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Updated: Jun 16, 2025

Evaluating the Angiogenetic Properties of Ovarian Cancer Stem-Like Cells using the Three-Dimensional Co-Culture System, NICO-1
Published on: December 5, 2020
The VEGF/VEGFR2 system in ovarian cancer: From functional to pharmacological significance
Elisabetta Grillo1, Chiara Romani2, Victoria M Ettorre3
1Department of Molecular and Translational Medicine, University of Brescia, Via Branze 39, 25123 Brescia, Italy.
Abstract:
The vascular endothelial growth factor receptor 2 (VEGFR2) is a tyrosine kinase receptor regulating a variety of biological processes, including embryonic development, angiogenesis, tissue homeostasis and cancer. VEGFR2 is activated by canonical VEGFs and non-canonical ligands, triggering intracellular signaling cascades that mediate its biological activity. Preclinical studies show that VEGFR2 plays a complex yet pivotal role in the progression of ovarian cancer (OC), a deadly disease with a global burden of more than 320,000 women in 2022. Several inhibitors of the VEGF/VEGFR2 axis have been developed and are currently approved or included in clinical trials/preclinical studies for the therapy of different subtypes of OC. Originally developed as anti-angiogenics, anti-VEGF/VEGFR2 drugs are now well-known to also affect tumor cells, immune cells and cancer-associated fibroblasts (CAFs), also in OC. In this review we address the specific role of the VEGF/VEGFR2 axis in OC cells, and, from this perspective, we discuss the therapeutic significance of VEGFR2 targeting. Dissection of the molecular landscape modulated by the VEGF/VEGFR2 system in tumor cells in addition to stromal ones will facilitate ongoing translational efforts directed toward OC therapy. SIGNIFICANCE STATEMENT: Anti-angiogenics blocking the VEGF/VEGFR2 axis are widely used to treat ovarian cancer, although resistance and poor response occur. Recent advances reveal that anti-VEGF/VEGFR2 drugs act on multiple compartments, including ovarian cancer cells. This review discusses the functional and pharmacological significance of the VEGF/VEGFR2 axis in ovarian cancer cells highlighting insights from preclinical and clinical studies. A deeper understanding of this pathway is essential for a safe/efficacious usage of anti-angiogenics targeting the VEGFR2 pathway in ovarian cancer.
Insights
Vascular Endothelial Growth Factor Receptor 2 (VEGFR2) is crucial in ovarian cancer (OC) progression. Targeting this receptor impacts not only blood vessel growth but also cancer cells, offering new therapeutic strategies for OC.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Vascular Endothelial Growth Factor Receptor 2 (VEGFR2) is a key tyrosine kinase receptor involved in embryonic development, angiogenesis, and cancer.
- VEGFR2 signaling is implicated in the progression of ovarian cancer (OC), a significant global health concern.
- Current therapies targeting the VEGF/VEGFR2 axis, initially developed as anti-angiogenics, also impact tumor cells, immune cells, and cancer-associated fibroblasts.
Purpose of the Study:
- To review the specific role of the VEGF/VEGFR2 axis within ovarian cancer cells.
- To discuss the therapeutic implications of targeting VEGFR2 from the perspective of its action on cancer cells.
- To highlight insights from preclinical and clinical studies for improved ovarian cancer treatment.
Main Methods:
- Literature review of preclinical and clinical studies on the VEGF/VEGFR2 axis in ovarian cancer.
- Analysis of the molecular landscape modulated by VEGF/VEGFR2 in both tumor and stromal compartments.
- Synthesis of current understanding of VEGFR2's function and pharmacological targeting in OC.
Main Results:
- The VEGF/VEGFR2 axis plays a complex role in ovarian cancer progression, affecting multiple cellular components.
- Anti-VEGF/VEGFR2 drugs demonstrate effects beyond anti-angiogenesis, influencing ovarian cancer cells directly.
- Resistance and suboptimal responses to current anti-VEGF/VEGFR2 therapies highlight the need for a deeper understanding of pathway dynamics.
Conclusions:
- Targeting the VEGF/VEGFR2 axis holds significant therapeutic potential in ovarian cancer, extending beyond its anti-angiogenic effects.
- Understanding the comprehensive impact of VEGF/VEGFR2 signaling on ovarian cancer cells is crucial for optimizing therapeutic strategies.
- Further research into the molecular mechanisms and clinical applications of VEGFR2 inhibition is essential for enhancing the efficacy and safety of ovarian cancer treatments.
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