
Published on: November 23, 2014
Promalignant effects of antiangiogenics in the tumor microenvironment
1Tumor Angiogenesis Group. ProCURE, Catalan Institute of Oncology, OncoBell, IDIBELL, Barcelona, Spain.
Abstract:
Antiangiogenic therapies are considered a promising strategy against solid tumors. Their aim is to inhibit the formation of new blood vasculature, thereby reducing the oxygen and nutrient supply to prevent further tumor growth and spreading. However, the strategy has seen limitations, as survival benefits are modest and often accompanied with increased tumor aggressiveness in form of invasion and metastasis. Antiangiogenic induced changes in the tumor microenvironment, such as hypoxia, mechanical stress or extracellular acidification can activate different receptors of tumoral and stromal cells and induce an extensive remodeling of the entire tumor microenvironment, with the overall goal to invade nearby tissues and regain access to the vasculature. In this regard, receptor tyrosine kinases have been studied intensively and especially the inhibition of c-Met has given promising results, characterized by a reduction in invasiveness and prolonged survival. Receptors that sense changes in the extracellular matrix like integrins or proteoglycans can also induce downstream signaling that stimulates the expression of remodeling factors such as new matrix components, enzymes or chemoattractants. Targeting multiple receptors and sensors of cancer cells simultaneously might represent an effective second line treatment that prevents the formation of malignant side effects.
Insights
Antiangiogenic therapies targeting tumor vasculature show modest benefits and can increase cancer aggressiveness. Targeting multiple cell receptors simultaneously may offer a more effective treatment to prevent metastasis.
Area of Science:
- Oncology
- Cancer Biology
- Tumor Microenvironment
Background:
- Antiangiogenic therapies aim to inhibit tumor vascularization, reducing nutrient and oxygen supply.
- Limitations include modest survival benefits and increased tumor invasion and metastasis.
- Tumor microenvironment changes (hypoxia, stress, acidification) drive aggressiveness.
Purpose of the Study:
- To explore strategies to overcome limitations of antiangiogenic therapies.
- To investigate the role of receptor tyrosine kinases and extracellular matrix sensors in tumor progression.
- To evaluate the potential of targeting multiple cellular receptors for improved cancer treatment.
Main Methods:
- Review of current antiangiogenic therapy strategies and their outcomes.
- Analysis of cellular signaling pathways activated by tumor microenvironment changes.
- Investigation of receptor tyrosine kinases (e.g., c-Met) and matrix-sensing receptors (integrins, proteoglycans).
Main Results:
- Inhibition of c-Met shows promise in reducing tumor invasiveness and improving survival.
- Extracellular matrix receptors activate signaling pathways promoting tumor remodeling.
- Simultaneous targeting of multiple receptors may prevent malignant side effects.
Conclusions:
- Targeting tumor vasculature alone is insufficient due to adaptive resistance mechanisms.
- Simultaneous inhibition of multiple signaling pathways (e.g., c-Met and matrix receptors) is a promising therapeutic strategy.
- Combination therapies could enhance treatment efficacy and prevent cancer metastasis.
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