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Updated: Jun 29, 2025

Monitoring Functionality and Morphology of Vasculature Recruited by Factors Secreted by Fast-growing Tumor-generating Cells
Published on: November 23, 2014
Mechanisms of angiogenesis in tumour
Run Zhang1, Yutong Yao1, Hanwei Gao1
1China-Japan Union Hospital of Jilin University, Jilin University, Changchun, China.
Abstract:
Angiogenesis is essential for tumour growth and metastasis. Antiangiogenic factor-targeting drugs have been approved as first line agents in a variety of oncology treatments. Clinical drugs frequently target the VEGF signalling pathway during sprouting angiogenesis. Accumulating evidence suggests that tumours can evade antiangiogenic therapy through other angiogenesis mechanisms in addition to the vascular sprouting mechanism involving endothelial cells. These mechanisms include (1) sprouting angiogenesis, (2) vasculogenic mimicry, (3) vessel intussusception, (4) vascular co-option, (5) cancer stem cell-derived angiogenesis, and (6) bone marrow-derived angiogenesis. Other non-sprouting angiogenic mechanisms are not entirely dependent on the VEGF signalling pathway. In clinical practice, the conversion of vascular mechanisms is closely related to the enhancement of tumour drug resistance, which often leads to clinical treatment failure. This article summarizes recent studies on six processes of tumour angiogenesis and provides suggestions for developing more effective techniques to improve the efficacy of antiangiogenic treatment.
Insights
Tumors use multiple angiogenesis pathways beyond vascular sprouting to resist antiangiogenic drugs. Understanding these diverse mechanisms is key to improving cancer treatment efficacy.
Area of Science:
- Oncology
- Cancer Biology
- Vascular Biology
Background:
- Angiogenesis is crucial for tumor growth and metastasis.
- Antiangiogenic therapies targeting the VEGF pathway are standard oncology treatments.
- Tumors can develop resistance to antiangiogenic drugs through various mechanisms.
Purpose of the Study:
- To summarize recent research on six distinct tumor angiogenesis processes.
- To explore mechanisms tumors use to evade antiangiogenic therapy.
- To propose strategies for enhancing antiangiogenic treatment effectiveness.
Main Methods:
- Review of current scientific literature on tumor angiogenesis.
- Analysis of non-sprouting angiogenic mechanisms.
- Examination of the link between angiogenesis and drug resistance.
Main Results:
- Tumors employ six main angiogenesis mechanisms: sprouting angiogenesis, vasculogenic mimicry, vessel intussusception, vascular co-option, cancer stem cell-derived angiogenesis, and bone marrow-derived angiogenesis.
- Non-sprouting angiogenesis pathways are often independent of the VEGF signaling pathway.
- Tumor angiogenesis reprogramming contributes to enhanced drug resistance and treatment failure.
Conclusions:
- Targeting only VEGF-driven sprouting angiogenesis is insufficient for effective cancer treatment.
- Developing strategies that address multiple angiogenesis mechanisms is essential.
- Further research into alternative angiogenic pathways can lead to more effective antiangiogenic therapies.
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