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Updated: Jul 17, 2025

Monitoring Functionality and Morphology of Vasculature Recruited by Factors Secreted by Fast-growing Tumor-generating Cells
Published on: November 23, 2014
Angiogenesis modulated by CD93 and its natural ligands IGFBP7 and MMRN2: a new target to facilitate solid tumor
Yang Li1, Lei Fu1, Baokang Wu1
1Department of General Surgery, Shengjing Hospital of China Medical University, No.36.Sanhao stress, Heping District, Shenyang, 110004, Liaoning Province, China.
Abstract:
The tumor vasculature was different from the normal vasculature in both function and morphology, which caused hypoxia in the tumor microenvironment (TME). Previous anti-angiogenesis therapy had led to a modest improvement in cancer immunotherapy. However, antiangiogenic therapy only benefitted a few patients and caused many side effects. Therefore, there was still a need to develop a new approach to affect tumor vasculature formation. The CD93 receptor expressed on the surface of vascular endothelial cells (ECs) and its natural ligands, MMRN2 and IGFBP7, were now considered potential targets in the antiangiogenic treatment because recent studies had reported that anti-CD93 could normalize the tumor vasculature without impacting normal blood vessels. Here, we reviewed recent studies on the role of CD93, IGFBP7, and MMRN2 in angiogenesis. We focused on revealing the interaction between IGFBP7-CD93 and MMRN2-CD93 and the signaling cascaded impacted by CD93, IGFBP7, and MMRN2 during the angiogenesis process. We also reviewed retrospective studies on CD93, IGFBP7, and MMRN2 expression and their relationship with clinical factors. In conclusion, CD93 was a promising target for normalizing the tumor vasculature.
Insights
Targeting the CD93 receptor and its ligands, IGFBP7 and MMRN2, shows promise for normalizing tumor vasculature. This approach may improve cancer immunotherapy by addressing tumor microenvironment hypoxia without harming normal blood vessels.
Area of Science:
- Biomedical Science
- Cancer Research
- Molecular Biology
Background:
- Tumor vasculature differs functionally and morphologically from normal vasculature, leading to tumor microenvironment (TME) hypoxia.
- Previous anti-angiogenesis therapies offered limited benefits and caused side effects, necessitating novel therapeutic strategies.
- The CD93 receptor, expressed on endothelial cells, and its ligands, IGFBP7 and MMRN2, are emerging targets for anti-angiogenic treatment.
Purpose of the Study:
- To review the role of CD93, IGFBP7, and MMRN2 in angiogenesis.
- To elucidate the interactions between IGFBP7-CD93 and MMRN2-CD93 signaling pathways.
- To examine the clinical relevance of CD93, IGFBP7, and MMRN2 expression in cancer.
Main Methods:
- Literature review of recent studies on CD93, IGFBP7, and MMRN2 in angiogenesis.
- Analysis of signaling cascades influenced by CD93, IGFBP7, and MMRN2.
- Review of retrospective studies correlating CD93, IGFBP7, and MMRN2 expression with clinical factors.
Main Results:
- CD93, IGFBP7, and MMRN2 play significant roles in the angiogenesis process.
- Specific interactions between IGFBP7-CD93 and MMRN2-CD93 influence signaling pathways.
- Expression patterns of CD93, IGFBP7, and MMRN2 correlate with clinical parameters in cancer patients.
Conclusions:
- CD93 is a potential therapeutic target for normalizing tumor vasculature.
- Targeting the CD93 pathway offers a promising strategy to improve cancer immunotherapy outcomes.
- Further research into CD93-mediated signaling could lead to more effective anti-cancer treatments.
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