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Updated: Sep 27, 2025

Analysis of Combinatorial miRNA Treatments to Regulate Cell Cycle and Angiogenesis
Published on: March 30, 2019
Cancer combination therapies by angiogenesis inhibitors; a comprehensive review
Mohammad Javed Ansari1, Dmitry Bokov2,3, Alexander Markov4,5
1Department of Pharmaceutics, College of Pharmacy, Prince Sattam Bin Abdulaziz University, Al-Kharj, Kingdom of Saudi Arabia.
Abstract:
Abnormal vasculature is one of the most conspicuous traits of tumor tissue, largely contributing to tumor immune evasion. The deregulation mainly arises from the potentiated pro-angiogenic factors secretion and can also target immune cells' biological events, such as migration and activation. Owing to this fact, angiogenesis blockade therapy was established to fight cancer by eliminating the nutrient and oxygen supply to the malignant cells by impairing the vascular network. Given the dominant role of vascular-endothelium growth factor (VEGF) in the angiogenesis process, the well-known anti-angiogenic agents mainly depend on the targeting of its actions. However, cancer cells mainly show resistance to anti-angiogenic agents by several mechanisms, and also potentiated local invasiveness and also distant metastasis have been observed following their administration. Herein, we will focus on clinical developments of angiogenesis blockade therapy, more particular, in combination with other conventional treatments, such as immunotherapy, chemoradiotherapy, targeted therapy, and also cancer vaccines. Video abstract.
Insights
Angiogenesis blockade therapy targets tumor vasculature but faces resistance. Combining it with other treatments like immunotherapy may improve cancer treatment outcomes.
Area of Science:
- Oncology
- Cancer Biology
- Immunology
Background:
- Tumor vasculature is abnormal, aiding immune evasion and fueled by pro-angiogenic factors.
- Angiogenesis blockade therapy, often targeting vascular-endothelium growth factor (VEGF), aims to starve tumors.
- Resistance to anti-angiogenic agents and increased metastasis are significant challenges.
Purpose of the Study:
- To review clinical developments in angiogenesis blockade therapy.
- To explore combinations of angiogenesis blockade with conventional cancer treatments.
Main Methods:
- Review of clinical studies and therapeutic strategies.
- Focus on combination therapies including immunotherapy, chemoradiotherapy, targeted therapy, and cancer vaccines.
Main Results:
- Angiogenesis blockade is a key strategy against cancer.
- Combination therapies show promise in overcoming resistance and improving efficacy.
- VEGF-targeted therapies are central but face challenges.
Conclusions:
- Angiogenesis blockade therapy is crucial in cancer treatment.
- Combining anti-angiogenic strategies with immunotherapy, chemoradiotherapy, targeted therapy, and cancer vaccines is a promising clinical development.
- Further research into combination therapies is essential to enhance anti-cancer effects and overcome resistance.
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