Mechanisms of angiogenesis in tumour

Run Zhang1, Yutong Yao1, Hanwei Gao1

  • 1China-Japan Union Hospital of Jilin University, Jilin University, Changchun, China.

Frontiers in Oncology
|April 9, 2024
PubMed

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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